To study the outcome of closed intramedullary flexible nailing in fracture shaft femur in children age more than 3 year and less than 13 year

Abstract

Femoral shaft fractures account for 1.6% of all paediatric bony injuries. Spica casting remains the most popular accepted method for treatment of femoral shaft fracture in infants and toddlers. The aim of our study is to study the outcome of closed intramedullary flexible nailing in fracture shaft femur in children aged more than 3 years and less then 13 years. This is institutional based prospective study of 60 patients, aged 3 to 13 years, with fracture shaft of the femur were treated with retrograde flexible intramedullary (titanium elastic) nailing at Dr. Shankarrao Chavan Govt. Medical College Vishnupuri, Nanded. Statistical analysis done by chi-square test. In the present study, the final outcome was excellent in 40 (66.66%) cases, satisfactory in 10(33.33%) cases and there were no poor outcome cases. TENS is a simple, easy, rapid, reliable and effective method for management of paediatric femoral fractures between the age of 5 to 15 years, with shorter operative time, lesser blood loss, lesser radiation exposure, shorter hospital stay, and reasonable time to bone healing.