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BACKGROUND: Elastic stable intramedullary nailing for the treatment of Pediatric Femur diaphyseal fractures was introduced by Prevot and colleagues in 1979. The technique offers several advantages, including better reduction, dynamic axial stabilization, shorter hospitalization with early rehabilitation and low rate of complications. OBJECTIVES: To study the union rates and functional outcome of closed reduction and internal fixation of pediatric diaphyseal fractures of femur with TENS. DESIGN: PROSPECTIVE STUDY. SETTING: AT VIMS GOVERNMENT HOSPITAL BELLARY. METHODS: 30 children between ages 5 to 16 years admitted to the Department of Orthopedics at Vijayanagar Institute of Medical Sciences, Bellary with diaphyseal fractures of femur during the period from NOVEMBER 2010 to SEPTEMBER 2012 are selected. All patients were followed up for an average of 6 months. Outcome was assessed using TENS SCORING SYSTEM USED BY FLYNN et al. RESULTS: The selected patients evaluated thoroughly clinically and radiologically. The fractures were treated BY CLOSED REDUCTION AND INTERNAL FIXATION WITH ELASTIC STABLE INTRAMEDULLARY NAILING. Results of the entire patients were followed up for an average of 6 months. Our series consisted of 30 patients, 24 male and only 6 female. Most common fracture pattern of femur was spiral. 23 fractures healed within an average duration of 10 to 12 weeks following surgery. There was superficial infection in 1 case, 2 cases had LLD <2cm & 1 femur case had nail backing out distally which was treated with second surgery for implant removal after complete union of fracture.2 cases had varus angulation & 1 case had valgus angulation. All patients had full range of hip and ankle motion in the present study and 4 (13.33%) patients had mild restriction in knee flexion at 12 weeks. CONCLUSION: Based on our experience and results, we conclude that ELASTIC STABLE INTRAMEDULLARY NAILING technique is an ideal method for treatment of pediatric femoral diaphyseal fractures. It gives elastic mobility promoting rapid union at fractures site and stability which is ideal for early mobilization. It gives lower complication rate, good outcome

journal of evolution of medical and dental sciences

A PROSPECTIVE STUDY OF SURGICAL MANAGEMENT OF DIAPHYSEAL FRACTURES OF FEMUR IN CHILDREN AGED BETWEEN 5 TO 16 YEARS USING ELASTIC STABLE INTRA MEDULLARY NAILING