Outcome of Ender’s nailing in pediatric patient with Shaft of Femur Fracture in a Tertiary Care Hospital
Introduction: The use of spica casting in children with the shaft of femur fractures is controversial. Presently, operative treatment is the main standard for the management of shaft of femur fractures in children. The advantages of Ender’s nail are closed insertion of the nail with the prese...
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| Format: | Article |
| Language: | English |
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Rawalpindi Medical University
2022-09-01
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| Series: | Journal of Rawalpindi Medical College |
| Online Access: | https://journalrmc.com/index.php/JRMC/article/view/2007 |
| _version_ | 1797797080014520320 |
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| author | Rahman Rasool Akhtar, Waqas Ali, Riaz Ahmed, Muhammad Umair Qammar, Omair Ashraf, Amna Iftikhar |
| author_facet | Rahman Rasool Akhtar, Waqas Ali, Riaz Ahmed, Muhammad Umair Qammar, Omair Ashraf, Amna Iftikhar |
| author_sort | Rahman Rasool Akhtar, Waqas Ali, Riaz Ahmed, Muhammad Umair Qammar, Omair Ashraf, Amna Iftikhar |
| collection | DOAJ |
| description |
Introduction: The use of spica casting in children with the shaft of femur fractures is controversial. Presently,
operative treatment is the main standard for the management of shaft of femur fractures in children. The
advantages of Ender’s nail are closed insertion of the nail with the preservation of fracture hematoma, minimal
chances of infection and the endosteal blood supply is preserved because no reaming is required.
Objective: To determine the treatment outcome of Ender’s nailing in the pediatric shaft of femur fractures in
terms of limb length discrepancy, function, and union.
Materials and Methods: This descriptive study was conducted at Orthopaedic Department, Benazir Bhutto
Hospital, Rawalpindi Medical University, Rawalpindi from January 2017 to December 2019. We enrolled 95
children 6-12 years of age by using a non-probability consecutive sampling technique with femoral shaft fracture.
The exclusion criteria include children with pathological fractures, malignancy, and skeletal dysplasia. Time of
surgery, implant failure, infection, union, limb length discrepancy, and functional outcome were recorded.
Functional outcome and union were determined by using Flynn criteria and radiographs while the surgery time,
infection, limb length discrepancy, and implant failure were determined clinically.
Results: There were 59 (62.1%) male and 36 (37.89%) female children. The mean age was 6.93 ± 4.12 years. The
mean surgery duration was 30 ± 8.5 minutes. There were 06 (6.31%) superficial and no patients with deep
infection. No implant failure in our study. The time duration from radiological & clinical union to full weight
bearing was 7.9 weeks (5-12 weeks). On Flynn criteria, 67 (70.52%) children had excellent and 28 (29.47%) had a
satisfactory functional outcomes. In 85 (89.47%) children, there was no limb length discrepancy but 10 (10.5%)
children had limb length discrepancy with a mean of 5.45 ± 1.23 mm.
Conclusion: Ender’s nailing is an excellent treatment option for the pediatric shaft of femur fractures in terms of
functional outcome and union with low chances of infection, limb length discrepancy, and implant failure.
Keywords: Ender’s nailing, pediatric femoral shaft fracture, union, functional outcome, infection, implant failure,
limb length discrepancy
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| first_indexed | 2024-03-13T03:42:45Z |
| format | Article |
| id | doaj.art-93b2cc3de54d4ba8aff686faf801c653 |
| institution | Directory Open Access Journal |
| issn | 1683-3562 1683-3570 |
| language | English |
| last_indexed | 2024-03-13T03:42:45Z |
| publishDate | 2022-09-01 |
| publisher | Rawalpindi Medical University |
| record_format | Article |
| series | Journal of Rawalpindi Medical College |
| spelling | doaj.art-93b2cc3de54d4ba8aff686faf801c6532023-06-23T06:29:52ZengRawalpindi Medical UniversityJournal of Rawalpindi Medical College1683-35621683-35702022-09-0126310.37939/jrmc.v26i3.2007Outcome of Ender’s nailing in pediatric patient with Shaft of Femur Fracture in a Tertiary Care Hospital Rahman Rasool Akhtar, Waqas Ali, Riaz Ahmed, Muhammad Umair Qammar, Omair Ashraf, Amna Iftikhar Introduction: The use of spica casting in children with the shaft of femur fractures is controversial. Presently, operative treatment is the main standard for the management of shaft of femur fractures in children. The advantages of Ender’s nail are closed insertion of the nail with the preservation of fracture hematoma, minimal chances of infection and the endosteal blood supply is preserved because no reaming is required. Objective: To determine the treatment outcome of Ender’s nailing in the pediatric shaft of femur fractures in terms of limb length discrepancy, function, and union. Materials and Methods: This descriptive study was conducted at Orthopaedic Department, Benazir Bhutto Hospital, Rawalpindi Medical University, Rawalpindi from January 2017 to December 2019. We enrolled 95 children 6-12 years of age by using a non-probability consecutive sampling technique with femoral shaft fracture. The exclusion criteria include children with pathological fractures, malignancy, and skeletal dysplasia. Time of surgery, implant failure, infection, union, limb length discrepancy, and functional outcome were recorded. Functional outcome and union were determined by using Flynn criteria and radiographs while the surgery time, infection, limb length discrepancy, and implant failure were determined clinically. Results: There were 59 (62.1%) male and 36 (37.89%) female children. The mean age was 6.93 ± 4.12 years. The mean surgery duration was 30 ± 8.5 minutes. There were 06 (6.31%) superficial and no patients with deep infection. No implant failure in our study. The time duration from radiological & clinical union to full weight bearing was 7.9 weeks (5-12 weeks). On Flynn criteria, 67 (70.52%) children had excellent and 28 (29.47%) had a satisfactory functional outcomes. In 85 (89.47%) children, there was no limb length discrepancy but 10 (10.5%) children had limb length discrepancy with a mean of 5.45 ± 1.23 mm. Conclusion: Ender’s nailing is an excellent treatment option for the pediatric shaft of femur fractures in terms of functional outcome and union with low chances of infection, limb length discrepancy, and implant failure. Keywords: Ender’s nailing, pediatric femoral shaft fracture, union, functional outcome, infection, implant failure, limb length discrepancy https://journalrmc.com/index.php/JRMC/article/view/2007 |
| spellingShingle | Rahman Rasool Akhtar, Waqas Ali, Riaz Ahmed, Muhammad Umair Qammar, Omair Ashraf, Amna Iftikhar Outcome of Ender’s nailing in pediatric patient with Shaft of Femur Fracture in a Tertiary Care Hospital Journal of Rawalpindi Medical College |
| title | Outcome of Ender’s nailing in pediatric patient with Shaft of Femur Fracture in a Tertiary Care Hospital |
| title_full | Outcome of Ender’s nailing in pediatric patient with Shaft of Femur Fracture in a Tertiary Care Hospital |
| title_fullStr | Outcome of Ender’s nailing in pediatric patient with Shaft of Femur Fracture in a Tertiary Care Hospital |
| title_full_unstemmed | Outcome of Ender’s nailing in pediatric patient with Shaft of Femur Fracture in a Tertiary Care Hospital |
| title_short | Outcome of Ender’s nailing in pediatric patient with Shaft of Femur Fracture in a Tertiary Care Hospital |
| title_sort | outcome of ender s nailing in pediatric patient with shaft of femur fracture in a tertiary care hospital |
| url | https://journalrmc.com/index.php/JRMC/article/view/2007 |
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