BACKGROUND: Management of femoral diaphyseal fractures in the age group of 6-16 years is controversial. There has been a resurgence worldwide for operative fixation. MATERIALS AND METHODS: Twenty-two children (18 boys, 4 girls) aged 6-16 years with recent (> 3 days) femoral diaphyseal fractures (20 closed, 2 open) were stabilized with Titanium Elastic Nail (TEN). These fractures were in proximal third (n=3), middle third (n=15) and in the distal third (n=4) 17 patients underwent surgery within seven days of their injury. The results were evaluated using Flynn's scoring criteria. Statistical analysis was done using Fischer's exact test. RESULTS: All 22 patients were available for evaluation after a mean of 26 months (14-36 months) of followup. Radiological union in all cases were achieved in a mean time of 8.7 weeks. Full weight bearing was possible in a mean time of 8.8 weeks. Mean duration of hospital stay was 9.8 days. The results were excellent in 13 patients (59.0%), successful in six (27.2%) and poor in three patients (13.6%). All patients had early return to school. CONCLUSION: Intramedullary fixation titanium elastic nailing is an effective treatment of diaphyseal fractures of the femur in properly selected patients of the 6-16 years age group.
BACKGROUND: Management of femoral diaphyseal fractures in the age group of 6-16 years is controversial. There has been a resurgence worldwide for operative fixation. MATERIALS AND METHODS: Twenty-two children (18 boys, 4 girls) aged 6-16 years with recent (> 3 days) femoral diaphyseal fractures (20 closed, 2 open) were stabilized with Titanium Elastic Nail (TEN). These fractures were in proximal third (n=3), middle third (n=15) and in the distal third (n=4) 17 patients underwent surgery within seven days of their injury. The results were evaluated using Flynn's scoring criteria. Statistical analysis was done using Fischer's exact test. RESULTS: All 22 patients were available for evaluation after a mean of 26 months (14-36 months) of followup. Radiological union in all cases were achieved in a mean time of 8.7 weeks. Full weight bearing was possible in a mean time of 8.8 weeks. Mean duration of hospital stay was 9.8 days. The results were excellent in 13 patients (59.0%), successful in six (27.2%) and poor in three patients (13.6%). All patients had early return to school. CONCLUSION: Intramedullary fixation titanium elastic nailing is an effective treatment of diaphyseal fractures of the femur in properly selected patients of the 6-16 years age group.
Authors: J O Sanders; R H Browne; J F Mooney; E M Raney; B D Horn; D J Anderson; W L Hennrikus; W W Robertson Journal: J Pediatr Orthop Date: 2001 Jul-Aug Impact factor: 2.324
Authors: John M Flynn; Lael M Luedtke; Theodore J Ganley; Judy Dawson; Richard S Davidson; John P Dormans; Malcolm L Ecker; John R Gregg; B David Horn; Denis S Drummond Journal: J Bone Joint Surg Am Date: 2004-04 Impact factor: 5.284
Authors: Rajesh Govindasamy; Ramkumar Gnanasundaram; Saravanan Kasirajan; Syed Ibrahim; Jimmy Joseph Melepuram Journal: Arch Bone Jt Surg Date: 2018-01
Authors: Marc Leroy Guifo; Joel Noutakdie Tochie; Blondel Nana Oumarou; Jean Roger Moulion Tapouh; Aristide Guy Bang; Aurelien Ndoumbe; Bonaventure Jemea; Maurice Aurelien Sosso Journal: Pan Afr Med J Date: 2017-05-18