Incidence of femur fractures in children
accounts for 1.6%. They occur as a result of fall from height
while playing and aremostly in the diaphyseal region.
Treatment protocol for children younger than five years is
spica cast and for skeletallymature adolescents is an
antegrade intramedullary nail. But, for children between 5
to 16 years, the best treatment is still controversial. They
present with a higher complication rate of shortening and
malunion.
In this study, 20 children aged between 5-16 years with
diaphyseal femur shaft fractures were treated with
Titanium Elastic NailingSystem (TENS) at Government
general hospital, Kurnool from a period of September 2020
to September 2022. Majority of the patients in the study, i.e.
8 (40%) were in the age group of 5-8 years. Average time of
union was about 8.2 weeks. Results were excellent in
9(45%), successful in 8(40%) and poor in 3(15%) patients
TITANIUM ELASTIC NAILING SYSTEM (TENS) is
an ideal method for treating femur shaft fractures in
children aged between 5-16 yearswhich gives elastic
mobility required for rapid union and stability.
