Flexible intramedullary nailing versus plate and screws fixation of 5-15 years old femoral fractures

Abstract

Background: Femoral fractures in children are a significant orthopedic challenge, often necessitating surgical intervention to ensure optimal healing and function. Objectives: This study aims to compare the clinical outcomes and perioperative parameters of flexible intramedullary nailing (FIN) versus plate and screw fixation in pediatric femoral fractures. Methods: A total of 63 children aged 5-15 years with femoral fractures were randomized into two groups: 32 treated with FIN and 31 with plate and screw fixation, assessing operative time, blood loss, and time to union. Results: The FIN group demonstrated shorter operative times (Mean 48.37 minutes) and less blood loss (Mean 40.62 cm³) compared to the plate and screw group (Mean 85.09 minutes and 105.32 cm³, respectively). Radiological union was faster in the FIN group (Mean 7.21 weeks) than the plate group (Mean 8.58 weeks). Conclusion: FIN is superior to plate and screw fixation in treating pediatric femoral fractures, offering faster union and reduced operative times and blood loss, although weight-bearing times post-surgery were similar between the groups.