Experience with Titanium Elastic Nails (TENS) for Femur Fracture and its Complications among 5-15 Years Age Group in Odisha: A Prospective Study
Introduction: Paediatric femur fracture management is still a controversial issue, because of the natural healing power of this age group. One school of thought endorses conservative management i.e., hip spica cast and other group of orthopaedic surgeons with advent of newer surgical techniques...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Pvt. Ltd.
2020-10-01
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| Series: | International Journal of Anatomy Radiology and Surgery |
| Subjects: | |
| Online Access: | http://www.ijars.net/articles/PDF/2576/44751_CE[Ra1]_F(SHU)_PF1(AB_SHU)_PFA(SHU)_PB(AB_SHU)_PN(SHU)_PF2(SY_OM).pdf |
| Summary: | Introduction: Paediatric femur fracture management is still a
controversial issue, because of the natural healing power of
this age group. One school of thought endorses conservative
management i.e., hip spica cast and other group of orthopaedic
surgeons with advent of newer surgical techniques prefer
surgical management of this fracture.
Aim: To analyse the results of paediatric femur fracture treated
with Titanium Elastic Nails (TENS) among 5-15 years age group
in Odisha.
Materials and Methods: This was a prospective observational
study of 25 cases of paediatric femur fracture treated with TENS
in Department of Orthopaedic, Sriram Chandra Bhanja Medical
College and Hospital (SCBMCH), from July 2017 to December
2019 and functional results were analysed with Flynn TEN
scoring criteria. Radiological assessment was done by Anthony
scale for grading of callus formation.
Results: Excellent results were achieved in 19 (76%), satisfactory
in 4 (16%) and poor in 2(8%) cases as per Flynn criteria. Average
time for full weight bearing was after the fracture union which
was evident in radiology with a mean of 7.9 weeks (range 6-12
weeks). The common complications were pain around knee
6(24%), limb length discrepancy 6(24%) followed by bursa at
tip of nail in 5 (20%) that subsided after nail removal.
Conclusion: TENS is an effective modality of surgical method
for paediatric femoral shaft fracture with precise technique and
proper after care. |
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| ISSN: | 2277-8543 2455-6874 |