Intramedullary splinting of femoral shaft fractures in children with flexible nails: early results

ABSTRACT

<p><b>INTRODUCTION</b>Indications for flexible intramedullary nailing, as well as advancements in this technique, have evolved considerably with time and individual experience. We implemented and studied a simplified version of the technique. Functional outcome, osseous union and related issues are discussed.</p><p><b>METHODS</b>A total of 15 patients aged 5-15 years with diaphyseal femur fracture were selected for the study. The patients' fractures were stabilised with flexible intramedullary nails through lateral entry alone. After a minimum follow-up period of six months, the outcomes were analysed.</p><p><b>RESULTS</b>The mean patient age was 8.7 years, and patients were followed up for a mean duration of 12 months. Radiological union was achieved within a mean duration of 7.5 weeks. The outcomes were excellent in most of the cases.</p><p><b>CONCLUSION</b>Adequate fixation was achieved through the use of flexible nails as intramedullary splints. The results were comparable to that of the original technique. Further study is obligatory.</p>