Closed reduction can usually be achieved if surgery is performed earlier. Second surgery of implant removal is mandatory. Conclusion: Results of this study strongly favor the use of Ender’s nailing in shaft femur fractures in older children. limb length was equal in 17 pts., one pt. Excellent hip & knee movements in almost all pts. Results: Average union time was 10 weeks except in polio pts. Fracture was transverse in 6 pts., spiral in 3 pts., oblique in 12 pts.& comminuted in 2 pts. & involving more than one region in 2 pts. Fracture was in upper third shaft femur in 5 pts., middle third in 13 pts., lower third in 3pts. Methodology: 22 pts., out of which one having bilateral # shaft femur (total 23 #s with age ranging from 7 to 16 yrs. I have tried to study 23 cases of shaft femur fractures in older children treated by Ender’s nails.
In view of above difficulties, closed intramedullary nailing was attempted in older children and adolescents. However in older children certain problems are encountered like failure to control angulation and shortening, prolonged immobilization which causes very much discomfort & the overgrowth phenomenon. Traditionally non operative methods are acceptable and find wide acceptance even today in very young children. Various methods of treating these fractures starting from non operative to methods like closed intramedullary nailing are at our disposal. Study of Ender’s Nailing in Shaft Femur Fractures of Older Childrenĭirectory of Open Access Journals (Sweden)įull Text Available Background: Fractures in shaft femur in children are relatively common.
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