STUDY OF NAILING (TENS) IN ISOLATED, CLOSED DIAPHYSEAL FRACTURES OF FEMUR IN CHILDREN

Dr. Kiran Kumar M N, Dr. Lohith B M

Abstract


BACKGROUND- We evaluated the clinical and radiological outcome of titanium elastic nailing system is isolated, closed diaphyseal fractures of
femur in children.
METHODS- A total of 22 children between 5-16 years of age with isolated close; diaphyseal fractures of femur undergoing closed reduction and
internal fixation with TENS was followed for six months. The clinical as well as radiological outcomes were analyzed.
RESULTS- The mean angulations was 4+10 (0-6). 60 Valgus deformity was observed in 2/22 (9.09%) patients and 120 varus in 1/22 (4.54%)
patient. Shortening of limb was seen in 2/22 (9.09%) and irritation at entry site in 16/22 (54.54%) of patients. None of the patients required early
removal of the nails. When we analyzed outcome using Flynn's criteria at week 24, we found that 12/22 (54.54%) had excellent grade where as 8/22
(36.36%) good and 2/22 (9.09%) had poor grades.
CONCLUSION: Isolated, closed, diaphyseal femoral shaft fracture in children achieves 90% success rates with minimal complications when
treated with titanium elastic nails.


Keywords


Pediatric femur fractures, Titanium elastic nailing system (TENS), Flynn's criteria.

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References


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