Objectives: to review the experience of clinical recovery in treatment of pediatric shaft femur fracture with titanium elastic nailing.
Observation: common type of fracture were transverse (41.5%) and spiral (39%) fracture. And at 12 weeks only 2 (4.9%) patients had the significant tenderness, 4 (9.8%) of patients had limb length discrepancy of 1 to 2 cms, and 41 (100%) radiological union was seen in (100%) patients. The final outcome according to Flynn’s criteria shows that excellent outcome seen in 35 (85.3%) of patients, while 4 (9.8%) patients showed satisfactory outcome.Conclusion: Titanium elastic nail seems advantageous over other surgical methods particularly in this age group because it is simple, is a load shearing device, internal splint that doesn’t violate open physis, allows early mobilization and maintains alignment. Micromotion conferred by the elasticity of the fixation promotes faster external bridging callus formation. The periostium is not disturbed and being a closed procedure there is no disturbance of fracture hematoma, thereby less risk of infection.