Introduction: Femoral fractures are among the most common fractures of long bones. The management of pediatric femur fractures depends
basically on the age group of the child although the age of bone and size of the child also determines the treatment choice. The choice of
management may also be determined by surgical experience and local trends in practice. Study aimed to assess the results of treatment of paediatric
femoral diaphyseal fractures with titanium elastic nails.
Material And Methods: The study was conducted at Orthopaedics Department of PMCH, Patna, Bihar. A total of 22 patients with closed shaft
femur fractures and age ranging between 5-16 years scheduled to undergo treatment with titanium elastic nails were selected for the study. Children
with open fractures, outside this age group with concomitant head injury, bilateral femur fracture or associated fracture of either limb whose
xation was done after 7 days were excluded from the study. No control group was used. They were treated by retrograde TENS xation using two
nails of equal diameter for each fracture. Pre-operative evaluation includes full length radiograph of the fractured femur both antero–posterior
(A–P) and lateral views.
Results: In the present study, 22 patients with closed shaft femur fractures were treated with titanium elastic nails. The mean age of the patient was
13.23 years. We observed that in regards to fracture location, proximal fracture was seen in 5 patients, midshaft fracture in 14 patients and distal
fracture in 3 patients. However, in regards to pattern of location, transverse fracture was seen in 6 patients, oblique fracture in 8 patients, spiral
fracture in 5 patients and comminuted fracture in 3 patients.
Conclusion: From this study we can conclude that Intramedullary nailing of the pediatric femoral diaphyseal fractures using titanium elastic nail is
an effective surgical modality, with advantages of minimal incisional scar, minimal soft tissue damage, with early union time and excellent union
rates, and without affecting shoulder and elbow function.