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International Journal of Tropical Medicine

ISSN: Online 1818-779X
ISSN: Print 1816-3319
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Clinical and Radiological Evaluation of Minimally Invasive Intramedullary Fixation by Titanium Elastic Nails in Paediatric long Bone Fractures of the Lower Limb: A Prospective Study

Abhinav Kishore, Aditya Jha and Nand Kumar
Page: 100-104 | Received 09 May 2024, Published online: 09 Jul 2024

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https://doi.org/10.36478/10.36478/makijtm.2024.3.100.104

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Abstract

Long bone fractures in the lower limbs are common in the paediatric population, posing challenges due to the growing skeleton and the need to minimize disruption to growth plates and surrounding tissues. Minimally invasive intramedullary fixation using titanium elastic nails (TENs) offers several advantages, including smaller incisions and reduced soft tissue damage, which can enhance fracture healing and reduce recovery time. This prospective study, conducted over 2 years at Madhubani Medical College, included 45 paediatric patients aged 4 to 16 years with lower limb long bone fractures treated with TENs. Clinical and radiological outcomes were assessed through follow‐up visits at 1 month, 3 months, 6 months and 1 year, focusing on parameters such as pain levels, range of motion, weight‐bearing capacity, fracture union time and complication rates. The study found significant improvements in pain levels, range of motion and weight‐bearing capacity over the follow‐up period. The mean time to fracture union was 10.3 weeks at 6 months and 12.7 weeks at 1 year. Fracture alignment and callus formation showed substantial improvement, with minimal complications such as nail migration and malunion. TENs provide effective, minimally invasive treatment for paediatric lower limb long bone fractures, promoting pain reduction, enhanced mobility and increased weight‐bearing capacity, with a low complication rate.

How to cite this article:

Abhinav Kishore, Aditya Jha and Nand Kumar. Clinical and Radiological Evaluation of Minimally Invasive Intramedullary Fixation by Titanium Elastic Nails in Paediatric long Bone Fractures of the Lower Limb: A Prospective Study.
DOI: https://doi.org/10.36478/10.36478/makijtm.2024.3.100.104
URL: https://www.makhillpublications.co/view-article/1816-3319/10.36478/makijtm.2024.3.100.104