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

  • Sagar Panthi Department of Orthopaedics and Traumatology,Rapti Academy of Health Science, Ghorahi, Dang, Nepal
  • Rishiswor Shrestha Department of Orthopaedics and Traumatology,Rapti Academy of Health Science, Ghorahi, Dang, Nepal
  • Jigyasu Pradhan Department of Orthopaedics and Traumatology,Rapti Academy of Health Science, Ghorahi, Dang, Nepal
  • Bikash Neupane Department of Orthopaedics and Traumatology,Rapti Academy of Health Science, Ghorahi, Dang, Nepal
  • Ishory Bhusal Department of Surgery, Rapti Academy of Health Science, Ghorahi, Dang, Nepal https://orcid.org/0000-0003-4705-1086
  • Angelica Karki Rapti Academy of Health Science
DOI: https://doi.org/10.46405/ejms.v3i1.258
Keywords: Elastic nail, Fracture union, Titanium elastic nailing system, Diaphyseal femur fracture, Diaphyseal fracture, Femur fracture

Abstract

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

Author Biographies

Sagar Panthi, Department of Orthopaedics and Traumatology,Rapti Academy of Health Science, Ghorahi, Dang, Nepal

Associate Professor

Department of Orthopaedics and Traumatology,Rapti Academy of Health Science, Ghorahi, Dang, Nepal

Angelica Karki, Rapti Academy of Health Science

Lecturer

Department of Orthodontics and Dentofacial Orthopaedics, Rapti Academy of Health Science, Ghorahi, Dang, Nepal

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Published
2021-01-27
How to Cite
1.
Panthi S, Shrestha R, Pradhan J, Neupane B, Bhusal I, Karki A. Diaphyseal Femur Fracture in Paediatric Age group: Outcome with fixation by Elastic Nailing System . Europasian J. Med. Sci. [Internet]. 2021Jan.27 [cited 2025May11];3(1):1-. Available from: https://www.europasianjournals.org/ejms/index.php/ejms/article/view/258
Issue
Vol 3 No 1 (2021): Europasian Journal of Medical Sciences (EJMS) | 2021 (January - June) Issue 5
Section
Original Research Articles

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