Surgical management and outcome of diaphyseal fractures of long bones of lower limbs in children treated with a titanium elastic nailing system
Arvind Vatkar, Shaunak Patil, Sachin Kale, Ojasv Gehlot, Moin Asif Darvesh, Abhishek BhatiAbstract
Background:
Elastic stable intramedullary nailing has gained popularity recently due to its stability, fewer complications, and early mobilization. This study aims to evaluate the effectiveness and outcomes associated with titanium elastic intramedullary nailing for treating diaphyseal femoral fractures in pediatric patients.
Materials and Methods:
A randomized prospective study was conducted on 30 children of both sexes (20 males and 10 females) aged 5–15 years. The closed diaphyseal fractures were stabilized using titanium nails with appropriate diameter and length. Outcomes were assessed based on the FLYNN scoring system and Anthony scale grading for callus formation.
Results:
This study found that most of the fractures were oblique (66.7%) and spiral (23.3%), with middle third-level fractures. The mean duration of hospital stay was 8.16 ± 3.5 days. No significant limb length discrepancy was found in 90% of patients. The mean time for the radiological union of fractures with grade 3 callus formation was 9.86 ± 1.56 weeks. FLYNN score outcomes were excellent in 90% of cases. Only one patient was found to require additional surgery.
Conclusion:
Titanium elastic intramedullary nailing effectively treated diaphyseal femoral fractures in pediatric patients.