Intramedullary Fixation in Pediatric Femoral Fractures at Tertiary Care Hospital

Abstract

Objective: To determine outcome of intramedullary fixation with rush rods in pediatric femoral fractures at tertiary care hospitals.

Methods: This case series study was conducted from June 2009 to December 2010. Study included 40 patients of pediatric age fresh femoral fractures admitted in department either OPD or emergency. Preoperative diagnosis was made on antero posterior and lateral views of plan x-rays. Intramedullary fixation of all femoral fractures was done with rush pins under image control. All postoperative patients were followed regularly on OPD basis and outcome of intramedullary fixation was determined on 6^th postoperative month.

Results: There were 40 patients who underwent fixation of 41 femur fractures (one patient had bilateral fracture). Age ranges from 6 to 12 years with a mean of 8.25 years. There were 24 males and 16 females. Minor complications were observed in 19 patients and major complications were observed in 6 patients. Outcome was graded as excellent in 23 patients (57.15%), successful in 12 patients (28.57%) and poor in 6 patients (14.28%). 

Conclusion: Intramedullary fixation of pediatric femoral fractures with rush rods showed good results allowing early ambulation.

Keywords: Pediatric femoral fractures, Intramedullary fixation, Spica, Plating.