Treatment of Tibial Fractures in Children Using Intra Medullary Nailing

Abstract

Background: Fractures of the tibia in children are very challenging in their management. They form about 15% of fractures. They were managed by closed reduction and above knee cast. Today there is an increasing trend towards surgical stabilization. Elastic stable intramedullary nailing (ESIN) is a minimally invasive technique that allows short hospital stay and early ambulation. Methods: Between May 2022 and August 2022 a prospective study was done on fifteen patients (2 females and 13 males) with a mean age 9 yearsold (range 5-15 years).Patients were followed up for 5 months after surgery. All patients undergone ESIN using two nails. Results: At the time of the last follow-up, Flynn scoring system showed 12 excellent cases 2 satisfactory cases and only 1 poor case. Conclusion:  We recommend the use of this technique in most of tibial shaft fractures whether open or closed in different fracture patients. This is due to being simple, non-invasive, and rapid, with low rates of infection