Key result
Elastic stable intramedullary nailing for pediatric femoral fractures yielded excellent Flynn elastic nail scoring results in 72.22% of patients and satisfactory results in 27.77%.
Why the study?
Femoral shaft fractures in children are often treated with elastic stable intramedullary nailing, but evaluation of functional and clinical outcomes in children aged 4-11 years was needed.
Does elastic stable intramedullary nailing provide safe and effective functional outcomes in pediatric patients aged 4-11 years with femoral fractures?
Observational (n=18)
No
Does elastic stable intramedullary nailing provide safe and effective functional outcomes in pediatric patients aged 4-11 years with femoral fractures?
Flexible intramedullary nailing is a safe and effective treatment option for femoral shaft fractures in children aged 4-11 years, yielding excellent or satisfactory functional outcomes in all patients.
May support elastic nailing for select pediatric femoral fractures; leaves open need for prospective trials before wider adoption.
Background: In children, femoral shaft fractures are often treated using elastic stable intramedullary nailing (ESIN). Objective: To evaluate the functional as well as clinical outcomes of ESIN for femoral fractures in children aged 4-11 years. Patients and Methods: At Orthopedic Surgery Department of Zagazig General Hospital 18 cases diagnosed as pediatric femoral fractures were stabilized using flexible intramedullary nailing. Results: Skin irritation due to nail endings was the most prevalent consequence and was seen in 7 patients. Other complications were superficial infection (n=2), limb length inequility (n=2) and varus angulation (n=1). At 3 months follow-up, all patients had complete range of motion in their hips and knees; three patients (27.77%) had slight restriction in knee flexion, but this was recovered by 6 months follow-up. Excellent Flynn elastic nail scoring results were demonstrated in 72.22%, satisfactory results in 27.77% and none of the patients showed poor results. Conclusion: Flexible Intramedullary Nailing resulted in the best possible functional and radiological outcomes for patients with femoral shaft fractures and is a safe treatment option.
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Sebaei et al. (2022) conducted an observational in Pediatric femoral fractures (n=18). Elastic stable intramedullary nailing (ESIN) was evaluated on Excellent Flynn elastic nail scoring results. Elastic stable intramedullary nailing for pediatric femoral fractures yielded excellent Flynn elastic nail scoring results in 72.22% of patients and satisfactory results in 27.77%.
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