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Kaliya Perumal AK, Balasubramanian K
Correspondence: Dr Arun Kumar Kaliya Perumal, dr.arunkumar.orth@gmail.com
ABSTRACT
INTRODUCTION 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.
METHODS 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.
RESULTS 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.
CONCLUSION 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.
Keywords: elastic stable intramedullary nailing, flexible intramedullary nailing, paediatric femur fracture
Singapore Med J2013; 54(8): 441-445; http://dx.doi.org/10.11622/smedj.2013151
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