Results of titanium elastic nailing in paediatric femoral diaphyseal fractures report of 30 cases  

作　　者：Divesh Jalan Rajesh Chandra VK Sharma 

机构地区：[1]All India Institute of Medical Sciences, New Delhi110029, India [2]Central Institute of Orthopaedics, VMMC & SafdarjangHospital, New Delhi 110029, India

出　　处：《Chinese Journal of Traumatology》2013年第2期77-83,共7页中华创伤杂志（英文版）

摘　　要：Objective： Fractures of the femur are the most incapacitating fractures. For children aged 6-14 years, there is no clear consensus as to the preferred treatment. The conventional treatment of traction and cast- ing is no longer recommended. We report our experience in titanium elastic nailing for treatment of paediatric femoral diaphyseal fractures. Methods： Thirty patients in the age group of 6-16 years with displaced diaphyseal femoral fractures were sta- bilized with titanium elastic nails. Patients were followed up clinically and radiologically for a minimum period of 1 year. The final results were evaluated using Flynn＇s criteria. Tech- nical difficulties and complications associated with the pro- cedure were also analysed. Results： Overall results were excellent in 20 cases and satisfactory in 10 cases. No patient had poor result. The average hospital stay was 9 days. All the fractures healed with an average time to union of 6.86 weeks. The most com- mon complication encountered was soft tissue irritation at the nail entry site seen in 6 cases. Clinically, lengthening was noticed in 4 cases, while no patient had shortening. Malalignment was seen in only 6 cases. Perioperative diffi- culties encountered were failure of closed reduction seen in 6 cases and corkscrewing of nails in one case. Conclusion： Titanium elastic nails are a relatively easy to use, minimally invasive, physeal-protective implant sys- tem with high rate of good and excellent outcomes in chil- dren aged 6-16 years. Technical pitfalls can be eliminated by adhering to the basic principles.

关 键 词：TITANIUM NAILS Fractures  bone FEMUR PAEDIATRICS 

分 类 号：R[医药卫生]