Official publication of Rawalpindi Medical University
Outcome of Ender’s nailing in pediatric patient with Shaft of Femur Fracture in a Tertiary Care Hospital
PDF

How to Cite

1.
Rahman Rasool Akhtar. Outcome of Ender’s nailing in pediatric patient with Shaft of Femur Fracture in a Tertiary Care Hospital. JRMC [Internet]. 2022 Sep. 30 [cited 2024 Mar. 28];26(3). Available from: https://journalrmc.com/index.php/JRMC/article/view/2007

Abstract

Introduction: The use of spica casting in children with the shaft of femur fractures is controversial. Presently, operative treatment is the main standard for the management of shaft of femur fractures in children. The advantages of Ender’s nail are closed insertion of the nail with the preservation of fracture hematoma, minimal chances of infection and the endosteal blood supply is preserved because no reaming is required. Objective: To determine the treatment outcome of Ender’s nailing in the pediatric shaft of femur fractures in terms of limb length discrepancy, function, and union.

Materials and Methods: This descriptive study was conducted at Orthopaedic Department, Benazir Bhutto Hospital, Rawalpindi Medical University, Rawalpindi from January 2017 to December 2019. We enrolled 95 children 6-12 years of age by using a non-probability consecutive sampling technique with femoral shaft fracture. The exclusion criteria include children with pathological fractures, malignancy, and skeletal dysplasia. Time of surgery, implant failure, infection, union, limb length discrepancy, and functional outcome were recorded. Functional outcome and union were determined by using Flynn criteria and radiographs while the surgery time, infection, limb length discrepancy, and implant failure were determined clinically.

Results: There were 59 (62.1%) male and 36 (37.89%) female children. The mean age was 6.93 ± 4.12 years. The mean surgery duration was 30 ± 8.5 minutes. There were 06 (6.31%) superficial and no patients with deep infection. No implant failure in our study. The time duration from radiological & clinical union to full weight bearing was 7.9 weeks (5-12 weeks). On Flynn criteria, 67 (70.52%) children had excellent and 28 (29.47%) had a satisfactory functional outcomes. In 85 (89.47%) children, there was no limb length discrepancy but 10 (10.5%) children had limb length discrepancy with a mean of 5.45 ± 1.23 mm.

Conclusion: Ender’s nailing is an excellent treatment option for the pediatric shaft of femur fractures in terms of functional outcome and union with low chances of infection, limb length discrepancy, and implant failure.

Keywords: Ender’s nailing, pediatric femoral shaft fracture, union, functional outcome, infection, implant failure, limb length discrepancy

https://doi.org/10.37939/jrmc.v26i3.2007
PDF
Creative Commons License

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Copyright (c) 2022 Journal of Rawalpindi Medical College