Abstract :
Background: Femoral fractures are common among children and adolescents. Its management has several methods which have improved with time recently. Most of these fractures are effectively managed conservatively with hip spica in very young children and only unstable and displaced fractures need surgical intervention. Children and adolescents in the age group of 4-19 years are treated with various methods of treatment. We have studied the short term results of femur fracture in children and adolescents prospectively which were managed by using Titanium Elastic Nailing System. Materials and Methods: This is a short term prospective study conducted in our department of Orthopaedics, of our hospital. Forty patients aged 4-19 years, with fracture of the shaft of femur were managed by closed reduction and internal fixation with flexible titanium elastic nailing system. All the patients were followed up clinically as well as radiologically, at two weeks interval for 8 weeks, then every 4 weeks till radiological evidence of bony union. Results: The outcome evaluation was using Flynn’s criteria of scoring system. The results were excellent in thirty seven patients (92.5%), satisfactory in three patients (7.5%) and poor in none of the case. Conclusion: The treatment of femur fracture by using Titanium Elastic Nailing System has got distinct advantages over other methods of treatment in the age group of 4-19 years. Few of the advantages being rapid union and mobility, less operative time and less hospital stay.
Keyword :
Femur fracture in children, Titanium elastic nailing system, Closed intramedullary nailing