Main Article Content
Background: Conservative management has always been used for paediatric fractures. However surgical management has shown outstanding results. Closed reduction and titanium elastic nailing is one of the procedures that is used for management of paediatric injuries. We undertook this study to see the outcome paediactric fractures treated with Titanium Elastic Nailing.
Methods: A prospective study conducted at Krishna institute of medical sciences, Karad. 30 children with femoral fracture managed with TENS were included in this study. Patients were followed up till 12 months post-operatively for limb length discrepancy, pelvic asymmetries, rotational deformity, axial angulation, and hip and knee range of motion (ROM). Scoring criteria for TEN By Flynn et al.  was used and results were classified as excellent, satisfactory or poor
Results: There were 19 boys and 11 girls in this study. The mean duration of surgery was 50 min. Radiological union was achieved in average time of 7 weeks. Full weight bearing was achieved in a meantime of 7 weeks. As per the Flynn et al.  criteria the results were excellent in 24 patients, successful in 5, and poor in 1 patient. One patient had varus angulation, 3 patient had entry site irritation and 2 had limb length discrepancy.
Conclusion: The TENS is an efficient and acceptable form of treatment in selected cases of femoral diaphyseal fractures in children.
Slongo TF, Audigé L. Fracture and dislocation classification compendium for children: the AO pediatric comprehensive classification of long bone fractures (PCCF) J Orthop Trauma. 2007;21:135-160.
Podeszwa DA, Mooney JF, Cramer KE, Mendelow MJ. ComparisonComparison of Pavlik harness application and immediate spica casting for femur fractures in infants. J Pediatr Orthop. 2004;24:460–462.
Catena N, Sénès FM, Riganti S, Boero S. Diaphyseal femoral fractures below the age of six years: Results of plaster application and long term followup. Indian J Orthop. 2014;48:30–34.
Madhuri V, Dutt V, Gahukamble AD, Tharyan P. Interventions for treating femoral shaft fractures in children and adolescents. CochraneCochrane Database Syst Rev. 2014;(7):CD009076.
Flynn JM, Luedtke LM, Theodore J, Ganley TJ, Dawson J, Davidson RS, et al. Comparison of titanium elastic nails with traction and a spica cast to treat femoral fractures in children. J Bone Joint Surg Am. 2004;86:770–7.
Hunter JB. The principles of elastic stable intramedullary nailing in children. Injury. 2005;36:A20–4.
Bhaskar A. Treatment of long bone fractures in children by flexible titanium nails. Indian J Orthop. 2005;39: 166–8.
Narayanan UG, Hyman JE, Wainwright AM, Rang M, Alman BA. Complications of elastic stable intramedullary nail fixation of pediatric femoral fractures and How to avoid them. J Pediatr Orthop. 2004;24: 363–9
Saikia K, Bhuyan S, Bhattacharya T, Saikia S. Titanium elastic nailing in femoral diaphyseal fractures of children in 616 years of age. Indian J Orthop. 2007;41: 381–385.
Flynn JM, Hresko T, Reynolds RA, Blasier RD, Davidson R, Kasser J. Titanium elastic nails for pediatric femur fractures: a multicenter study of early results with analysis of complications. J Pediatr Orthop. 2001;21:4–8.
Lee S, Mahar AT, Newton PO. Ender nail fixation of pediatric femur fractures a biomechanical analysis. J Pediatr Orthop. 2001; 21(4):442-5.
Reeves RB, Ballard RI, Hughes JL, Jackson Internal fixation versus traction and casting of adolescent femoral shaft fractures. J Pediatr Orthop. 1990;10: 592-5.
Ward WT, Levy J, Kaye A. Compression plating for child and adolescent femur fractures. J Paediatr Orthop. 1992;12:626-32.
Krettek C, Haas N, Walker J, Tscherne H. Treatment of femoral shaft fractures in children by external fixation. Injury. 1991; 22:263–6.
Aronson J, Torsky EA. External fixation of femur fractures in children. J Pediatr Orthop. 1992;12:157–63.
Beaty JH, Austin SM, Warner WC, Canale ST, Nichols L. InterlockingInterlocking intramedullary nailing of femoralshaft fractures in adolescents: Preliminary results and complications. J Pediatr Orthop. 1994;14:178–83.
Letts M, Jarvis J, Lawton L, Davidson D. Complications of rigid intramedullary rodding of femoral shaft fractures in children. J Trauma. 2002;52:504-16.
Buechsenschuetz KE, Mehlman CT, Shaw KJ, Crawford AH, Immerman EB. Femoral shaft fractures in children: traction and casting versus elastic stable intramedullary nailing. J Trauma. 2002;53:914–21.
Ligier JN, Metaizeau JP, Prevot J, Lascombes P. Elastic stable intramedullary nailing of femoral shaft fractures in children. J Bone Joint Surg Br. 1988;70: 74–7.
Lascombes P, Haumont T, Journeau P. Use and abuse of flexible intramedullary nailing in children and adolescents. J Pediatr Orthop. 2006;26:827–34.