Ender’s Nail fixation in paediatric femoral shaft fractures.
Ender’s nail fixation. Retrograde fixation was done in 38 cases, in 2 cases antegrade fixation was done. Result: The mean follow up was 7.5 months. The average time to partial weight bearing was 3.8 weeks (2 to 6wks). The average time to full weight bearing was 8 weeks (6 to 12 wks). Union was achieved in all patients within a mean of 11 weeks (8 to 16 wks). Two patients had varus angulation of 8° and 6° each, whereas one had valgus angulation of 8°and one had anterior angulations of 10°. Lengthening of 1.2 cm was observed in one patient. In one case skin irritation due to nail was observed and that subsided without intervention. According to the
Flynn criteria 34 had excellent and 6 had satisfactory results. No poor results were seen. Conclusion: Ender’s nail fixation can be preferred method of treatment for femoral shaft fractures in age group 5 -15 years as the results are excellent and satisfactory. It is technically simple and can be done in a closed manner. It spares the vascularity and growth plate.
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