Background: Femoral diaphyseal fractures are the most common major orthopaedic injury and the most common orthopaedic injury in paediatric age group requiring hospitalisation. Over the past two decades advantages of operative fixation and early mobilisation for paediatric femoral diaphyseal fractures have been increasingly recognised. Titanium elastic nailing has emerged as the treatment of choice in treating paediatric femoral diaphyseal fractures. Our study aims at the analysis of functional outcome of TENS nailing in paediatric femoral diaphyseal fractures.
Materials And Methods: A prospective study was conducted on twenty patients between the age of 3 to 15 years of either sex with closed shaft of femur fractures, admitted to Rajah Muthiah Medical College and Hospital, Chidambaram, Tamilnadu, over a period of two years (from July 2014 to October 2016).Two of the patients had poly-trauma. All of them were treated by retrograde flexible intramedullary nailing using two TENS nails. The results were analysed regarding the functional outcome of this treatment modality.
Results: The mean age of the patients were 10 years. Patient follow up was in the range of minimum of 6 months to maximum of 24 months. Radiological union in all cases were achieved in a mean time of 8.4 weeks and full weight bearing were achieved in a mean time of 8.8 weeks. The results were excellent in 19 patients and satisfactory in 1 patient. All had early return to school.
Conclusion: Titanium Elastic nailing in is an effective method of treatment in treating paediatric femoral diaphyseal fractures.
