A PROSPECTIVE STUDY : CLINICAL OUTCOME OF TIBIA DIAPHYSEAL FRACTURE IN PEDIATRIC AGE GROUP MANAGED WITH TITANIUM ELASTIC NAILING SYSTEM

2021 ◽  
pp. 10-12
Author(s):  
Hemeshwar Harshwardhan ◽  
Vijendra Gahnolia ◽  
Priyanka Nayak
Keyword(s):  
Clinical Outcome ◽  
Tibial Fractures ◽  
Safe Procedure ◽  
Age Group ◽  
Diaphyseal Fracture ◽  
Titanium Elastic Nailing ◽  
Early Return ◽  
Common Location ◽  
Paediatric Age ◽  
Diaphyseal Fractures

Introduction : 1 Pediatric tibial fractures are the third most common pediatric long bone fracture after the femur and forearm . They representing 2 15% of all pediatric fractures . The most common location of tibia fractures is in the distal third of the tibia (50-70%) followed by middle and then proximal (less common) thirds. This study was performed to nd out clinical outcome of tibia diaphyseal fracture in paediatric age group managed with titanium elastic nailing system. Material And Methods : This hospital based prospective, randomized, single centre study was conducted in the Department of Orthopaedics, JLN Medical College & Hospitals, Ajmer during the December 2018 to December 2020. These cases including close, open grade 1 and 2 paediatric tibia diaphyseal fractures and fractures with inability to achieve close reduction. Results & Observations : In our study, 32 patients of paediatric age group with tibia diaphyseal fractures were managed with TENS. According to FLYNN'S criteria the nal outcome was excellent in 84.35% (27 out of 32), satisfactory or good in 12.5 % (4 out of 32) cases and poor outcome was reported in 1 case (3.15%) only. Conclusion : TENS which is safe and effective method to maintain the reduction of displaced tibial fractures including length and rotation. It is simple, rapid and safe procedure with advantages of early union, early mobilization and early return to function with minimum complications. Elastic medullary nailing advantages make it a valuable choice to consider in managing children shaft tibial fractures.

scholarly journals FUNCTIONAL OUTCOME OF FRACTURE SHAFT OF FEMUR IN PEDIATRIC AGE GROUP TREATED WITH TITANIUM ELASTIC NAILING SYSTEM

2020 ◽  
Vol 4 (1) ◽  
Author(s):  
Vishal Kumar Mishra ◽  
Arvind Kumar ◽  
Gutha Sethu Kumar ◽  
Siddhartha Sarang
Keyword(s):  
Functional Outcome ◽  
Femoral Shaft ◽  
Early Mobilization ◽  
Age Group ◽  
Pediatric Age ◽  
Diaphyseal Fracture ◽  
Femoral Shaft Fractures ◽  
Pediatric Age Group ◽  
Titanium Elastic Nailing ◽  
Diaphyseal Fractures

Femoral shaft fractures are common fractures in paediatric age group. In children, fractures of the femoral shaft have been traditionally treated mostly by conservatively immobilization in a Spica cast, either immediately or after a period of traction. But this safe form of treatment has major drawbacks. The management of paediatric femoral shaft fractures gradually has evolved towards a more operative approach in the past decade. Elastic stable intramedullary nailing (ESIN) or Titanium elastic nailing system (TENS) is a recent technique which allows stable reduction, maintenance of reduction and early mobilization. . Aim of study is to assess the functional outcome of fracture shaft of femur in pediatric age group treated with titanium elastic nailing system. It is a prospective study which was conducted in the all children between 5-14 years of age with diaphyseal fractures of femur. Outcome of  fracture  shaft  of  femur  in  pediatric  age  group  treated  with titanium elastic nailing system was studied studied by observing following, Type of reduction among children with diaphyseal fractures of femur, .Duration for union after surgery , Range of motion after surger, weeks of  Weight Bearing started , Limb length discrepancy, Malalignment . From present study we conclude that femur diaphyseal fracture in children between 5-14 years of age can be effectively managed with titanium elastic nails. TENS offers a biological, minimally invasive method of treatment for fracture shaft of femur in children with advantages of sufficient axial stability, early mobilization and more rapid return to function. this technique yields higher rate of excellent functional outcome. Keywords: Femur, Diaphyseal Fracture,  Children, TENS

scholarly journals Prospective study of tens in femoral diaphyseal fractures among paediatric age group

