Presenter : Dr. Nevil Sunny, Moderator : Dr. Ashraf Jamal


Management of paediatric lower limb fractures has multiple treatment options ranging from conservative treatment to internal fixation. The internal fixation also has several implant options. The objective of this study was to evalu ate the functional outcome of titanium elastic nailing system in paediatric lower limb fractures.


A hospital based prospective analytical study was conducted on 15 patients less than 16 years of age with lower limb fractures admitted Hospital to Sri Manakula Vinayagar Medical College and from November 2019 to April 2021. Patients with femur and tibia fractures treated with TENS were included and were followed up minimum of 6 months. The results were analysed based on radiological union and Flynn’s criteria.


Of 15 patients, 8 patients had diaphyseal femur fractures and 7 had tibial diaphyseal fractures treated by titanium elastic nailing system. 12 patients had excellent outcome, 2 had satisfactory outcome and 1 had poor outcome based on Flynn’s criteria. Out of 15 patients, 12 patients achieved union within 10 weeks and progressed to full weight bearing by 12 weeks. Only 3 patients achieved union by 12 weeks. No cases of delayed union or refracture were observed. One case developed knee stiffness; one patient had shortening of 1 cm with angulation more than 10 degrees.


The use of titanium elastic nailing system in paediatric lower limb fracture is a safe, effective, minimally invasive technique and provides early recovery with shorter hospital stay.