Tibial Diaphysis Fracture in Paediatric Age Group: Outcome with Elastic Nailing Fixation in Tertiary Care Center in Lumbini Province of Nepal

Abstract

Introduction- Tibial diaphysis fracture in paediatric age group accounts for 10 to 15% of all fractures. Fixation of tibial diaphysis fracture in paediatric age group by elastic nailing system provides relative stability. The purpose of this study is to evaluate the functional outcome of tibial diaphysis fracture in paediatric age group treated elastic nailing system. Methods- A prospective interventional study was conducted at Rapti Academy of Health Sciences, Ghorahi, Dang from November 2018 to November 2020. Ethical clearance was obtained from Institutional review board. All the children who were operated for tibial diaphysis fracture were followed up for six months. Final outcome was analyzed at final follow up. Results- Out of thirty children, there were sixteen male and fourteen female. Mean time of fracture union was 10.03 weeks. Two children develop limb lengthening of 1.5 cm and 1.2 cm respectively. One child had 1 cm shortening and three children develop bursitis on entry site. At final follow up 83.33% of child had an excellent outcome according to Flynn grading. Conclusion- Tibial diaphysis fracture can be treated with elastic nailing system with excellent to good functional outcomes.