Ahmed, A., Ibrahim, E., Addellatief, A., refae, H. (2023). Evaluation of the results of fixation of the femoral shaft fractures using the elastic intramedullary nail. test, 3(2), 229-241. doi: 10.21608/aumj.2023.249108.1088
Ahmed Hamdi Ahmed; Ebeed yasin Ibrahim; Ahmed Sayed Addellatief; Hesham Hamed refae. "Evaluation of the results of fixation of the femoral shaft fractures using the elastic intramedullary nail". test, 3, 2, 2023, 229-241. doi: 10.21608/aumj.2023.249108.1088
Ahmed, A., Ibrahim, E., Addellatief, A., refae, H. (2023). 'Evaluation of the results of fixation of the femoral shaft fractures using the elastic intramedullary nail', test, 3(2), pp. 229-241. doi: 10.21608/aumj.2023.249108.1088
Ahmed, A., Ibrahim, E., Addellatief, A., refae, H. Evaluation of the results of fixation of the femoral shaft fractures using the elastic intramedullary nail. test, 2023; 3(2): 229-241. doi: 10.21608/aumj.2023.249108.1088

Evaluation of the results of fixation of the femoral shaft fractures using the elastic intramedullary nail

Aswan University Medical Journal
Volume 3, Issue 2, December 2023, Pages 229-241    PDF (1.49 M)
Document Type: Original Article
DOI: 10.21608/aumj.2023.249108.1088
Authors
Ahmed Hamdi Ahmed* 1; Ebeed yasin Ibrahim2; Ahmed Sayed Addellatief3; Hesham Hamed refae4
1teaching assistant orthopedic department,aswan university hospital
2- Associate Professor, Orthopedic Department, Aswan University, Egypt
3- Lecturer of Orthopedic Department, Aswan University, Egypt
4Aswan - Professor, Orthopedic Department, Aswan University, Egypt university
Abstract
Abstract
Background: Elastic stable intramedullary nailing (ESIN) is used to treat fractures of the femur in pediatric patients who are not candidates for rigid intramedullary nailing and may be too big for spica cast immobilization
Aim and objectives: The aim of the work was to evaluate the results of the use of ESIN in the treatment of diaphyseal and metaphyseal femur fractures in pediatrics.
Subjects and methods: This was a prospective study conducted on 30 patients with femoral shaft fractures. the patients were divided into 3 groups; group A included distal 1/3 fractures, group B proximal 1/3 fractures, and group C with middle 1/3 fractures. The fractures were fixed with ESIN. Functional outcome was assessed according to Flynn's score.
Results: The operative time in group A, B, and C was, 65±29.5, 63±16.43, and 52.89±24.17 minutes respectively (the mean was 57±24.09 and p-value = 0.0483). Flynn's score was excellent in 25 (83.33%) cases and satisfactory in 5 (16.67%) cases (p-value was 0.173). The complication rate was 26.66% (8 cases); 2 cases with infection, 2 cases with Leg Length Discrepancy, and 4 cases with knee stiffness.
Conclusion: ESIN is a safe, and reliable method for fixation of the proximal, distal, and middle third femoral shaft fractures with minimal complications.
Keywords
Pediatric Femoral shaft fracture; elastic intramedullary nail; external fixation
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