DefinePK hosts the largest index of Pakistani journals, research articles, news headlines, and videos. It also offers chapter-level book search.
Title: FUNCTIONAL OUTCOME OF FLEXIBLE TITANIUM NAILS IN PAEDIATRIC WITH FEMORAL SHAFT FRACTURES
Authors: Syed Baqir Hussain Jafree, Shafqat Waseem, Muhammad Qasim, Shoaib Saleem, Hafiz Muhammad Shiraz, Shuja uddin
Journal: Insights-Journal of Health and Rehabilitation
| Category | From | To |
|---|---|---|
| Y | 2024-10-01 | 2025-12-31 |
Publisher: Health And Research Insights (SMC-Private) Limited
Country: Pakistan
Year: 2024
Volume: 2
Issue: 2
Language: English
DOI: 10.71000/ijhr98
Keywords: Intramedullary nailingTreatment outcomesPediatricsBone fracturesFemoral fracturesShaft fracturesTitanium
Background: Femoral shaft fractures are among the most common long bone fractures in the pediatric population, with a higher incidence in boys and typically resulting from falls, accidents, or trauma. Effective treatment aims to maintain bone length and alignment while minimizing discomfort for the patient and inconvenience for the family. Flexible intramedullary nailing has emerged as a preferred method for pediatric femoral fractures due to its simplicity, favorable healing rates, and low complication risk.
Objective: This study aimed to assess the functional outcomes of pediatric femoral shaft fractures treated with flexible titanium intramedullary nails.
Methods: A descriptive case series was conducted in the Orthopaedic Surgery Unit-II at Jinnah Hospital, Lahore, Pakistan, over six months from September 16, 2021, to March 16, 2022. A total of 60 pediatric patients, aged 4-11 years with femoral shaft fractures, underwent retrograde intramedullary nailing using two nails of identical diameter under image guidance. Patients were monitored in three-week intervals until radiological union was confirmed. Data analysis was performed with SPSS 25.0, stratified by gender and age, with statistical significance determined by a Chi-square test at p ≤ 0.05.
Results: The final sample included 46 male (76.7%) and 14 female (23.3%) patients, with a mean age of 7.18 years (SD ± 2.259). Based on Flynn’s criteria, 96.7% (58 patients) demonstrated satisfactory functional outcomes, with 60.0% (36 patients) rated as “excellent,” 30.0% (18 patients) as “good,” and 6.7% (4 patients) as “fair,” while only 3.3% (2 patients) had “poor” outcomes.
Conclusion: Flexible intramedullary nailing is an effective method for treating simple pediatric femoral shaft fractures, providing strong functional outcomes with minimal complications, supporting its role as a reliable treatment option in pediatric orthopedics.
To assess the functional outcomes of pediatric femoral shaft fractures treated with flexible titanium intramedullary nails.
A descriptive case series conducted in the Orthopaedic Surgery Unit-II at Jinnah Hospital, Lahore, Pakistan, over six months (September 16, 2021, to March 16, 2022). 60 pediatric patients (aged 4-11 years) with femoral shaft fractures underwent retrograde intramedullary nailing using two nails of identical diameter under image guidance. Patients were monitored every three weeks until radiological union. Data was analyzed using SPSS 25.0, stratified by gender and age, with statistical significance determined by a Chi-square test (p < 0.05).
graph TD
A["Patient Recruitment 60 pediatric patients, 4-11 years, femoral shaft fractures"] --> B["Preoperative Assessment & Anesthesia"];
B --> C["Retrograde Intramedullary Nailing with Flexible Titanium Nails"];
C --> D["Postoperative Radiographs"];
D --> E["Follow-up Monitoring - 3-week intervals"];
E --> F["Radiological Union Confirmed?"];
F -- Yes --> G["Functional Outcome Assessment"];
F -- No --> E;
G --> H["Data Collection & Analysis - SPSS 25.0"];
H --> I["Stratification by Gender & Age"];
I --> J["Chi-square Test for Significance"];
J --> K["Reporting of Results & Conclusion"];
Flexible intramedullary nailing is an effective treatment for pediatric femoral shaft fractures, offering high union rates and favorable functional outcomes with minimal complications. This technique allows for controlled micromotion, promoting bone healing and preserving the physis. The study's findings align with existing literature, supporting its use in public healthcare settings. Limitations include sample size and demographic scope, suggesting future research on broader populations and influencing factors like BMI and socio-economic status.
- 96.7% (58 patients) demonstrated satisfactory functional outcomes.
- 60.0% (36 patients) had "excellent" outcomes, 30.0% (18 patients) had "good" outcomes, 6.7% (4 patients) had "fair" outcomes, and 3.3% (2 patients) had "poor" outcomes.
- No statistically significant difference in satisfactory functional outcomes was observed with respect to gender (95.7% in males vs. 100% in females, p > 0.05) or age groups (95.1% in 4-8 years vs. 100% in 9-11 years, p > 0.05).
Flexible intramedullary nailing is an effective and reliable treatment option for simple pediatric femoral shaft fractures, providing strong functional outcomes and supporting efficient bone healing with minimal complications.
- The study included 60 pediatric patients. (Confirmed in Methods and Results)
- 96.7% of patients demonstrated satisfactory functional outcomes. (Confirmed in Results)
- The study was conducted over a six-month period from September 16, 2021, to March 16, 2022. (Confirmed in Methods)
Loading PDF...
Loading Statistics...