2018 ◽  
Vol 4 (4) ◽  
pp. 881-884
Author(s):  
Dr. Akshay Yadav D ◽  
Dr. Madhukar . ◽  
Dr. Vijay Narasimman Reddy
Keyword(s):  
Prospective Study ◽  
Age Group ◽  
Paediatric Age ◽  
Diaphyseal Fractures

IF NEEDED TO BE SURGICALLY INTERVENED UPON, IN THE PAEDIATRIC DIAPHYSEAL FRACTURES, WHICH IS THE BETTER AMONG THE AVAILABLE FIXATION DEVICES-A CASE SERIES CONSIDERATION.

2021 ◽  
pp. 45-48
Author(s):  
Arun Kumar.C ◽  
Vibishek Raj ◽  
Sathish Babu ◽  
Venkatachalam K ◽  
Danial Arun ◽  
...  
Keyword(s):  
Plate Osteosynthesis ◽  
Excellent Result ◽  
Case Series ◽  
P Value ◽  
Dash Score ◽  
Age Group ◽  
Fixation Devices ◽  
Paediatric Age ◽  
Diaphyseal Fractures ◽  
Radiographic Grading

Humeral fractures, in the paediatric age group, have two peaks of incidence. It has a high incidence in babies below three years of age, and again also in children, above 10 years of age. The objective of our study, was to compare the most popular operative techniques for handling humeral diaphyseal fractures, in the paediatric age group, such as Plate Osteosynthesis (Locking Compression Plate), Elastic Stable Intramedullary Nailing System (ESIS), and the External Fixation devices (EF). This prospective study was conducted at Chettinad Hospital and Research Institute (CH&RI), Kelambakkam, from July 2017 to June 2020. A total of 15 patients were a part of this study, of which, 8 were males and 7 were females. The functional outcomes were assessed using the DASH, the Borberg and Morrey scoring system and the radiographic assessment was done using Stan's Radiographic Grading system, in all the three methods of treatment. The Follow up period was for a minimum of twelve months. The Broberg and Morrey Score points were 88.4 (74-95) for LCP, 80.67 for ESIS (70- 91) and 83.87 (80-87) for EF (p value>0.05). In the DASH score, the average was 19.2 in the LCP group, 21.17 and 21.10, respectively, in the ESIS and EF groups. Stan's Radiographic Grading showed Grade 2 to 3 fracture union status, in all the xation modalities of our study. The prudence of the surgeon, his surgical experience, the age of the patient, the geometry of the fracture and the nature of the humeral diaphyseal fracture, all needs to be carefully weighed, analyzed and on a case-to-case basis, the decision has to be taken, regarding which xation device is best suited for that very particular fracture. All the three modalities have been showcased to highlight their pros and cons, not with-standing the fact that, all the three modalities have faired superiorly in giving good to excellent result outcomes.

Treatment of femoral and tibial fractures in puppies by elastic plate osteosynthesis

2007 ◽  
Vol 20 (01) ◽  
pp. 51-58 ◽  
Author(s):  
F. Meige ◽  
A. Autefage ◽  
S. Sarrau
Keyword(s):  
Femoral Head ◽  
Elastic Plate ◽  
Plate Osteosynthesis ◽  
Functional Results ◽  
Tibial Fractures ◽  
Plate Bending ◽  
Diaphyseal Fracture ◽  
Clinical Consequences ◽  
Diaphyseal Fractures

SummarySeventeen puppies, two to four months old, with a femoral (n=12) or tibial (n=5) diaphyseal fracture were treated by elastic plate osteosynthesis with a Veterinary Cuttable Plate (VCP) or straight plate. In one case of femoral fracture treated with a VCP, plate bending due to an excessive elasticity of the implant was observed three days after the osteosynthesis and surgical revision was required. Two cases of femoral overgrowth and one case of slight femoral head and neck retroversion were identified during the radiographic follow-up but without any clinical consequences. Bone healing was obtained for all fractures four to eight weeks (5.64±0.88 weeks) after the surgical procedure, and functional results were excellent in all cases. Our study confirms that elastic plate osteosynthesis with either a VCP or straight plate can be used to treat femoral diaphyseal fractures in medium and large breed puppies less than four months old, but that modification of implant elasticity or rigid osteosynthesis use is required when such puppies reach four months. The same technique can also be used successfully to treat tibial fractures in puppies younger than four months old.

