Functional outcome of titanium elastic nailing for pediatric femoral shaft fracture

Abstract

Background: Femoral shaft fracture is comman injury among children’s. The comman cause of injury is either motor vehicle accidents or sport trauma, physical assault or some other rare causes. Usually it is treated conservatively in small children’s but in adolescents intra-medullary nailing with TENS nail is gaining popularity so we have selected this age group’s femoral shaft fracture for further exploration in our study.Results: Femoral shaft fracture’s treatment with TENS nailing is gaining popularity because of comparative easy, minimal invasive and less time consuming procedure with good functional and radiological outcomes. In our study, final outcome was excellent in 16 cases (72.7%), satisfactory in 5 cases (22.7%) and poor in only 1 case (4.5%). Conclusion: Based on our study, our conclusion is that close reduction and internal fixation with titanium elastic nailing is standard method of treatment in femoral shaft fracture in children’s between 4-14 years of age group as it is minimal invasive, less time consuming procedure without any damage to growth plate in growing child’s which provides comparatively stable fixation. It also allows early mobilization which helps in early bony union.