@article{ref1,
title="Outcomes of fracture shaft femur in pediatric population managed at emergency",
journal="Journal of clinical orthopaedics and trauma",
year="2017",
author="Sinha, Sourabh Kumar and Kumar, Vineet and Singh, Ajai",
volume="8",
number="4",
pages="313-319",
abstract="BACKGROUND: Fracture shaft of femur is amongst one of the commonest major diaphyseal injuries in school going children presenting to us at emergency rooms of our hospitals. The presence of a growing proximal and distal physes imposes a real challenge in management of these fractures. The use of titanium elastic nails has gained wide acceptance for stabilizing these fractures. <br><br>MATERIALS AND METHODS: A sample of 53 children of age group 6 to 12 years were included in the study according to the inclusion and exclusion criteria. The mean age of subjects was 8.87 ± 1.64 years of which 39 were males and 14 were females. The femoral shaft fractures were stabilized using titanium elastic nails and followed up for a mean duration of six months. The outcomes were evaluated based on Flynn's criteria. <br><br>RESULTS: We obtained excellent outcome in 75.5% of our cases, satisfactory outcome in 17% and poor outcome in 7.5% of cases. We found no statistically significant difference in outcome in patients of age 9 years or less compared to 10 years or older. <br><br>CONCLUSION: Patient selection is important to obtain good results using titanium elastic nails. Mid diaphyseal femoral shaft fractures with minimal comminution are ideal fractures for treatment using titanium elastic nails.<p /> <p>Language: en</p>",
language="en",
issn="0976-5662",
doi="10.1016/j.jcot.2016.12.004",
url="http://dx.doi.org/10.1016/j.jcot.2016.12.004"
}