Elastic Stable Intramedullary Nailing Functional and Clinical Outcomes among Femoral Fractures in Pediatrics Aged 4-11 Years

Sebaei, Mohamed A.; Abdelrahman, Khaled E.; Ali, Haytham Saif Aleslam; Elbromboly, Yehia

doi:10.21608/ejhm.2022.265296

Elastic Stable Intramedullary Nailing Functional and Clinical Outcomes among Femoral Fractures in Pediatrics Aged 4-11 Years

Document Type : Original Article

Authors

10.21608/ejhm.2022.265296

Abstract

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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