Abstract

Despite ongoing disagreement regarding its indications, interest in operating to treat paediatric fractures has grown during the past 20 years. There is some debate over the best way to repair long bone fractures in kids under the age of six (POP cast) and teenagers over the age of sixteen (locked intramedullary nailing, plating). Objectives: To analyze the results of fixation of long bone fracture with TITANIUM ELASTIC NAILING SYSTEM (TENS) in the treatment of fracture shaft of long bones in children aged between 5 to 16 years with special emphasis on complications. Material & Methods: This prospective study done in the Department of Orthopaedics, MVJ Medical College and Research Hospital, Hoskote, from April 2022 to March 2023. All children and adolescent patients between 5-16 years of age with diaphyseal fractures of long bones admitted in the department of Orthopedics who have undergone Titanium Elastic Nail System. Results: We studied 7(35%) femoral and 6(30%) tibial fractures, 3 (15%) humerus, 4(20%) radius/ulna in which transverse fractures accounted for 10(50%) cases, communited fractures-2(10%), oblique fractures-5(25%), spiral fractures-3(15%) and there were no segmental fractures. The duration of stay in the hospital ≤ 7 days for 3 (15%) patients, 8-10 days for 7 (35%), 11-15 days for 10 (50%). One case was operated within 6 days of injury, developed superficial infection which had to be dressed regularly, so stayed for 11 days. Another cases were who had multiple soft tissue injury had to stay 14 days. The average duration of hospital stay in the present study is 10.25 days. Conclusion: We draw the conclusion that the ELASTIC STABLE INTRAMEDULLARLY NAILING approach is the best course of action for treating paediatric long bone diaphyseal fractures. It provides elastic mobility that encourages quick union at the site of the fracture and stability that is perfect for early mobilisation. When compared to other forms of treatment, it has a reduced rate of complications and produces positive results.

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