Prospective study of tens in femoral diaphyseal fractures among paediatric age group

Author(s): Dr. Akshay Yadav D, Dr. Madhukar and Dr. Vijay Narasimman Reddy

Abstract: Femoral diaphyseal fractures account for <2% of fractures among paediatric age group. However, with advancement in the field of orthopaedics, surgeons are interested in a better and more stable fixation of these fractures which were treated conservatively. The primary aim of this study is to analyse the efficacy of titanium elastic nailing in femoral diaphyseal fractures. The study was done between June 2017 to May 2018. Two titanium nails are used under the C-arm guidance for stable fixation of fracture. Follow up of minimum 4 months is carried out in this study. In this prospective study, a total of 33 cases were selected. 21(63.6%) male and 12(36.3%) female patients with average age group of 9.81years. All 33 patients with femoral diaphyseal fractures were treated with 2 titanium nails. Post operatively patients were admitted in hospital for 5 days where they were treated with analgesics and i.v antibiotics for a period of 3 days and supportive medications for next 2 days. Fracture union was identified in routine X rays at an average duration of 6.72 weeks among the operative cases. Post-operative radiographs were examined for any varus or valgus angulation, non-union, delayed union and mal-union. Patients were advised not to weight bear on the fractured limb for a duration of 8 weeks. Partial weight bearing was instructed at the end of 8 weeks and full weight bearing at the end of 10 weeks.

DOI: https://doi.org/10.22271/ortho.2018.v4.i4l.114