Paediatric femoral shaft fractures managed with tens

The study included fifty children (36 males, 14 females) aged 6–16 years with recent femoral shaft fractures (48 closed, 2 open), which were fixed with titanium elastic nails. Post operatively partial weight bearing was started at around four weeks and full weight bearing by eight weeks. Mean duration of follow up was 64 weeks. The results were evaluated as per Flynn's scoring criteria. Radiological union was achieved in a mean time of 6.62 weeks. Full weight bearing was possible in a mean time of 8.8 weeks. Mean duration of hospital stay was 9.8 days. The final results were excellent in 44 patients (88%), successful in six (12%) and poor in none of the patients. Limb length discrepancy up to 1 cm was found in five cases and six patients developed bursitis at the entry point. Titanium elastic nailing is a safe, minimally invasive, cost effective implant for the treatment of femoral shaft fractures in age group 6–16 years old children, which allows early rehabilitation and provides excellent functional and cosmetic results.