Analysis of the Results of Titanium Elastic Nails (TENS) in Paediatric Femur Fractures

Vol 02 | January 2021 | page: 02-07 | Manoranjan Mallick, Pramod Sahoo, Debi Prasad Nanda


Authors: Manoranjan Mallick [1], Pramod Sahoo [1], Debi Prasad Nanda [1]

[1] Department of Orthopaedics, SCB Medical College, Cuttack, Odisha, India.

Address of Correspondence

Dr. Debi Prasad Nanda,
SCB Medical College, Cuttack, Odisha, India.


Background: Pediatric femur fracture management is a controversial issue even today. Because of the spontaneous healing power of this age group, one school of thought believes in hip spica cast while the other group of orthopedicians prefer surgical management of this fracture.
Aims and objective: Aim of this study was to analyze the results of pediatric femur fractures treated with Titanium elastic nails (TENS).
Material and methods: This is a prospective study of 30 cases of pediatric femur fracture treated with TENS in the Department of Orthopedic, SCBMCH, from July 2017 to December 2019 and functional results are analyzed with 10 scoring criteria devised by Flynn et al i.e. Flynn criteria. Radiological assessment was done by Anthony et al scale for grading callus formation.
Result: Excellent results achieved in 24 (79%), satisfactory in 4 (15%) and poor in 2(6%) cases as per Flynn criteria. All fractures healed in a mean period of 7.9 weeks (6-12 weeks). The most common complication was entry site irritation in 6 (20%) that subside after nail removal.
Conclusion: TENS is an effective modality of a surgical method for pediatric femoral shaft fracture with precise technique and proper aftercare.
Keywords: TENS; Adolescent femur; Fracture.


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How to Cite this Article: Mallick M, Sahoo P, Nanda  D| Analysis of the Results of Titanium Elastic Nails (TENS) in Paediatric Femur Fractures | Odisha Journal of Orthopaedics and Trauma | January 2021; 02, 02-07.

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