DOI: https://doi.org/10.36347/sasjs.2025.v11i02.024

Pages: 223-227

Background: The most frequent fracture in children is a pediatric femoral shaft fracture. The use of intramedullary nails, dynamic compression plates, and external fixators in the surgical treatment of pediatric femur fractures has expanded; each has advantages and disadvantages of its own. One of the greatest surgical techniques is flexible intramedullary nailing using titanium elastic nails. Objective: To see the outcome of pediatric long bone fracture utilizing intramedullary elastic nail. Materials and Methods: A prospective interventional study was conducted in the department of orthopaedic surgery, Jahurul Islam Medical College & Hospital, Bhagolpur, Bajitpur, Kishoregonj from January 2023 to December 2023 among 130 patients. Purposive sampling technique was used. Patients with age between 5-10 years, both sexes, fracture shaft of femur at least 3cm distal to lesser trochanter and 3cm proximal to distal physis post traumatic closed or open GA Type I, II shaft of femur fractures was included. Results: Majority 90(69.2%) were closed surgery, RTA was the most common mode of injury, accounting for 62 (47.7%). The average time of union was 7.19 (±4.30) weeks. Majority 70(53.8%) of the patients’ results were excellent, 40(30.8%) were satisfactory and 20(15.4%) were poor outcome. Conclusion: The titanium elastic nail is the most suitable and safest option for treating a femur fracture in children between the ages of one and sixteen.