Outcomes of fracture shaft femur in pediatric population managed at emergency

3^rd World Congress on Surgery, Surgeons & Anesthesia

March 27-28, 2023 | Webinar

Vineet Kumar

Dr. RML Institute of Medical Sciences, India

Posters & Accepted Abstracts: Surgery

Abstract :

Statement of The Problem: Fracture shaft of femur is amongst one of the commonest major diaphyseal injuries in school going children presenting to us at emergency rooms of our hospitals. The presence of a growing proximal and distal physes imposes a real challenge in management of these fractures. The use of titanium elastic nails has gained wide acceptance for stabilizing these fractures. Clinical practice: A sample of 53 children of age group 6 to 12 years were included in the study according to the inclusion and exclusion criteria. The mean age of subjects was 8.87 ± 1.64 years of which 39 were males and 14 were females. The femoral shaft fractures were stabilized using titanium elastic nails and followed up for a mean duration of six months. The outcomes were evaluated based on Flynn’s criteria. Results: We obtained excellent outcome in 75.5% of our cases, satisfactory outcome in 17% and poor outcome in 7.5% of cases. We found no statistically significant difference in outcome in patients of age 9 years or less compared to 10 years or older. Conclusion: Patient selection is important to obtain good results using titanium elastic nails. Mid diaphyseal femoral shaft fractures with minimal comminution are ideal fractures for treatment using titanium elastic nails.

Biography :

Vineet Kumar is faculty in Orthopedic Surgery at Dr. RML Institute of Medical Sciences, Lucknow, India. He has an MS in Orthopedic Surgery from King Georges Medical University. He is a member of National Academy of Medical Sciences, AO Trauma and AO Spine society. He has special interest in spine and trauma and has been a part of organization in young surgeon’s forum of Asia Pacific Orthopedic Association-India Chapter.