Study of Flexible Intramedullary Titanium elastic Nail fixation in a Paediatric shaft of Femur fracture

Abstract

Background: Paediatric shaft of femur fracture account for 1.4 to 1.7 percent of all the paediatric fractures. There are many treatment options for fracture shaft of the femur. Treatment decision depends upon children age, fracture character and social status. Initially, surgical treatments for fracture shaft of the femur were confined to polytrauma patients. Now due to early mobilization, less hospital stay and early return to home and school, treatment tends toward surgery.Aims: The study was done to see the outcome of fracture shaft of femur in paediatric age group with titanium elastic nail.Material and Methods: There were total of 33 patients with fracture shaft of the femur enroll for this study. They all are treated with flexible intramedullary titanium elastic nail fixation. Their outcome was evaluated at different time interval.Statistical analysis: The data was analyzed by using SPSS for Windows (version 16.0) Results: The mean age of patients in this study was 8.70± 2.51 years. All patients had the union of fractures by the end of 7 weeks with excellent outcome seen in 22(66.67%) cases and satisfactory outcome seen in 9(22.27%) cases. Six patients had the poor outcome with acceptable range of deformity and skin irritation.Conclusion: TENS is an easy, cost- effective modality of treatment. Proper patient and case selection provides an excellent outcome.