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- Title
Can Titanium Elastic Nails be the First Treatment Choice in Pediatric Femoral Shaft Fractures?
- Authors
Topak, Duran; Özdemir, Mustafa Abdullah; Doğar, Fatih; Dere, Kadir İsmail; Mutlu, Halil; Ökkeş, Bilal
- Abstract
Introduction: To evaluate the clinical and radiological outcomes of school-age pediatric patients who underwent titanium elastic nailing (TEN) for femoral shaft fracture. Materials and methods: The medical charts of 61 children aged 4-12 years who underwent titanium elastic nailing (TEN) in our clinic for diaphyseal femoral fracture between 2015 and 2019 were evaluated retrospectively. Functional outcomes were evaluated according to the Flynn criteria. A total of 61 patients who met the inclusion criteria, with a mean age of 7.18 (4-12) years, were followed up for 37.60 (13-72) months. Results: On evaluation of the clinical and radiological outcomes of patients, we observed satisfactory results in 93.4% of patients, with 72.1% (n = 44) achieving excellent and 21.3% (n = 13) achieving good outcomes. Complete union was observed radiologically in all patients except 1 for a mean period of 8.45 ± 2.56 (5-14) weeks. When the duration of hospital stay for non-orthopedic reasons was excluded, we found that patients were discharged from the hospital after a mean hospitalization period of 2.32 (1-7) days. Ten patients (16.4%) had pain due to skin irritation at the nail insertion site, 8 had malunion with an angulation of >5°, whereas only 1 had an angulation of >10°. Conclusion: TEN is an easily applicable, minimally invasive, fixation technique resulting in less scarring. TEN should be the first treatment choice in children aged 4-12 years with diaphyseal femoral fracture as it provides early union, short hospitalization, and successful radiological and functional outcomes.
- Subjects
FEMORAL fractures; INTRAMEDULLARY fracture fixation; BONE shafts; TREATMENT effectiveness; BONE fractures in children; MAGNETIC resonance imaging
- Publication
Van Tip Dergisi, 2022, Vol 29, Issue 2, p184
- ISSN
1300-2694
- Publication type
Article
- DOI
10.5505/vtd.2022.34538