A PROSPECTIVE STUDY : CLINICAL OUTCOME OF TIBIA DIAPHYSEAL FRACTURE IN PEDIATRIC AGE GROUP MANAGED WITH TITANIUM ELASTIC NAILING SYSTEM

Abstract

Introduction : 1 Pediatric tibial fractures are the third most common pediatric long bone fracture after the femur and forearm . They representing 2 15% of all pediatric fractures . The most common location of tibia fractures is in the distal third of the tibia (50-70%) followed by middle and then proximal (less common) thirds. This study was performed to nd out clinical outcome of tibia diaphyseal fracture in paediatric age group managed with titanium elastic nailing system. Material And Methods : This hospital based prospective, randomized, single centre study was conducted in the Department of Orthopaedics, JLN Medical College & Hospitals, Ajmer during the December 2018 to December 2020. These cases including close, open grade 1 and 2 paediatric tibia diaphyseal fractures and fractures with inability to achieve close reduction. Results & Observations : In our study, 32 patients of paediatric age group with tibia diaphyseal fractures were managed with TENS. According to FLYNN'S criteria the nal outcome was excellent in 84.35% (27 out of 32), satisfactory or good in 12.5 % (4 out of 32) cases and poor outcome was reported in 1 case (3.15%) only. Conclusion : TENS which is safe and effective method to maintain the reduction of displaced tibial fractures including length and rotation. It is simple, rapid and safe procedure with advantages of early union, early mobilization and early return to function with minimum complications. Elastic medullary nailing advantages make it a valuable choice to consider in managing children shaft tibial fractures.