IJOCP | Volume – 2015| Issue – 2015| Article ID – 2015:105
Conference: Indian Orthopaedic Association Annual Conference IOACON-2013,      India [Click for Full details]  

Authors:  Goyal N, Agarwal A, Mishra P, Jain A

Authors Affiliations:

Address of correspondence: goyal.naveen23@gmail.com


Abstract                                                                                                                 

Background: In vitro mechanical studies have demonstrated equal or superior fixation of pediatric femoral fractures with use of titanium elastic nail system (TENS) as compared with stainless steel elastic nails (SSEN). SSEN are less expensive as compared to TENS. However,there are only two studies in English literature Background: In vitro mechanical studies have demonstrated equal or superior fixation of pediatric femoral fractures with use of titanium elastic nail system (TENS) as compared with stainless steel elastic nails (SSEN). SSEN are less expensive as compared to TENS. However,there are only two studies in English literature

Patients and Methods: 35 children (6-12 years) with closed, post traumatic femoral shaft fractures were randomized into two treatment groups. Eighteen children (Group 1) were treated with TENS. Seventeen children (Group 2) were treated with SSENS. Both groups underwent CRIF by either of the implants as per randomisation protocol and followed up for six months. Comparison of clinical and radiological outcomes in both the groups were done in terms of 1. Time to union of fracture in each group. 2. Radiological Angulation in coronal and sagittal plane.

Results: There were no significant difference in both the groups with respect to fracture site tenderness and presence of bridging callus at fracture site at 3 weeks, 6  weeks and 6 months follow up (p-value=1.000). There was no significant difference in radiological angulation rate in both the groups in sagittal (p value = 0.661) as well as in coronal plane (p value = 0. 219) at six month follow up. Both groups had similar rate of complication, most common being prominent hardware.

Conclusion: TENS and SSENS are equally effective treatment modalities for paediatric femoral shaft fracture with similar rate of complications. However, SSENS is less costly as compared to TENS and can be considered as an alternative in resource constrained setup.

Level of Evidence: Therapeutic Level II – Prospective randomised controlled trial.

How to Cite this Abstract
Goyal N, Agarwal A, Mishra P, Jain A. Comparison of stainless steel and titanium elastic nails in treatment of paediatric femoral shaft fractures – A randomized controlled trial. International Journal of Conference Proceedings 2015;(2015):105