A Prospective Study of Fracture Femur Shaft in Children Between 5-16 Years Treated by Titanium Elastic Nailing System (TENS)

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 stabilit