Outcome of titanium elastic intramedullary nail in the treatment of shaft of femur fracture in children

Javed A. Khan, G. P. Singh, A. Pandey

Research output: Contribution to journalArticle

Abstract

Background Femoral-shaft fractures are among the most common fractures of the lower extremity in children. There are several different options for treating femoral-shaft fractures in children. Elastic intramedullary nailing (ESIN) has become the standard treatment for fractures of shaft of femur in children for reasons including mini-invasive surgery, no need for casting, early mobilization and discharge as well as growing concerns toward cost-effectiveness. Objective To demonstrate the effectiveness of intramedullary fixation of fracture shaft of femur in skeletally immature children using the Titanium elastic intramedullary nails. Method 40 children who underwent fixation with titanium intramedullary nails because of fracture of shaft of femur (Winquist and Hansen type 1 and 2) were reviewed. There were 60% male and 40% female patients and mean follow-up was 6 months. Time of union, deformity at fracture site, limb length discrepancy, knee range of motion and complications were assessed. Result Average age of the patients was 5.17 years (range 3 to 10) All patients achieved complete healing at a mean 12.8 weeks (range 10 to 20 weeks). Average limb length discrepancy was -0.16 cm (range -1.0 to 1.1 cm) average knee range of motion was 137.55 degrees (range 118 to 152 degrees). Complications were recorded in 13 (31.7%) patients and included: Five malunion which did not show any deformity or functional impairment and eight superficial wound infections which were healed after removal of nail. All patients were active as their pre injury levels at 6 months follow up. Conclusion Elastic Stable Intra-medullary Nailing is the method of choice for the simple pediatrics fracture shaft of femur, as it is minimally invasive and shows good functional and cosmetic results. It allows short hospital stay and quick recovery from pain and is cast-free.

Original languageEnglish (US)
Pages (from-to)195-199
Number of pages5
JournalKathmandu University Medical Journal
Volume13
Issue number51
StatePublished - Jul 1 2015
Externally publishedYes

Fingerprint

Nails
Titanium
Femur
Intramedullary Fracture Fixation
Femoral Fractures
Articular Range of Motion
Knee
Extremities
Therapeutics
Early Ambulation
Wound Infection
Cosmetics
Cost-Benefit Analysis
Lower Extremity
Length of Stay
Pediatrics
Pain
Wounds and Injuries

Keywords

  • Children
  • Fracture shaft of femur
  • Titanium elastic nail (TEN)

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Outcome of titanium elastic intramedullary nail in the treatment of shaft of femur fracture in children. / Khan, Javed A.; Singh, G. P.; Pandey, A.

In: Kathmandu University Medical Journal, Vol. 13, No. 51, 01.07.2015, p. 195-199.

Research output: Contribution to journalArticle

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abstract = "Background Femoral-shaft fractures are among the most common fractures of the lower extremity in children. There are several different options for treating femoral-shaft fractures in children. Elastic intramedullary nailing (ESIN) has become the standard treatment for fractures of shaft of femur in children for reasons including mini-invasive surgery, no need for casting, early mobilization and discharge as well as growing concerns toward cost-effectiveness. Objective To demonstrate the effectiveness of intramedullary fixation of fracture shaft of femur in skeletally immature children using the Titanium elastic intramedullary nails. Method 40 children who underwent fixation with titanium intramedullary nails because of fracture of shaft of femur (Winquist and Hansen type 1 and 2) were reviewed. There were 60{\%} male and 40{\%} female patients and mean follow-up was 6 months. Time of union, deformity at fracture site, limb length discrepancy, knee range of motion and complications were assessed. Result Average age of the patients was 5.17 years (range 3 to 10) All patients achieved complete healing at a mean 12.8 weeks (range 10 to 20 weeks). Average limb length discrepancy was -0.16 cm (range -1.0 to 1.1 cm) average knee range of motion was 137.55 degrees (range 118 to 152 degrees). Complications were recorded in 13 (31.7{\%}) patients and included: Five malunion which did not show any deformity or functional impairment and eight superficial wound infections which were healed after removal of nail. All patients were active as their pre injury levels at 6 months follow up. Conclusion Elastic Stable Intra-medullary Nailing is the method of choice for the simple pediatrics fracture shaft of femur, as it is minimally invasive and shows good functional and cosmetic results. It allows short hospital stay and quick recovery from pain and is cast-free.",
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