Elastic Intramedullary Nailing for Management of Both Bone Leg Fracture in Skeletally Immature Patients

Alajil, Ibrahim Suliman; Elalfy, Aly Tawfique; Abdelfattah, Islam Sameeh; Shehata, Ehab Mohamed

doi:10.21608/zumj.2022.145600.2588

	Elastic Intramedullary Nailing for Management of Both Bone Leg Fracture in Skeletally Immature Patients
Zagazig University Medical Journal
Article 25, Volume 30, Issue 2, March and April 2024, Page 486-492 PDF (793.14 K)
Document Type: Original Article
DOI: 10.21608/zumj.2022.145600.2588
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Authors
Ibrahim Suliman Alajil ¹; Aly Tawfique Elalfy ²; Islam Sameeh Abdelfattah²; Ehab Mohamed Shehata²
¹Orthopedic department, Faculty of medicine, Tripoli University- Libya
²Orthopedic department, Faculty of medicine, Zagazeg University, Egypt
Abstract
Background: Tibial shaft fracture is the third most common skeletally immature long bone fracture after the femur and forearm, representing 15% of all skeletally immature bone fractures. The purpose of this study was to improve outcomes of management of tibial shaft fractures in skeletally immature patients 15 years of age or less by elastic intramedullary nailing. Patients and Methods: This study was a prospective study conducted at Orthopedic Surgery Department, Faculty of Medicine, Zagazig University in the period from October 2021 to April 2022. Twenty four patients were included in this study all of them suffering from displaced diaphyseal fractures either closed or open fracture Gustilo & Anderson type I & II of the both bone leg in skeletally immature patients aged less than 15 years. Results: All patients in this study achieve full union by the end of follow-up, with mean union time 10 weeks, 50% of the fractures united completely within 7 to 9 weeks, while 41.7% united from 10 to 12 weeks. Only 2 patients 8.3% had delayed union. No unsatisfactory outcome reported in this study, all patients were either excellent 79.2% or satisfactory in 20.8%. According to Flynn criteria. Regarding the complications, the incidence of complications in our study was 25%, distributed as follow 8.3% of patients suffering from entery site irritation, other 8.3% patients presented with delayed union. Conclusion: Elastic intramedullary nailing is an effective and safe treatment method for tibial shaft fractures in skeletally immature patient, even those with open fractures.
Keywords
Tibial shaft fractures; Elastic Intramedullary Nailing; Fracture Both Bone Leg


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