A Prospective study of surgical management of diaphyseal fractures of femur & tibia in children aged between 5 to 16 years using elastic stable intra medullary nailing

Abstract

Introduction: Elastic stable intramedullary nailing for the treatment of pediatric femur & tibia diaphyseal fractures was introduced by pr´evot and colleagues in 1979. The technique offers several advantages, including better reduction, dynamic axial stabilization, shorter hospitalization with early rehabilitation and low rate of complications. Methods: 30 children between ages 5 to 16 years admitted to the department of Orthopedics at Sapthagiri institute of medical science and research center, Bangalore with diaphyseal fractures of femur & tibia during the period from November 2014 to February 2016 are selected. Results: Our series consisted of 30 patients, 18 femur & 12 tibia. 24 male and only 6 female. Most common fracture pattern of femur & tibia was spiral. 23 fractures healed within an average duration of 10 to 12 weeks following surgery. There was superficial infection in 1 case, 2 cases had lld