Elastic Stable Intramedullary Nailing Functional and Clinical Outcomes among Femoral Fractures in Pediatrics Aged 4-11 Years | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 230, Volume 89, Issue 1, October 2022, Page 5591-5596 PDF (625.38 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhm.2022.265296 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Mohamed A. Sebaei; Khaled E. Abdelrahman; Haytham Saif Aleslam Ali; Yehia Elbromboly | ||||
| Abstract | ||||
| Background: In children, femoral shaft fractures are often treated using elastic stable intramedullary nailing (ESIN). Objective: To evaluate the functional as well as clinical outcomes of ESIN for femoral fractures in children aged 4-11 years. Patients and Methods: At Orthopedic Surgery Department of Zagazig General Hospital 18 cases diagnosed as pediatric femoral fractures were stabilized using flexible intramedullary nailing. Results: Skin irritation due to nail endings was the most prevalent consequence and was seen in 7 patients. Other complications were superficial infection (n=2), limb length inequility (n=2) and varus angulation (n=1). At 3 months follow-up, all patients had complete range of motion in their hips and knees; three patients (27.77%) had slight restriction in knee flexion, but this was recovered by 6 months follow-up. Excellent Flynn elastic nail scoring results were demonstrated in 72.22%, satisfactory results in 27.77% and none of the patients showed poor results. Conclusion: Flexible Intramedullary Nailing resulted in the best possible functional and radiological outcomes for patients with femoral shaft fractures and is a safe treatment option. | ||||
| Keywords | ||||
| Elastic Stable Intramedullary Nailing; Outcomes; Children | ||||
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