DOI: 10.36347/sjams.2023.v11i12.008

Pages: 2038-2042

Background: Titanium Elastic Nails are commonly used in children to heal diaphyseal and metaphyseal fractures. The age of the patient, as well as the nature and location of the fracture, determine if the TEN is required. The management of femoral diaphyseal fractures in children aged 5 to 14 years is still disputed. It is a successful and acceptable treatment option in some cases of femoral diaphyseal fractures. The TEN allows for the utilisation of elastically stable intramedullary nailing. Aim of the Study: The purpose of this study was to assess the effectiveness of Titanium Elastic Nails (TEN) in paediatric femoral fractures. Methods: This study was conducted in 250 Bedded General Hospital, Pabna, Bangladesh, from January 2020 to December 2020. The study included 65 paediatric patients aged 5 to 14 years who had femoral shaft fractures and were admitted to the study institution. All acquired data was entered into a Microsoft Excel Work Sheet and analysed in SPSS 11.5 using descriptive statistics. Results: The majority of the participants (84.62%) were male. Most of the participants (78.46%) were aged 5-10 years. Sports-related injuries caused fractures in 44.62% of the participants. The fracture began in the middle of the femur in 47.69% of the cases, the proximal region in 43.08% of the cases, and the distal region in 9.23% of the cases. In this study, 58.46% of participants were hospitalised for 7-14 days, while 33.85% were hospitalised for 14-21 days. Only 7.69% of the individuals had to spend more than 21 days in the hospital. The majority of participants in this study had no post-operative difficulties. At the 12-month follow-up, 81% of participants reported excellent patient satisfaction, 17% reported satisfactory patient satisfaction, and 2% reported poor patient satisfaction. Conclusion: Titanium elastic nailing is a successful and practical therapeutic alternative in certain cases of femoral shaft fractures in children aged 5 to 14. TENS is a safe .....