Volume : 7, Issue : 4, April - 2018

A CLINICAL STUDY TO EVALUATE OUTCOME OF PAEDIATRIC SHAFT FEMUR FRACTURE TREATED WITH FLEXIBLE INTRAMEDULLARY NAILING

Dr. Rajdeepsinh H. Chauhan, Dr. Rohan P. Doshi, Dr. Tapan R. Ankleshwaria, Dr. Divy J. Patel, Dr. Kabir N. Desai

Abstract :

<p class="MsoNormal" style="margin-top:0in;margin-right:1.0pt;margin-bottom:0in;&#10;margin-left:0in;margin-bottom:.0001pt;text-align:justify;text-indent:.5in;&#10;line-height:156%;mso-pagination:none;mso-layout-grid-align:none;punctuation-wrap:&#10;simple;text-autospace:none"><b><span style="font-size:12.0pt;line-height:156%;&#10;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;color:black">Introduction:</span></b><span style="font-size:12.0pt;line-height:156%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">femur fractures are the most common pediatric injury requiring hospitalization <b style="mso-bidi-font-weight:normal">(1)</b>. The majority of these fractures occur as a result of major injury, since normal femoral shaft can be oken only by a tremendous force. The violence may be direct or indirect, such as that sustained in automobile accident or fall from height.<o:p></o:p></span></p> <p class="Default" style="text-indent:.5in"><b>Material and method:</b> All patients included in this study sustained shaft femur fracture of<span style="mso-spacerun:yes">&nbsp; </span>age group 6 to 14 years. The prospective study was conducted at Department of orthopedics at tertiary health care center. <span style="color:#333333;background:white">We included 25 femoral shaft fractures treated with retrograde flexible intramedullary nailing with a minimum follow up of 6 month. Final limb length discrepancy and any angular or rotational deformities were determined.<o:p></o:p></span></p> <p class="MsoNormal" style="margin-top:0in;margin-right:0in;margin-bottom:0in;&#10;margin-left:6.0pt;margin-bottom:.0001pt;text-indent:30.0pt;line-height:normal;&#10;mso-pagination:none;mso-layout-grid-align:none;text-autospace:none"><b><span style="font-size:12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Result</span></b><span style="font-size:12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">: in this study average age of patients was 10.84 years, ranging from 6 to 14 years. The most common site of fracture of shaft femur according to present study is middle third (64%). The average duration to achieve union was 6.16 weeks according to present study (range 4 to 12 weeks).Evaluation of outcome as per Flynn criteria <b style="mso-bidi-font-weight:normal">(2)</b> was done on last follow up.<o:p></o:p></span></p> <p class="Default" style="text-indent:.5in"><o:p>&nbsp;</o:p></p> <p class="MsoNormal" style="margin-bottom:20.75pt;text-indent:.5in;line-height:&#10;normal;mso-layout-grid-align:none;text-autospace:none"><b><span style="font-size:12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Conclusion:</span></b><span style="font-size:12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">In conclusion, flexible intramedullary nail is a great choice for the treatment of pediatric patients (6&ndash;14 years old) with closed femoral shaft fractures.<span style="background:white"><o:p></o:p></span></span></p>