A STUDY ON MANAGEMENT OF DIAPHYSEAL FRACTURES IN CHILDREN WITH ENDERâ??S NAILING

Abstract

Prasanna Kumar Lukalapu1, Sudheer Tulasi2, Sivananda Patri3, Varun Kumar Paka4, Rajeev Kumar Giri5, Lavanya Paka6

BACKGROUND
Ender’s nail fixation involves insertion of several nails of smaller diameter into a non-reamed medullary canal of a long bone. Fracture fixation is based on the principle of three-point fixation. It is a reliable technique of fixation in paediatric and geriatric age groups and also for pathological fractures. The present study was undertaken to study and evaluate clinically as well as radiologically. The role of Ender’s nailing in various long bone fractures with regards to functional status of the patients, union of the fracture and postoperative complications.
MATERIALS AND METHODS
18 patients of paediatric age group with various long bone fractures underwent operative management with flexible multiple Ender’s nails.
RESULTS
All children achieved union in a mean time of 12 weeks. Limb length discrepancy was seen in one child. Migration of nails was seen in one child. Slight to considerable limitation of joint movements were seen in 4 patients. One patient required reoperation.
CONCLUSION
Intramedullary nailing of long bone fracture is an excellent technique in the surgical management of long bone fractures in children. It is safe, less invasive and associated with fewer complications.

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