1Senior Resident, Department of Orthopedics, Rama Medical College Hospital & Research Centre, Pilkhuwa, Hapur, U.P.
2Professor, Department of Orthopedics, Rama Medical College Hospital & Research Centre, Pilkhuwa, Hapur, U.P.
*Correspondence to: -Dr. Vimal Kumar Dakour, Senior Resident, Department of Orthopedics, Rama Medical College, Hospital & Research Centre, Pilkhuwa, Hapur, Uttar Pradesh India. Tel: +919650396119, E-mail: dranuradhavimal@gmail.com
Online published on 11 April, 2017.
Management of Pediatric femoral Shaft fracture is divided between conservative & surgical. Amongst all surgical options TENS provide definitive fracture management, early Mobilization with minimal complications.
Twenty two children (19 boys & 3 Girls) aged 6–16 years with recent onset (3days) femoral diaphyseal fracture (19 closed fracture, 3 open fracture) were stabilized with TEN (Titanium elastic nail). These fractures were operated within 3 days of injury & these fracture were in proximal third (n=7) middle third (n=11) & in distal third (n=4). These surgery results were evaluated using Flynn's scoring criteria & statistical analysis was done using Fischer's exact test.
All 22 Patients were available for evaluation after a mean 7 months (6–8 months) of follow up. Radiological union in all cases was achieved in a mean time of 8.8 weeks. Patient started partial weight bearing after 5 weeks and full weight bearing after 6 weeks. Mean duration of hospital stay was 10.7 days. The results were excellent in thirteen patients (59.0%), successful in six (27.2%) and poor in three patients (13.6%). All patients attended school early.
TEN fixation is a safe & effective management of pediatric femoral shaft fracture in selected patients of 6–16 years age group.
Titanium elastic nail(TEN), intramedullary nailing, paediatric femoral fracture, diaphysis
