Prospective Research on the “Functional Outcome of Diaphyseal Femur Fractures in Children Aged 5-10 Years Treated with Titanium Elastic Nailing System (TENS)”

Abstract

Background: A common injury in youngsters is a femoral shaft fracture. Motor vehicle accidents, sports trauma and physical assault are the most common causes of injury. In children, it is usually treated conservatively, but intra-medullary nailing with Titanium Elastic Nailing System (TENS) is becoming more popular in teens, therefore we chose this age group for study regarding management of femoral shaft fracture. Aim: To study the functional outcome in children with shaft of femur fracture, treated with TENS. Materials and Methods: A prospective observational study was conducted between May, 2018 to November, 2020 among patients of 5-10 years age group with shaft of femur fracture admitted in orthopaedics department of Government Medical College, Kota, Rajasthan. Results: TENS nailing is a comparatively simple, less invasive, as well as less time-consuming technique and has reasonably good clinical and radiological results. The end outcome in our study was outstanding in 18 cases, good in 16 cases, and bad in just 6 cases.  Conclusion: From our research, we believe that CRIF with TENS nail is the standard treatment for femoral shaft fractures in children between the ages of 5 and 10. It is a minimally invasive and less time-consuming procedure that does not damage the growth plate in growing children. As a result, the fractures unite earlier.