Suggu Srinivasa Reddy, Karuppanan Soundararajan, Sivanandan Hari M, Moitra Somejoy
Department of Orthopaedic Surgery, Vinayaka Missions Kirupananda Variyar Medical College and Hospital, Salem, Tamil Nadu, India.
J Orthop Case Rep. 2022 Sep;12(9):102-109. doi: 10.13107/jocr.2022.v12.i09.3338.
The objective of the study was to evaluate the effectiveness of elastic stable intramedullary nailing titanium elastic nailing system (TENS) in the treatment of femoral shaft fractures among children (5-15 years) with particular importance to functional outcome and complications.
A hospital-based prospective study was conducted among 30 children with fracture shaft of femur who underwent elastic stable intramedullary nailing (TENS) in the department of Orthopaedics in Vinayaka Mission's Kirupananda Variyar Medical College and Hospital, Salem. The study was conducted for a period of 2 years from January 2020 to December 2021. Postoperatively, the patients were followed up for clinical and radiological outcome and complications after internal fixation by Titanium elastic nailing at 6 weeks, 12 weeks, 6 months, and 1 year following surgery. Flynn criteria were used to assess the functional outcome during follow-up. To analyze the Data Statistical Package for the Social Sciences Version 21 is used. Categorical variables such as gender, side of fracture, and mode of injury are expressed as frequency and percentages. Continuous variables such as age and duration of surgery are expressed as mean (SD) or median (IQR). Statistical analysis was done using Chi-square test for categorical variables and independent samples t-test was used to determine the association for continuous variables with functional and radiological outcomes. To be considered as statistically significant, the P-value should be <0.05.
With regard to outcome based on Flynn criteria, excellent outcome was observed among 22 (73.3%) children and satisfactory outcome was observed among 8 (26.7%) children. None of the children had poor outcome.
TENS is a safer and an effective procedure in terms of functional and radiological outcome among the children with fracture shaft of femur.
本研究的目的是评估弹性稳定髓内钉钛弹性钉系统（TENS）治疗5至15岁儿童股骨干骨折的有效性，特别关注功能结果和并发症。
在塞勒姆维奈亚卡使命基鲁帕南达·瓦里亚尔医学院和医院骨科，对30例股骨干骨折儿童进行了基于医院的前瞻性研究，这些儿童接受了弹性稳定髓内钉（TENS）治疗。研究从2020年1月至2021年12月进行了2年。术后，对患者进行随访，观察术后6周、12周、6个月和1年时钛弹性钉内固定后的临床、放射学结果及并发症。采用弗林标准评估随访期间的功能结果。使用社会科学统计软件包第21版分析数据。性别、骨折侧和损伤方式等分类变量以频率和百分比表示。年龄和手术持续时间等连续变量以均值（标准差）或中位数（四分位数间距）表示。分类变量采用卡方检验进行统计分析，连续变量采用独立样本t检验确定与功能和放射学结果的相关性。P值<0.05被认为具有统计学意义。
根据弗林标准评估结果，22例（73.3%）儿童结果优秀，8例（26.7%）儿童结果满意。没有儿童结果不佳。
就股骨干骨折儿童的功能和放射学结果而言，TENS是一种更安全有效的手术方法。
