Outcome Analysis of Enders and Other Elastic Nails in Diaphyseal Fractures of Tibia

Background: Enders nailing is a good modality of treatment especially because of its cost effectiveness, minimum use of image intensifier and simple technique with short learning curve. Flexible or elastic nails are used in specified fracture situations in tibia. Our study aims to confirm that Ender nails are still useful and can give good results in patients of tibial diaphyseal fracture with proper indication. Concerning the low cost and simple technique we aimed to demonstrate that Ender nails may provide satisfactory results in selected group of diaphyseal fractures of tibia. The aim of the study was to find out the outcome analysis of Enders and other flexible nails in the diaphyseal tibia fractures. Material and Methods: The present study was conducted in Department of Orthopaedics during the period of April 2015 to April 2016. This is a prospective and retrospective study. Post – operative the functional assessment was done and radiological evaluation was done. Results: The study was conducted between April 2015 and April 2016, total 20 patients of tibialdiaphyseal fractures were treated with enders and other flexible nails. 90% of the patients in the study were males, 85% had injury from RTA. 40% of the patients had open clinical type of fracture and 60% had close clinical type of fracture.35% of the patients with union time of 6-9 weeks and 15% with >17wks had full weight bearing 6 to 9 weeks, 5% of the patients with union time 6-9wks, and>17wks had 10-13 weeks. 50% of the patients had union time of 12-14 weeks, 25% had 15-17 weeks, 10% had 18-20 weeks and 10% had more than 20 weeks. Conclusion: In can be concluded that Enders nail can be good alternative for treatment of diaphyseal fractures if proper patient selection is done pre – op and patients are explained regarding the same.