European Journal of Molecular & Clinical Medicine

Abstract

Background: Pediatric patient population having shaft tibia, open or closed, which couldn’t reduce conservatively with traction manipulation and cast. Purpose of the study was to access the outcome of shaft tibia and femur fracture fixation with ender’s nailing which is least invasive, least complications, least expensive and excellent outcome.
Materials and methods: It is a retrospective study with 11 patients with diaphyseal fracture of tibia were managed surgically with ender’s nails at teaching tertiary care hospital with minimum of 6 month follows up. The demographic data, level of fracture, type of fracture, number of Ender’s nails, level of entry points, the direction of nail tips and the time to union are all recorded.
Results: All patients had average clinical union start time of 10 to 14 weeks. Full weight bearing was started at 8 weeks for tibia patients. No nonunion, infection, malunion was seen. As per Flynn’s criteria 64% patients with excellent and 36% patients with satisfactory outcome noted in our series.
Summary: Ender’s nail is cost effective, safe, easy to use and easy to remove intramedullary nail fixation for pediatric shaft tibia fracture. It provides stable fixation and allows rapid healing of the fractures with minimal to no complications.