Outcome of Elastic Stable Intramedullary Nailing (ESIN) for tibia fractures in children.

  • Kashif Khurshid Qureshi HITEC-IMS Taxila.
  • Imran Anjum Bahawal Victoria Hospital, Bahawalpur.
  • Rao Tayyab Mehmood Bahawal Victora Hospital, Bahawalpur.
  • Iram Iqbal HBS Medical & Dental College, Islamabad.
  • Ahmed Jasra HBS Medical & Dental College, Islamabad.
  • Khalid Z Aslam HBS Medical & Dental College, Islamabad.
Keywords: Elastic Nail, Tibial Fractures, Union Time

Abstract

Objectives: To determine outcome in displaced tibial shaft fracture in children treated with elastic stable intra-medullary nailing. Study Design: Descriptive, Case Series study. Setting: Department of Orthopedic, Bahawal Victoria Hospital, Bahawalpur, HBS Medical & Dental College, Islamabad and HITEC-IMS Taxila Cantt, Pakistan. Period: 2012 to 2019. Material & Methods: A total of 62 cases of displaced tibial shaft fracture presenting within 7 days of the injury, 6 to 11 years of age of either gender were included. Patients with segmental tibial shaft fractures and open tibial shaft fractures, Gustilo Grade II & III were excluded. The titanium elastic nails system (TENS) was used in all patients according to the departmental protocols. The sampling technique was consecutive with non-probability. All the patients were followed up in OPD at 2 weeks interval up to 24 weeks after surgery and union of fracture was recorded at 24th week. Results: Mean age was8.55 ± 1.77 years. Out of these 62 patients, 45 (72.58%) were male and 17 (27.42%) were females with ratio of 2.65:1. Mean duration of fracture was 3.10 ± 1.95 days. Mean duration of union in displaced tibial shaft fracture in children treated with elastic stable intra-medullary nailing was 19.40 ± 3.35 weeks. Conclusion: This study concluded that use of elastic stable intra-medullary nailing for displaced tibial shaft fracture in children leads to shorter duration of union reliably with minimal complications.

Author Biographies

Kashif Khurshid Qureshi, HITEC-IMS Taxila.

FCPS (Ortho)

Associate Professor Orthopedics

Imran Anjum, Bahawal Victoria Hospital, Bahawalpur.

FCPS (Ortho)

Medical Officer Orthopedics

Rao Tayyab Mehmood, Bahawal Victora Hospital, Bahawalpur.

FCPS (Ortho)

Assistant Professor Orthopedics

Iram Iqbal, HBS Medical & Dental College, Islamabad.

FCPS (Radiology)

Assistant Professor Radiology

Ahmed Jasra, HBS Medical & Dental College, Islamabad.

FCPS (Anesthesiology)

Assistant Professor Anesthesia

Khalid Z Aslam, HBS Medical & Dental College, Islamabad.

FCPS (Anesthesiology)

Associate Professor Anesthesia

Published
2021-01-10