Comparison of casting versus elastic nail for the treatment of pediatric tibial diaphyseal fractures

Authors

  • Muneeb Ur Rehman Niazi PG Trainee MS Orthopaedics, Department of Orthopaedics, Shaikh Zayed Hospital, Lahore
  • Syed Wasif Ali Shah Associate Professor, Department of Orthopaedics, Shaikh Zayed Hospital, Lahore
  • Riaz Qadeer Senior Registrar, Department of Orthopaedics, Niazi Medical and Dental College, Sargodha
  • Abdul Qadir Senior Registrar, Department of Orthopaedics, Niazi Medical and Dental College, Sargodha
  • Zaigham Habib Consultant Orthopaedic Surgeon, THQ Feroz wala Sheikhpura
  • Sunit Dahal Consultant Orthopaedics, Department of Orthopaedics, Grand International Hospital Kathmandu, Nepal
  • Usman Amjad Consultant Orthopaedic Surgeon, Department of Orthopaedics, Shaikh Zayed Hospital, Lahore

Keywords:

Tibial fractures, Leg length inequality, Malalignment

Abstract

Objective: To assess outcomes of Titanium elastic nail (regarding radiologic union, a discrepancy of limb length, malalignment, pain and complications) in treating pediatric tibial fractures in comparison with the traditional Casting method.
Methodology: This randomized controlled trial study was conducted in Department of Orthopaedics, Shaikh Zayed Hospital, Lahore through emergency /Outdoor patient department from May 2018 to Feb 2019. The total number of patients were categorized into two groups, 14 each group. In Group A, patients underwent treatment by elastic nails and patients in group B, underwent treatment with cast method. Post op X-Rays (serial) were done and Leg length inequality, Malalignment, pain and radiological union were assessed radiologically. Follow up of the patients was done in the outpatient department of Orthopaedic department after 1,3 and 6 months. The comparison for this among both groups was done by using Chi-square test. P value ≤ 0.05 was considered significant.
Results: The mechanism of injury was statistically same in both groups, p-value > 0.05. In group-A, 7(50.0%) cases had Transverse, 4(28.6%) had Oblique and 3(21.4%) cases had comminuted fracture while in group-B there were 5(35.7%) cases who had Transverse, 2(14.3%) had Spiral, 4(28.6%) cases had Oblique and 3(21.4%) cases had Comminuted fracture, p-value > 0.05. In both groups, the leg length inequality, frequency of malalignment, pain severity and complications were statistically same, p-value was > 0.05.
Conclusion: Similar outcomes of Titanium elastic intramedullary nailing as compared to cast application in terms of bone union, alignment and infection rates.

Published

2020-03-31

Issue

Section

Original Articles