1Professor & Head, Dept. of Orthopaedics, Shri Ram Murti Smarak Institute of Medical Sciences, Bareilly, Uttar Pradesh
2Junior Resident, Dept. of Orthopaedics, Shri Ram Murti Smarak Institute of Medical Sciences, Bareilly, Uttar Pradesh
3Professor, Dept. of Orthopaedics, Shri Ram Murti Smarak Institute of Medical Sciences, Bareilly, Uttar Pradesh
*Corresponding Author: Email: arorabonehospital97@gmail.com
Online published on 14 October, 2017.
Fracture shaft femur is a common injury in children. The best treatment for children between 5 to 14 years of age is still debatable. The ideal device for the treatment of most displaced femoral fractures in children would be a simple, load-sharing internal splint that allows mobilization and maintenance of alignment and extremity length until bridging callus forms. Titanium elastic nails offer these features.
To assess the functional and radiological outcome of closed reduction and internal fixation of fractures of shaft femur in children aged 5–14 years with TENS.
30 patients were treated from November 2014 to July 2016 between age group of 5–14 years by retrograde TEN fixation.
Patients were mobilized without weight bearing on the 7th day post operatively. Partial weight bearing was started at 6 weeks and full weight bearing at 12 weeks depending on the fracture configuration, callus response and associated injuries. Follow up was done at 6 weeks, 12 weeks and 24 weeks.
Average radiological union was seen in 12.8 weeks. Maximum patients achieved full range of hip and knee movements. Only two had knee stiffness. Based on Flynn‘s criteria 70% excellent and 30% good results were recorded.
Titanium Elastic Nailing system for the treatment of paediatric shaft femur fractures in the age group of 5–14 years is an effective method, as it avoids any growth disturbance by preserving the epiphyseal growth plate, and avoids bone damage or weakening through the elasticity of the construct.
Titanium Elastic Nail (TEN), Flynn criteria, Retrograde, Shaft femur, Children
