Functional Outcomes of Femoral Shaft Fractures in Children Treated with Titanium Elastic Nailing

Background: Pediatric femoral shaft fractures are common injuries with significant implications, requiring careful management to stabilize the fracture, maintain alignment, and reduce complications for the child and their family. This study aims to evaluate the functional outcomes of femoral shaft fractures in children treated with Titanium Elastic Nailing (TEN), focusing on its effectiveness as a minimally invasive treatment modality. Aim of the Study: The aim of the study was to evaluate the functional outcomes of femoral shaft fractures in children treated with titanium elastic nailing. Methods: This prospective observational study was conducted at the Department of Orthopedics and Traumatology, Dhaka Medical College Hospital, Dhaka from July 2017 to June 2019, involving 30 children aged 6-14 years with mid-diaphyseal femoral fractures. Preoperative evaluations and postoperative management, including limb rest, exercises, antibiotics, and pain management, were conducted. Data were analyzed with SPSS version 17, and ethical approval was obtained. Results: Among 30 patients, 66.7% achieved union within 7-10 weeks and 90.0% full weight bearing within 8-12 weeks. Only 6.7% had minor complications, and 76.7% showed no leg length discrepancies or malalignments. Most patients (70.0%) had knee motion >130°, with 73.3% returning to pre-injury activities. Flynn’s TEN Scoring Criteria indicated predominantly excellent outcomes with minimal complications or pain. Conclusion: Titanium elastic nailing effectively treats pediatric femoral shaft fractures, promoting timely recovery and excellent functional outcomes with minimal complications.