A Systematic Review on Elastic Intramedullary Nailing in Closed Fractures of the Tibial Diaphysis in Children

Abstract

Introduction: Closed reduction and cast application is still regarded as first line treatment for paediatric tibial fractures. Over the past few decades, management of paediatric tibial fractures has shifted more towards operative intervention because of quicker recovery, shorter rehabilitation period, less immobilization, lack of stiffness of adjoining joints, and less psychological impact to the children. Flexible intramedullary nails not only fulfill the above advantage but also maintain alignment and rotation Aim of the work: This systematic review aims to review the currently available evidence for the use of ESIN in the skeletally immature paediatric patient with closed fracture of the tibial diaphysis. Methodology: Ten articles addressed the use of ESIN in the skeletally immature paediatric patient with fracture of the Tibial diaphysis by searching in Pub Med, Cochrane library, Google scholar, Medline, To update, DARE, Ovid, ACP journal club, Embase and other medical databases to identify relevant studies. Results and Conclusion: This systematic review documented the clinical results of elastic intramedullary nailing in closed fractures of the tibia in the children, There are varieties in the ten studies in conclusions and results but the main conclusion is that elastic nail fixation is a simple, easy, rapid, reliable and effective method for management of paediatric tibial fractures in patients with operative indications. There may be the chances of complication following the ESIN in tibia but these are avoidable as well as manageable with careful precautions.