A STUDY ON MANAGEMENT OF DIAPHYSEAL FRACTURES IN CHILDREN WITH ENDER’S NAILING

Autor: Sivananda Patri, Varun Kumar Paka, Rajeev Kumar Giri, Sudheer Tulasi, Lavanya Paka, Prasanna Kumar Lukalapu
Rok vydání: 2016
Předmět:
Zdroj: Journal of Evidence Based Medicine and Healthcare, Vol 3, Iss 100, Pp 5495-5497 (2016)
ISSN: 2349-2570
2349-2562
DOI: 10.18410/jebmh/2016/1138
Popis: BACKGROUND Ender’s nail fixation involves insertion of several nails of smaller diameter into a non-reamed medullary canal of a long bone. Fracture fixation is based on the principle of three-point fixation. It is a reliable technique of fixation in paediatric and geriatric age groups and also for pathological fractures. The present study was undertaken to study and evaluate clinically as well as radiologically. The role of Ender’s nailing in various long bone fractures with regards to functional status of the patients, union of the fracture and postoperative complications. MATERIALS AND METHODS 18 patients of paediatric age group with various long bone fractures underwent operative management with flexible multiple Ender’s nails. RESULTS All children achieved union in a mean time of 12 weeks. Limb length discrepancy was seen in one child. Migration of nails was seen in one child. Slight to considerable limitation of joint movements were seen in 4 patients. One patient required reoperation. CONCLUSION Intramedullary nailing of long bone fracture is an excellent technique in the surgical management of long bone fractures in children. It is safe, less invasive and associated with fewer complications.
Databáze: OpenAIRE