scholarly journals Titanium elastic nailing for paediatric femoral shaft fractures: a prospective descriptive study

2017 ◽  
Vol 3 (3) ◽  
pp. 501
Author(s):  
Santosha . ◽  
Shams Gulrez
Keyword(s):  
Closed Reduction ◽  
Femoral Fractures ◽  
Femoral Shaft ◽  
Technical Problems ◽  
Femoral Shaft Fractures ◽  
Titanium Elastic Nailing ◽  
Shaft Fractures ◽  
Fractures In Children ◽  
Early Return ◽  
Diaphyseal Fractures

<p class="abstract"><strong>Background:</strong> Femoral shaft fracture is the most common major paediatric orthopaedic fractures. For generations traction and casting was the standard treatment for all femoral shaft fractures in children. Over the past two decades the advantages of fixation and rapid mobilisation have been increasingly recognised. Aim: To assess the functional and clinical outcome after closed reduction and internal fixation with titanium elastic nail in diaphyseal femoral fractures between 5 to 16 years.</p><p class="abstract"><strong>Methods:</strong> The study was conducted in the Department of Orthopaedic Surgery, Regional Institute of Medical Sciences (RIMS), Imphal, Manipur, from September 2013 to April 2015. Thirty children (20 boys and 10 girls) in the age group of 5 to 16 years with recent femoral diaphyseal fractures were stabilised by titanium elastic nails [TENS]. Results were evaluated according to Flynn’s scoring criteria.<strong></strong></p><p class="abstract"><strong>Results:</strong> After 25 months of follow up all thirty patients were available for evaluation. Radiological union were achieved in a mean time of 11.5 weeks. Mean duration of hospital stay was 15.23 days. According to Flynn’s criteria of TENS outcome score results were excellent in 66.7% patients, Satisfactory in 30% patients, Poor in 3.3% patient. All patients had early return to school. Per operative technical problems included failure of closed reduction in 2 cases.</p><p><strong>Conclusions:</strong> Titanium elastic nailing is an effective treatment in diaphyseal fractures of femur in properly selected patients. </p>

scholarly journals Diaphyseal Femur Fracture in Paediatric Age group: Outcome with fixation by Elastic Nailing System

2021 ◽  
Vol 3 (1) ◽  
pp. 1-5
Author(s):  
Sagar Panthi ◽  
Rishiswor Shrestha ◽  
Jigyasu Pradhan ◽  
Bikash Neupane ◽  
Ishory Bhusal ◽  
...  
Keyword(s):  
Femur Fracture ◽  
Insertion Site ◽  
Early Mobilization ◽  
Limb Lengthening ◽  
Age Group ◽  
Fracture Union ◽  
Titanium Elastic Nailing ◽  
Paediatric Age ◽  
Nail Insertion ◽  
Elastic Nail

Background: Diaphyseal femur fracture in paediatric age group account for 1.6% of all paediatric fractures. Fracture fixation by elastic nail provides three point fixation. This study aims to assess the outcome of diaphyseal femur fracture in paediatric age group from 5 to 15 years treated with titanium elastic nailing system.Methods: Thirty six patients with diaphyseal femur fracture were treated with titanium elastic nailing system from November 2018 to August 2020 was analyzed prospectively. All the patients were followed up for six months for the study. Final outcome was evaluated at six months.Results: The mean time of fracture union was 9.12 weeks. Two patients had limb lengthening of 6 mm and 8 mm respectively. One patient had 1 cm of shortening and 8 degree of varus angulation and 9 patients had bursitis over nail insertion site. According to Flynn grading 26 cases have excellent results (72.22%) and 10 cases have satisfactory results (27.78%).Conclusion: Diaphyseal femur fracture can be treated with elastic nailing system with early mobilization and good functional outcomes.Keywords: Diaphyseal femur fracture, Elastic nail, Fracture union, Titanium elastic nailing system

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