Flexible intramedullary nailing for femoral diaphyseal fractures in children
<p><strong>Background & Objectives:</strong> Although various treatment options are available for the treatment of femoral diaphyesal fractures in children, the titanium flexible nailing has gained popularity because it is safe, easy procedure with rapid recovery and high s...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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College of Medical Sciences
2017-12-01
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| Series: | Journal of College of Medical Sciences-Nepal |
| Subjects: | |
| Online Access: | https://www.nepjol.info/index.php/JCMSN/article/view/18122 |
| _version_ | 1818129990446743552 |
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| author | Rojan Tamrakar Sagun Basnyat Gajendra Mani Shah Toya Raj Bhatta Bidur Gyawali Balakrishnan M Acharya Suman Kumar Shrestha Nabees Man Singh Pradhan |
| author_facet | Rojan Tamrakar Sagun Basnyat Gajendra Mani Shah Toya Raj Bhatta Bidur Gyawali Balakrishnan M Acharya Suman Kumar Shrestha Nabees Man Singh Pradhan |
| author_sort | Rojan Tamrakar |
| collection | DOAJ |
| description | <p><strong>Background & Objectives:</strong> Although various treatment options are available for the treatment of femoral diaphyesal fractures in children, the titanium flexible nailing has gained popularity because it is safe, easy procedure with rapid recovery and high success rate. The aim of this study was to evaluate the outcome of titanium elastic nails in treating paediatric femoral diaphyesal fractures at Patan Hospital.</p><p><strong>Materials & Methods:</strong> There were 35 cases which were all fixed with titanium flexible intramedullary nail under image intensifier at the Patan hospital from January 2013 and December 2015. Patients were evaluated in follow-ups to observe the alignment of fracture, infection, delayed union, nonunion, limb length discrepancy, implant failure, range of movement of hip and knee joints, and time to unite the fracture. The final results were evaluated using criteria of titanium elastic nail (TEN) outcome score described by Flynn et al.</p><p><strong>Results:</strong> The mean age of the patients was 8.51 years. Among 35 patients (22 boys and 13 girls), there were 19 mid-shaft fractures, nine proximal third fractures and seven distal third fractures. Fracture patterns were transverse (22), oblique (10), spiral (2), and comminuted (2). The mean time for fracture union was 8.17 weeks radiologically whereas 9.83 weeks clinically. According to TEN outcome score, excellent and good results were in 28 cases (80%) and seven cases (20%) respectively.</p><p><strong>Conclusion:</strong> Flexible titanium nailing is a safe and satisfactory treatment for diaphyseal femoral fractures in children, because it provides rapid recovery, short rehabilitation and immobilization as well as very high union rate with few complications. </p> |
| first_indexed | 2024-12-11T07:57:55Z |
| format | Article |
| id | doaj.art-103addd0278a489fbf2d5549bb3d535a |
| institution | Directory Open Access Journal |
| issn | 2091-0657 2091-0673 |
| language | English |
| last_indexed | 2024-12-11T07:57:55Z |
| publishDate | 2017-12-01 |
| publisher | College of Medical Sciences |
| record_format | Article |
| series | Journal of College of Medical Sciences-Nepal |
| spelling | doaj.art-103addd0278a489fbf2d5549bb3d535a2022-12-22T01:15:11ZengCollege of Medical SciencesJournal of College of Medical Sciences-Nepal2091-06572091-06732017-12-0113442042410.3126/jcmsn.v13i4.1812214532Flexible intramedullary nailing for femoral diaphyseal fractures in childrenRojan Tamrakar0Sagun Basnyat1Gajendra Mani Shah2Toya Raj Bhatta3Bidur Gyawali4Balakrishnan M Acharya5Suman Kumar Shrestha6Nabees Man Singh Pradhan7Mahakali Zonal Hospital, MahendranagarPatan Academy of Health Sciences (PAHS) Patan HospitalPatan Academy of Health Sciences (PAHS) Patan HospitalPatan Academy of Health Sciences (PAHS) Patan HospitalPatan Academy of Health Sciences (PAHS) Patan HospitalPatan Academy of Health Sciences (PAHS) Patan HospitalPatan Academy of Health Sciences (PAHS) Patan HospitalPatan Academy of Health Sciences (PAHS) Patan Hospital<p><strong>Background & Objectives:</strong> Although various treatment options are available for the treatment of femoral diaphyesal fractures in children, the titanium flexible nailing has gained popularity because it is safe, easy procedure with rapid recovery and high success rate. The aim of this study was to evaluate the outcome of titanium elastic nails in treating paediatric femoral diaphyesal fractures at Patan Hospital.</p><p><strong>Materials & Methods:</strong> There were 35 cases which were all fixed with titanium flexible intramedullary nail under image intensifier at the Patan hospital from January 2013 and December 2015. Patients were evaluated in follow-ups to observe the alignment of fracture, infection, delayed union, nonunion, limb length discrepancy, implant failure, range of movement of hip and knee joints, and time to unite the fracture. The final results were evaluated using criteria of titanium elastic nail (TEN) outcome score described by Flynn et al.</p><p><strong>Results:</strong> The mean age of the patients was 8.51 years. Among 35 patients (22 boys and 13 girls), there were 19 mid-shaft fractures, nine proximal third fractures and seven distal third fractures. Fracture patterns were transverse (22), oblique (10), spiral (2), and comminuted (2). The mean time for fracture union was 8.17 weeks radiologically whereas 9.83 weeks clinically. According to TEN outcome score, excellent and good results were in 28 cases (80%) and seven cases (20%) respectively.</p><p><strong>Conclusion:</strong> Flexible titanium nailing is a safe and satisfactory treatment for diaphyseal femoral fractures in children, because it provides rapid recovery, short rehabilitation and immobilization as well as very high union rate with few complications. </p>https://www.nepjol.info/index.php/JCMSN/article/view/18122Femoral diaphyesal fractureflexible intramedullary nail |
| spellingShingle | Rojan Tamrakar Sagun Basnyat Gajendra Mani Shah Toya Raj Bhatta Bidur Gyawali Balakrishnan M Acharya Suman Kumar Shrestha Nabees Man Singh Pradhan Flexible intramedullary nailing for femoral diaphyseal fractures in children Journal of College of Medical Sciences-Nepal Femoral diaphyesal fracture flexible intramedullary nail |
| title | Flexible intramedullary nailing for femoral diaphyseal fractures in children |
| title_full | Flexible intramedullary nailing for femoral diaphyseal fractures in children |
| title_fullStr | Flexible intramedullary nailing for femoral diaphyseal fractures in children |
| title_full_unstemmed | Flexible intramedullary nailing for femoral diaphyseal fractures in children |
| title_short | Flexible intramedullary nailing for femoral diaphyseal fractures in children |
| title_sort | flexible intramedullary nailing for femoral diaphyseal fractures in children |
| topic | Femoral diaphyesal fracture flexible intramedullary nail |
| url | https://www.nepjol.info/index.php/JCMSN/article/view/18122 |
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