Management of Unstable Tibial Shaft Fracture with Titanium Elastic Nails in Children: Unstable Tibial Shaft Fracture

Abstract

Objectives: to evaluate radiological and functional outcomes of Titanium elastic nails (TEN) in pediatric patients with tibial shaft fractures. Methods: Study wasprospective design. A total number of forty patients were treated who were presented with tibial shaft fracture. Patients were treated with TEN. In every patient antegrade nailing was performed by inserting a TEN in the medial side of metaphysic and another TEN in the lateral side of the proximal metaphysis. Main outcomes were leg length inequality, union, malunion and complications. SPSS version 23 was used for data analysis. Result: Functional result (Flynn Criteria) was excellent in 38.5% patients and satisfactory was in 61.5% patients. Patients were treated with TEN. In every patient antegrade nailing was performed by inserting a TEN in the medial side of metaphysic and another TEN in the lateral side of the proximal metaphysis. Main outcomes were leg length inequality, union, malunion and complications. SPSS version 23 was used for data analysis. Result: Functional result (Flynn Criteria) was excellent in 38.5% patients and satisfactory was in 61.5% patients. Conclusion: Unstable pediatric tibial shaft fractures can be treated ideally through intramedullary fixation technique withtitanium elastic nailing even untreated cases of conservative management and those cannot be reduces due to presence of open wound or edema.