Paediatric diaphyseal femur fracture treated with intramedullary titanium elastic nail system
no<p class="Default"><strong>Background & Objectives: </strong>Over the few years there has been a marked increase in the use of intramedullary fixation in the management of fracture of shaft of femur in children. The goals should be to stabilize the fracture, to...
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| Format: | Article |
| Language: | English |
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College of Medical Sciences
2015-11-01
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| Series: | Journal of College of Medical Sciences-Nepal |
| Subjects: | |
| Online Access: | http://nepjol.info/index.php/JCMSN/article/view/13671 |
| _version_ | 1818313073577951232 |
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| author | Shrawan Kumar Thapa Krishna Prasad Poudel Rudra Prasad Marasini Shankar Dhakal Robin Shrestha |
| author_facet | Shrawan Kumar Thapa Krishna Prasad Poudel Rudra Prasad Marasini Shankar Dhakal Robin Shrestha |
| author_sort | Shrawan Kumar Thapa |
| collection | DOAJ |
| description | no<p class="Default"><strong>Background & Objectives: </strong>Over the few years there has been a marked increase in the use of intramedullary fixation in the management of fracture of shaft of femur in children. The goals should be to stabilize the fracture, to control length and alignment, to promote bone healing and to minimize the morbidity and complications for the child. In this prospective study we intend to evaluate the functional and radiological outcome of diaphyseal fracture of shaft of femur treated with elastic intramedullary nail.</p><p class="Default"><strong>Materials & Methods: </strong>All 56 patients with diaphyseal fracture shaft of femur were treated with titanium elastic nail and followed for period of 32 weeks.</p><p class="Default"><strong>Results: </strong>The In this study, outcome was assessed by using Flynn’s criteria of titanium flexible nail outcome score and we found excellent result in 49 cases, satisfactory in six cases and poor in one case. We faced one major complication in form of implant failure and six minor complications inform of superficial wound infection.</p><p class="Default"><strong>Conclusion: </strong>Elastic intramedullary nail used in treatment of diaphyseal fracture shaft of femur yield excellent functional and radiological outcome. It is easy and simple procedure has low rate of complication. It is physeal-protective, cost effective, does not involve heavy instrumentation and can be performed in small set up. It has minimal risk of infection and no risk of injury to the neurovascular structure.</p><p class="Default">JCMS Nepal. 2015; 11(2):20-22</p> |
| first_indexed | 2024-12-13T08:27:57Z |
| format | Article |
| id | doaj.art-9c64e5c11a914192808b5d9b8724c034 |
| institution | Directory Open Access Journal |
| issn | 2091-0657 2091-0673 |
| language | English |
| last_indexed | 2024-12-13T08:27:57Z |
| publishDate | 2015-11-01 |
| publisher | College of Medical Sciences |
| record_format | Article |
| series | Journal of College of Medical Sciences-Nepal |
| spelling | doaj.art-9c64e5c11a914192808b5d9b8724c0342022-12-21T23:53:51ZengCollege of Medical SciencesJournal of College of Medical Sciences-Nepal2091-06572091-06732015-11-01112202210.3126/jcmsn.v11i2.1367110735Paediatric diaphyseal femur fracture treated with intramedullary titanium elastic nail systemShrawan Kumar Thapa0Krishna Prasad Poudel1Rudra Prasad Marasini2Shankar Dhakal3Robin Shrestha4Department of Orthopaedics, Bharatpur Hospital, BharatpurDepartment of Orthopaedics, Bharatpur Hospital, BharatpurDepartment of Orthopaedics, Bharatpur Hospital, BharatpurDepartment of Orthopaedics, Bharatpur Hospital, BharatpurDepartment of Orthopaedics, College of Medical Sciences, Bharatpurno<p class="Default"><strong>Background & Objectives: </strong>Over the few years there has been a marked increase in the use of intramedullary fixation in the management of fracture of shaft of femur in children. The goals should be to stabilize the fracture, to control length and alignment, to promote bone healing and to minimize the morbidity and complications for the child. In this prospective study we intend to evaluate the functional and radiological outcome of diaphyseal fracture of shaft of femur treated with elastic intramedullary nail.</p><p class="Default"><strong>Materials & Methods: </strong>All 56 patients with diaphyseal fracture shaft of femur were treated with titanium elastic nail and followed for period of 32 weeks.</p><p class="Default"><strong>Results: </strong>The In this study, outcome was assessed by using Flynn’s criteria of titanium flexible nail outcome score and we found excellent result in 49 cases, satisfactory in six cases and poor in one case. We faced one major complication in form of implant failure and six minor complications inform of superficial wound infection.</p><p class="Default"><strong>Conclusion: </strong>Elastic intramedullary nail used in treatment of diaphyseal fracture shaft of femur yield excellent functional and radiological outcome. It is easy and simple procedure has low rate of complication. It is physeal-protective, cost effective, does not involve heavy instrumentation and can be performed in small set up. It has minimal risk of infection and no risk of injury to the neurovascular structure.</p><p class="Default">JCMS Nepal. 2015; 11(2):20-22</p>http://nepjol.info/index.php/JCMSN/article/view/13671Flynn’s criteria, Pediatric femur fracture, Titanium Elastic Nail System |
| spellingShingle | Shrawan Kumar Thapa Krishna Prasad Poudel Rudra Prasad Marasini Shankar Dhakal Robin Shrestha Paediatric diaphyseal femur fracture treated with intramedullary titanium elastic nail system Journal of College of Medical Sciences-Nepal Flynn’s criteria, Pediatric femur fracture, Titanium Elastic Nail System |
| title | Paediatric diaphyseal femur fracture treated with intramedullary titanium elastic nail system |
| title_full | Paediatric diaphyseal femur fracture treated with intramedullary titanium elastic nail system |
| title_fullStr | Paediatric diaphyseal femur fracture treated with intramedullary titanium elastic nail system |
| title_full_unstemmed | Paediatric diaphyseal femur fracture treated with intramedullary titanium elastic nail system |
| title_short | Paediatric diaphyseal femur fracture treated with intramedullary titanium elastic nail system |
| title_sort | paediatric diaphyseal femur fracture treated with intramedullary titanium elastic nail system |
| topic | Flynn’s criteria, Pediatric femur fracture, Titanium Elastic Nail System |
| url | http://nepjol.info/index.php/JCMSN/article/view/13671 |
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