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FUNCTIONAL OUTCOME OF FEMORAL SHAFT FRACTURES IN CHILDREN MANAGED WITH TITANIUM ELASTIC NAILING

Dr. Abdul Munaf Saud, Dr. Kashif Raza Khan, Dr. Tallal Ahmad Lodhi

Objective: To assess the functional outcome of femoral shaft fractures in children managed with titanium elastic nailing. Material and methods: This case series study was conducted at Department of Orthopaedic Surgery, Civil Hospital, Bahawalpur from January 2018 to September 2019 over the period of 6 months. A total of 25 patients (children) with fractures of shaft of femur either male or female having age 5-15 years were selected and functional outcome was assessed by using Flynn criteria. Results: In our series of 25 patients treated by titanium elastic nail, the age of children varied from 5 to 15 years. Out of 25 patients, 18 were male and 7 were female. The most common cause of the fracture was road traffic accident (RTA) in 15 cases, followed by fall from height in 8 cases. Functional assessment was done by TEN scoring criteria by Flynn et al. After analyzing the final score of each patient according to the above criteria, results were classified as excellent, satisfactory and poor. In our series excellent results were obtained in 19(76%) cases, satisfactory in 4 (16%) cases and poor in 2(8%) cases. Conclusions: We concluded that titanium elastic nailing is an ideal method of femoral shaft fixation in children. Keywords: Femoral shaft fractures, Children, Titanium elastic nailing

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