Treatment of femur fractures in children using elastic stable intramedullary nailing

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Abstract

Introduction
Closed intramedullary nailing is an established method for the management of fractures of the femur in children. It has the advantage of hematoma preservation, which enables callus formation.
Aim of this study
This study was designed to examine the outcomes and complications of elastic stable intramedullary nails in children aged 6–12 years.
Participants and methods
A total of 27 children were treated from 2011 to 2013 at Al-Azhar University Hospital in Damietta. The average follow-up period for these patients was 24 months.
Results
Although most complications were minor, some series report complication rates of more than 50%. Union rates are high. Malunion or mechanical axis malalignment is uncommon, and leglength discrepancy and overgrowth are also unusual. Refracture was noted to be uncommon in this population.
Conclusion
Elastic stable intramedullary nails is a well-accepted and reliable option for the treatment of femur fractures in children. Advantages are decreased length of hospital stay, early return to function, and high union rates. Care must be taken to achieve and maintain reduction, and caution is advised in older and heavier children.

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The Egyptian Orthopaedic Journal
Volume 50, Issue 2
April 2015
Pages 127-131

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