STUDY OF TREATMENT OF FRACTURE SHAFT OF LONG BONE OF LOWER LIMB IN CHILDREN BY TITANIUM ELASTIC NAIL (TENS)

Abstract

Basanta Kumar Behera1, Mohammad Sadaab2

BACKGROUND
Management of displaced fracture shaft of femur and tibia in children between 3-13 yrs. is still a grey area. Although, conservative treatment provides excellent remodeling ability of immature bone in children, parents are often not happy with immediate post reduction x-ray result. Hence, present study was undertaken to evaluate clinically and radiologically displaced fracture shaft of femur and tibia after reduction by elastic nail in children.
MATERIALS AND METHODS
38 patients of paediatric age group between 3 to 13 yrs. with fracture shaft femur and tibia were treated with titanium elastic nail (TENS, Ender’s nail) from January 2012 to December 2016 at our KIMS Medical College Hospital, Department of Orthopaedics.
RESULTS
All the fractures were united by 12 weeks on an average with good callus formation.
CONCLUSION
Treatment of long bone shaft fracture of lower limb, i.e. femur and tibia in children by TENS is an excellent operative procedure. It is safe, less invasive and associated with minimal complication.

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