Study on Functional Outcome of Elastic Stable Intramedullary Nailing (ESIN) of Diaphyseal Fractures of Paediatric Long Bones | Chapter 01 | New Frontiers in Medicine and Medical Research Vol. 11

 Background: Since the introduction of titanium elastic nails (TENs) and the encouraging results of elastic stable intramedullary nailing (ESIN) in diaphyseal fractures of paediatric long bones, more and more orthopaedicians are offering ESIN with TENs to avoid the inherent problems of conservative treatment. The goal of this study was to see how well ESIN worked in diaphyseal fractures of paediatric long bones.

Methods: ESIN used TENs to treat 44 patients aged 5 to 15 years who had diaphyseal fractures of the femur, tibia, humerus, and forearm bones.

The femur took an average of 8.3 weeks to union, 7.3 weeks for the tibia, 7 weeks for the forearm bones, and 7.5 weeks for the humerus.

Pain at the insertion site was the most prevalent complication.

The lengthening of one patient's femur was 1.5 cm. One femur and one forearm patient both had joint stiffness. None of the patients had any delayed/non-union, sagittal/coronal/rotational mal-union, or deep infection. On the second or third day, partial weight bearing (PWB) commenced, progressing to full weight bearing (FWB) after 6 to 10 weeks.

Conclusions: ESIN with TENs appears to be a reasonable and safe way to avoid the problems associated with conservative treatment because it is the least invasive and allows for early PWB/FWB, which leads to early personal hygiene/toilet independence, as well as early social integration/return to school.

Author(S) Details

Arun Vashisht
Department of Orthopaedics, Subharti Medical College, Meerut, Uttar Pradesh, India.

Gaurav Dev Sharma
Department of Orthopaedics, Subharti Medical College, Meerut, Uttar Pradesh, India.

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