Safety, efficacy and functional outcome of flexible nailing (ESIN) in unstable fractures of both bones of forearm in children

Abstract

Background: Elastic intramedullary nailing has been designed and is being used. Elastic intra-medullary nailing, a minimally invasive technique, confers elastic and stable osteo-synthesis. Elastic stable intra-medullary nailing (ESIN) consists of introducing one or two elastic nails through the metaphyseal flare into the medullary canal, advancing them through the fracture site and then impacting them into the opposite meta-physis. Methods: The prospective descriptive study was carried out in our Hospital from March 2017 to February 2018. The follow-up study continued till 0ctober 2018. Thus, the recruitment period was of 12 months and the follow-up period was a mean of 12. 8 months (range: 8 to 19 months). Functional outcome was measured according to the Daruwalla’s clinical grading, Price et al. criteria; and UEF index (46, 64). Results: The excellent to good results as per UEFI questionnaire was 96.16%. Excellent to good results were obtained using Daruwalla’s & Price et al. measurements. Conclusion: Elastic intramedullary nailing gives good results in paaediaric forearm fractures.