A prospective study of management of diaphyseal forearm fractures in paediatric age group with intramedullary titanium elastic nail system
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 5, Pages 370-376
AbstractAim of the study: The aim of this study is to asses management of diaphyseal forearm fractures in paediatric age group with intramedullary titanium elastic nail system.
Materials and Methods: The study was conducted from July 2019 to October 2021 at Dr BR Ambedkar medical College and Hospital with follow up period of six months. 30 children fulfilling the inclusion criteria with displaced diaphyseal forearm fracture were surgically treated with titanium elastic nail system. The clinical assessment was conducted for atleast a period of 6 months post operatively using Price et al. criteria.
Results: At six months of follow-up 27 patients had excellent results, 3 had good results according to price et al. criteria, which is based on the amount of restriction of forearm rotational movements. According to this criterion, excellent results were achieved after elastic nailing of forearm fractures in children with less than 15 degree of loss of forearm rotation.
In the present study, Radiological union of fracture was observed in about 60% of patients before 8 weeks and more than half of patients achieved radiological union before 8 weeks.
Conclusion: Based on our experience and results, we conclude that ELASTIC STABLE intramedullary nailing technique is an ideal method for treatment of paediatric forearm bone diaphyseal fractures. It gives elastic mobility promoting rapid union at fractures site and stability which is ideal for early mobilization. It gives lower complication rate, good outcome when compared with other methods of treatment. It is a simple, easy, rapid, reliable and effective method for management of paediatric forearm bone diaphyseal fractures between the age of 5 to 16 years, with shorter operative time, lesser bloodless, lesser radiation exposure, shorter hospital stay, and reasonable time to bone healing. Because of early mobilisation, rapid healing and minimal disturbance of bone growth, ESIN may be considered to be a physiological method of treatment.
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