Outcome of shaft fractures among children treated with elastic stable intramedullary nailing

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dc.contributor.authorAhmad, Mahmooden_US
dc.contributor.authorEl Tahir, Tahiren_US
dc.contributor.authorAhmad, Sabaen_US
dc.contributor.authorAhmad, Umairen_US
dc.date.accessioned2020-11-18T10:01:38Z
dc.date.available2020-11-18T10:01:38Z
dc.date.issued2020-05
dc.description.abstractBackground: Long bone fractures are frequent occurrence among children and considered a frequent pediatric orthopedic injury requiring hospitalization. Authors aimed to retrospectively analyze the outcome of fixation of long bone fractures with elastic stable intramedullary nailing (ESIN) among children and adolescents.Methods: From 2010 to 2018, ESIN was performed on 128 children aged 2 to 17 years having single shaft fractures of long bones. The data related to associated injuries, postoperative complications, postoperative treatment, till bony union or removal of rods, mal-union, functional deficit, need for secondary surgical intervention and subjective complaints at follow-up originated from postoperative clinical and radiological consultations carried out regularly. The primary end points were time of complete radiological union or removal of rods.Results: The mean age at the time of accident was 9.5 years. There were 37 (28.9%) femoral fractures, 16 (12.5%) of the lower leg, 51 (39.8%) fractures of radius/ulna and 24 (18.8%) of the humerus. In 2 (2.3%) children, reoperation was necessary due to prominent ends of elastic rods and 6 (4.7%) had early removal of rods due to same reasons. End point of the study, removal of rods noted in 126 (82.8%), radiological evidence of union in 7 (5.5%) and 15 (11.7%) cases were lost at follow-up.Conclusions: ESIN fixation of diaphyseal fractures in children and adolescents is safe. ESIN was found to be minimally invasive method, noted to produce excellent functional as well as cosmetic outcomes.en_US
dc.identifier.affiliationsDepartment of Orthopaedic and Trauma, Royal Commission Medical Centre Yanbu, Kingdom of Saudi Arabiaen_US
dc.identifier.affiliationsDepartment of General Surgery, Sheikh Zayed Hospital, Lahore, Pakistanen_US
dc.identifier.citationAhmad Mahmood, El Tahir Tahir, Ahmad Saba, Ahmad Umair . Outcome of shaft fractures among children treated with elastic stable intramedullary nailing. International Journal of Research in Medical Sciences. 2020 May; 8(5): 1662-1665en_US
dc.identifier.issn2320-6071
dc.identifier.issn2320-6012
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/212268
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber5en_US
dc.relation.volume8en_US
dc.source.urihttps://dx.doi.org/10.18203/2320-6012.ijrms20201508en_US
dc.subjectElastic stable intramedullary nailingen_US
dc.subjectFemoral fracturesen_US
dc.subjectLong bone fracturesen_US
dc.subjectReoperationen_US
dc.titleOutcome of shaft fractures among children treated with elastic stable intramedullary nailingen_US
dc.typeJournal Articleen_US
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