Sijad Ahmed Mahar, Mohammad Kashif Abbasi, Azizullah Bhayo, M Shoaib Chandio, Hussain Bux Palh, Sajjad Hussain Bhatti

Functional Outcome of Intramedullary Fixation with Titanium Elastic Nails in Diaphyseal Fractures of Femur in Children

Sijad Ahmed Mahar, Mohammad Kashif Abbasi, Azizullah Bhayo, M Shoaib Chandio, Hussain Bux Palh, Sajjad Hussain Bhatti



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ABSTRACT

Objective: To examine the functional outcome of intramedullary fixation with titanium elastic nails in diaphyseal fractures of femur in children.

Study Design: Retrospective/Observational study.

Place and Duration of Study:Pir Abdul Qadir Shah Jilani Institute of Medical Sciences, Gambatfrom 1st April 2017 to 30th September 2018.

Materials and Methods:Atotalof 16 patients of both genders presented with diaphyseal femur fractures were included. Patient’s ages were ranging from 5 to 15 years. Surgery was carried out within 3 days of admission by a qualified orthopaedic surgeon. Nail size was decided per-operatively according to Flynn’s Formula (Nail Diameter= 80% of cavity diameter/2. Post-operative back-slab was applied for 3 to 4 weeks. Patients were discharged on second post-operative day and followed up at 2 weeks, 6 weeks, 12 weeks and 24 weeks after surgery.

Results: Thirteen patients had excellent outcome and 3 patients had satisfactory result. No patient in our experience showed poor outcome. The mean time for full weight bearing was 6.9 week. Hospital stay was a mean of 05 days. Only 01patient had superficial infection which subsided with appropriate antibiotics.

Conclusion: TENS is an ideal device to treat pediatric femoral shaft fractures TENS is a simple, safe, minimal invasive technique with fewer complications.

Keywords: Diaphyseal femur fracture, Titanium elastic nail, Outcome



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