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Titanium Elastic Nailing with Temporary External Fixator versus Bridge Plating in Comminuted Pediatric Femoral Shaft Fractures: A Comparative Study by Sukalyan Dey; Kartikey Mishra; Tarai Vishanji Nagda; Jaideep Dhamele; Chasanal Rathod; Dipa Dey is a Medicine article available to read on EtoBox.

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## Background: High-velocity trauma, associated injuries, risk of iatrogenic devascularization of fragments and need for maintaining alignment upto union make comminuted fracture in pediatric femur a formidable fracture to treat. This comparative study was conducted to evaluate the outcomes of two modes of management in such cases: titanium elastic nailing supplemented with external fixator and submuscular bridge plating (BP). ## Materials and Methods: Thirty eight children (aged 6–12 years) with comminuted fracture shaft femur who were randomized into two groups underwent systematic evaluation. One group was operated with titanium nailing with temporary external stabilization by fixators (titanium nailing with external [TNE] group) for 4 weeks. The other underwent submuscular BP with locked plates (BP group). Clinical and radiological outcomes, operative time, blood loss, radiation exposure, difficulties in removal and complications were evaluated. ## Results: Both groups achieved union (10.7 ± 1.9 weeks BP, 11 ± 1.6 weeks TNE), satisfactory knee flexion (138.2 ± 6.4° BP, 136 ± 7.3° TNE), and painless weight bearing (7.3 ± 0.9 weeks vs. 7.3 ± 1.4 weeks) in acceptable alignment. Fu

Who reads Titanium Elastic Nailing with Temporary External Fixator versus Bridge Plating in Comminuted Pediatric Femoral Shaft Fractures: A Comparative Study?

Author

Sukalyan Dey; Kartikey Mishra; Tarai Vishanji Nagda; Jaideep Dhamele; Chasanal Rathod; Dipa Dey

Publisher

Medknow Publications; Mumbai: Medknow Publications Pvt. Ltd.; Medknow; Springer Science and Business Media LLC (ISSN 0019-5413)

Published

2018

Language

EN

Field

Medicine (Health Sciences)