Key result
Titanium elastic nailing for femoral shaft fractures in children resulted in excellent functional outcomes in 76% of patients, with all cases achieving union.
Why the study?
Femoral fractures in children are increasingly managed operatively to promote rapid recovery and avoid prolonged immobilization, prompting an assessment of outcomes with titanium elastic nailing.
Does stabilization with two titanium elastic nails improve operative outcomes in children aged 5-15 years with femoral shaft fractures?
Observational (n=25)
No
Does stabilization with two titanium elastic nails improve operative outcomes in children aged 5-15 years with femoral shaft fractures?
Titanium elastic nailing provides excellent or satisfactory outcomes in the majority of children with femoral shaft fractures.
Answers are grounded in this paper and cite their sources.
Supports titanium elastic nailing for mostly good outcomes in pediatric femoral fractures; hypothesis-generating and requires randomized confirmation before practice change.
Background: Nowadays femoral fractures in children are more commonly managed with operative fixation rather than conservative treatment because of more rapid recovery and avoidance of prolonged immobilization. Our aim of study was to assess the outcome of titanium elastic nailing in femoral shaft fracture in children. Methods: Twenty five children in age group 5-15 years with femoral shaft fracture were stabilized with two titanium nails. Children were followed up for one year. The operative outcome was evaluated using criteria of Flynn. Complications associated with procedure were recorded and analyzed. Results: The final outcome was excellent in 67% (19 of 25) of patients, satisfactory in 16% (4 of 25) of patients and poor in 8% (2 of 25) of patients. Poor outcome was due to limb length discrepancy, pain in the knee and angular misalignment. Conclusions: We concluded that titanium elastic nailing is an ideal method of femoral shaft fixation in children.
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Bahinipati et al. (2018) conducted an observational in Femoral shaft fractures (n=25). Titanium elastic nailing was evaluated on Excellent functional outcome based on Flynn criteria. Titanium elastic nailing for femoral shaft fractures in children resulted in excellent functional outcomes in 76% of patients, with all cases achieving union.
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