الفهرس 
Aim of the studyOnly 14 pages are availabe for public view
 |  | from | 73 |  |  |
| | | from | 73 | | |
Abstract
Tibial fractures represent the third most common pediatrics long bone fractures. They present 15% of pediatric fractures. The average age occurrence is 8 years, 30% of these fractures are associated with ipsilateral fibular fractures, the ratio of incidence in boys and girls is 2:1
The aim of this study was to compare between use of elastic intramedullary nails and minimal invasive plate osteosynthesis (MIPO) in treatment of middle tibial shaft fractures in pediatrics.
RUST score and SJLAM criteria were used to assess the outcome of tibial shaft fractures both radiologically and clinically respectively.
A total of thirty patients met the inclusion criteria for this study. Fifteen patients were operated by each surgical technique in a statistically random study. group A was treated using elastic intramedullary nail and group B using MIPO
For group A, the mean age was 9.53 ± 2.77 (range, 6-14) years old and group B 11.33 ± 2.66 (range, 8-14) years old. for group A, There were nine patients ≤ 10 years old and six ˃10 years, with mean age 9.53 ± 2.77 (range, 6-14) years old but for group B, there were six patients ≤10 years old and nine ˃ 10 years, with mean age 11.33 ± 2.66 (range, 8-14) years old. According to sex, there were eight males and seven females’ patients as regards group A and nine males and six females in group B. According to side, in both groups, there were seven patients with right side and eight left. According to associated fibular fracture, there were 10 patients associated with fibular fracture and five not as regards group A and 12 with fibular fracture and three not, as regards group B.
According to operative time, as for group A, there were in 10 patients, the operative time was ≤ 60 minutes and five > 60 minutes, with mean time of 61.33 ± 7.19 (range, 50-70) minutes. For group B, there were six patients ≤ 60 minutes and nine > 60 minutes, with mean time of 71.33 ± 11.09 (range, 60-90) minutes. According to incision length, in group A the mean length of both medial and lateral incisions was 4.6 ± 0.9 (range, 3 - 7) cms. While in group B the mean length of both medial incisions was 17.2 ± 3.6 (range, 14 – 21) cms.
According to RUST score, in group A the mean RUST score was 10.60 ± 0.83 (range 9-12), while in group B it was 8.47 ± 1.13 (range 7-10).
According to SJLAM score, in group A, all patients were satisfactory, nine patients scored good and six excellent. In group B, there were one unsatisfactory (fair) and 14 satisfactory; 13patients scored good and one excellent.
There was statically significant difference between both techniques regarding RUST score. As flexible intramedullary nail has less time of surgery, less amount of intraoperative bleeding, less duration of hospital stays, less infection rate, less time of union and high value of RUST score.