Open AccessClose Versus Limited Open Method of Ender’s Nail Fixation in Paediatric Femoral Shaft Fractures
Author(s) -
Rajeev Dwivedi,
Shambhu Kumar Sah,
Mukund Dahal,
Parimal Acharya,
Sandeep Gurung
Publication year - 1970
Publication title -
journal of nepal medical association
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.176
H-Index - 19
eISSN - 1815-672X
pISSN - 0028-2715
DOI - 10.31729/jnma.2756
Subject(s) - medicine , fixation (population genetics) , surgery , femoral shaft , open fracture , significant difference , delayed union , weight bearing , external fixation , intramedullary rod , orthopedic surgery , external fixator , nonunion , population , environmental health
There are various surgical options for treating fracture of femoral shaft in children. Here we compare the results of close with limited open method of Ender’s nails fixation of femoral shaft fractures in children.
Methods: We studied 60 children with femoral shaft fractures in age group 5-15 years. Ender’s nail fixation was done by close technique in 40 cases and in 20 cases by limited open technique.
Results: The mean operative time was significantly high in limited open group being 64 minutes in comparison to 50 minutes in close group. There was no significant difference between close and limited open groups with respect to time for partial weight bearing and time for full weight bearing. Fracture united sooner in close group as compared to open group. Union was achieved in all patients within a mean of 11 weeks in close group in comparison to 12.4 weeks in open group. According to the Flynn criteria in close group 34 patients had excellent results, 6 had satisfactory and none poor. In limited open group outcome was excellent in 14 patients, satisfactory in 4 patients and 2 had poor result. There was no significant difference in outcome based on Flynn criteria between two groups.
Conclusions: Though operative time is more and healing is delayed in Ender’s nail fixation by limited open technique, there is no statistical difference in final outcome as per Flynn criteria between close and limited open technique of Ender’s nail fixation of femoral shaft fractures in children.
Keywords: children; close technique; ender’s nail; fracture shaft of femur; flynn criteria.