To evaluate the outcome of intramedullary nailing in femoral shaft fractures in children.

Abstract

Objective: To determine the frequency of outcome of intramedullary nailing in femoral shaft fractures in children. Study Design: Case series study. Setting: Department of Orthopedics, ATH, Abbotabad. Period: 27^th February 2020 to 26^th August 2020. Methods: We included 85 patients with femoral shaft fractures, and age 5 to 10 years of both genders, meeting the criteria and consent was taken. Each patient was followed fortnightly for assessment 2 of outcome (excellent/satisfactory/poor) after 3months post-operative. Results: In our study age ranges from 5 to 10 years with mean age of 7.14 ± 0.90 years. Majority of the patients 60 (70.59%) were between 5 to 7 years of age. We had 64 (75.29%) males and 21 (24.71%) were females. Mean weight was 24.35 ± 4.66 kg. Mean duration of symptoms was 6.48 ± 2.45 days. In this study, the excellent outcome was seen in 70 (82.35%) patients, satisfactory in 10 (11.77%) and poor outcome in 05 (5.88%) patients. Conclusion: This study concluded that intramedullary nail is simple, effective, minimally invasive procedure for treating femoral shaft fractures in children with excellent outcome.