DOI: 10.36347/sasjs.2021.v07i03.008

Pages: 141-145

Introduction: Femoral fractures are common fractures in the pediatric age group. There are various methods to treat such cases. Titanium elastic nailing is one of them and an established and reliable method for treating these types of fractures. The ideal treatment of fractures in the age group of 5 to 14 years is still a matter of debate as no consensus has been achieved till now. Aim of the study: The aim of this study was to evaluate the outcome of using Titanium Elastic Nails (TEN) in pediatric femoral fractures. Methods: This observational prospective study was conducted at the Department of Orthopaedics in Prime Medical College and Hospital, Rangpur, Bangladesh during the period form January 2019 to December 2019. A group of 55 children with femoral fractures selected to treat with titanium elastic nailing was finalized as the study population. All the information along with the outcomes of the participants were collected, assessed, and disseminated by several tables and charts of the MS Office program. Result: We found a superficial infection, mal-union, deep infection, and nail breakage as a complication in 20%, 14%, 4%, and 2% cases respectively. As the final outcome of this study, we found that the results were excellent in 34 patients (68%) successful in 12 (24%), and poor in 4 patients (8%) as per the scoring criteria for TEN by Flynn et al. Entry site irritation occurred in 3 patients, limb lengthening (<1.5cm) was found in 3 cases both clinically and radiologically, which was clinically insignificant. Nail removal at 5th month, due to wound breakdown at entry sets in one case. Results were better for children aged under 10 years. Conclusion: Titanium elastic nailing is the method of choice for simple pediatrics femoral fractures, as it is minimally invasive and shows good functional and cosmetic results. The surgical technique of this procedure is simple and reproducible. It allows short hospital stay and quick recovery from pain and it is cast-free.