Management of Diaphyseal Fractures of Long Bones in Children with Intramedullary Flexible Nail Nailing

Background: Ideally, fixation of paediatric diaphyseal fractures should produce an “internal splint” that shares loads, maintains reduction until hard callus formation, and does not endanger the growth areas or blood supply. Results from several studies have shown that FIN / TENS fixation meets these requirements because it allows rapid mobilization, potentially no risk for osteonecrosis, low risk for physeal injury, and reduced risk for refracture. ESIN meets the requirements of this ideal device. Materials and methods: 31 cases of Diaphyseal fractures in 30 Patients were included. Final outcome was graded excellent, satisfactory or poor based on criteria described by Flynn et al. Result: The results according to Flynn et al were Excellent in 26 patients (86.67%) , Satisfactory in 3 patients (10%),and Poor in 1 patient (3.33%). Conclusion: Enders nailing is a simple and useful technique for stabilization of Diaphyseal fractures in longbones in children as it permits adequate rotational stabilization.