ABSTRACT
Background: Tibia fractures in skeletally immature patients are usually treated conservatively but sometimes operative treatment becomes essential
Objective: To determine the outcome of closed titanium elastic nailing in pediatric tibia diaphyseal fractures in terms of union and range of motion at knee and ankle joints
Methodology:Across sectional study was conducted at Orthopedics Department of Lahore General Hospital, Lahore. A total of 35 patients ageing between 6-12 years with unilateral, isolated, closed displaced diaphyseal fractures of tibia were included in this study. Patients were followed in outpatient department after 15 days for operative wound examination and then were followed after every 2 months to determine the progress in union and range of motion. The collected information was entered in PASWStatistics 18 and analyzed
Results: The minimum age was 6 and maximum was 12 years. There were 19[54.3%] males and 16[45.7%] females. According to Hammer classification of fracture healing, at 2nd week post operative all patients has Grade-V. At 2nd Month follow up 12[34.28%] patients has Grade-II and 23 [65.72%] patient has Grade-III fracture healing. At 4th month follow up 30[85.71%] patients has Grade-I and 5[14.2%] patients has Grade-II union. At 6th month follow up all 35[100%] patients has Grade-I fracture healing
Conclusion: Treatment of diaphyseal fractures of tibia in children with closed elastic intramedullary nailing is a rapid and effective method in terms of bone union and range of motion of the ankle and knee joints