22. Outcome of Fixation of Displaced and Unstable Tibial Shaft Fractures in Paediatric Age Group Patients by Using Titanium Flexible Intramedullary Nails
Zulfiqar Ahmed, Muhammad Nasir Ali and Zirwa Nasir
ABSTRACT
Objective: To evaluate the outcome of fixation of displaced and unstable tibial shaft fractures in paediatric age group patients by using Titanium flexible intramedullary nails.
Study Design: Prospective case series study
Place and Duration of Study: This study was conducted at the Orthopedic Complex, QAMC/B. V. Hospital, Bahawalpur from March, 2017 to June, 2018.
Materials and Methods: 34 patients (24 males 10 females), age range 06 to 16 years having severely displaced and unstable closed tibial shaft fractures were operated by using Titanium flexible intramedullary nails. Postoperative follow up evaluation was done for 06 months by using Flynn’s criteria for TENs.
Results: Of the 34 patients operatedall fractures healed satisfactorily at 10 weeks. Most common complaint was irritation at nail insertion site which was noted in 8 (23.5%) patients followed by nail protrusion in 7 (20.5%) patients while pain was reported by 3 (8.8%) patients. No patient developed superficial or deep infection. Overall functional outcome according to Flynn’s criteria was excellent in 28(82.35%) patients, satisfactory in 04(11.76%) and poor in remaining 02(5.88%) patients.
Conclusion: The Titanium flexible nails are a good option for the treatment of displaced and unstable tibial shaft fractures in paediatric age group patients.
Key Words: Titanium elastic nails, Tibial shaft fractures in paediaticpatiatients
Citation of articles: Ahmed Z, Ali MN, Nasir Z. Outcome of Fixation of Displaced and Unstable Tibial Shaft Fractures in Paediatric Age Group Patients by Using Titanium Flexible Intramedullary Nails. Med Forum 2018;29(9):87-90.