Titanium Elastic Nailing in Pediatric Femoral Diaphyseal Fractures in 6-14 Years Age Groups.

Abstract

Fractures of femur in pediatric age group is mainly age dependent .Treatment below 5 years mainly conservatively, by cast or traction plus casting due to good healing capacity and remodeling .Above 17years were skeletal maturity is achieved interlocking nailing is standard treatment. But in age groups 6-14 years treatment is controversial .There are number of treatment modalities likes casting, traction followed by casting external fixator, plating ,elastic nailing, ,inter locking nailing with entry portal other than pyriform fossa. Because in this age group remodeling capacity is less and displacing muscle forces are high, requiring accurate reduction and maintenance This is prospective study of 22 patients with single isolated femoral diaphyseal fractures in age group of 6- 14,With transverse, short oblique and minimal comminuted fractures are treated with titanium elastic nails. results are evaluated by radiological union, weight bearing , return to school, any complications ,patient satisfaction , and flynn's scoring criteria Titanium elastic nailing is a simple operative procedure which can be done by closed method minimal incision, with minimal blood loss, less complications and high patient satisfactory rate.