Functional Outcome of Femur Shaft Fracture in Pediatric Age Group Treated with Titanium Elastic Nailing System

Zahoor Ul Islam; Muhammad Imran; Shams Ud Din; Muhammad Abdullah; Muhammad Asad; Shahrukh Khan

doi:10.54112/bcsrj.v6i6.2318

Authors

Zahoor Ul Islam Department of Orthopedic Surgery, Khyber Teaching Hospital, Peshawar, Pakistan
Muhammad Imran Department of Orthopedic Surgery, Khyber Teaching Hospital, Peshawar, Pakistan
Shams Ud Din Department of Orthopedic Surgery, Khyber Teaching Hospital, Peshawar, Pakistan
Muhammad Abdullah Department of Orthopedic Surgery, Khyber Teaching Hospital, Peshawar, Pakistan
Muhammad Asad Department of Orthopedic Surgery, Khyber Teaching Hospital, Peshawar, Pakistan
Shahrukh Khan Department of Orthopedic Surgery, Khyber Teaching Hospital, Peshawar, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v6i6.2318

Keywords:

Titanium elastic nailing, femoral shaft fracture, paediatric, Flynn's criteria, functional outcome, Peshawar

Abstract

Pediatric femoral shaft fractures are commonly managed surgically when conservative treatment is unsuitable. Titanium elastic nailing provides stable fixation, early mobilization, and preservation of fracture biology. Objective: To determine the early functional outcome of femur shaft fracture in pediatric age group treated with titanium elastic nailing system. Methods: This study was conducted on a sample of 60 patients aged 5 to 16 years, of either gender, with radiologically confirmed femoral shaft fractures in the Orthopedic Surgery Department, MTI, Khyber Teaching Hospital, Peshawar,. Those with metabolic bone disorders, polytrauma, and comminuted fractures were excluded. All patients underwent titanium elastic nailing under C-arm fluoroscopy using two pre-bent nails inserted retrograde through medial and lateral incisions. Early functional outcome was assessed at 8^th week of treatment using Flynn's scoring system. Data were analyzed using SPSS 25. Frequencies and percentages were calculated for functional outcome. Chi-square and Fisher's exact tests were used for stratification; p-values ≤ 0.05 were considered significant. Results: The mean age of the 60 patients in the current study was 9.42±3.22 years. Male patients were 40 (66.7%), and female patients were 20 (33.3%). A transverse fracture pattern was observed in 34 (56.7%) cases. Excellent functional outcome was achieved in 40 (66.7%) cases, satisfactory in 16 (26.7%) cases, and poor in 4 (6.7%) cases. Complications were nail protrusion in 5 (8.3%) cases and infection in 3 (5.0%) cases. Conclusion: The early functional outcome of the titanium elastic nailing system in the pediatric age group with shaft of femur fractures was excellent in 66.7% of patients, satisfactory in 26.7% of patients, and poor in only 6.7% of patients.

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