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Abstract
Tibial shaft fractures are among the most common fractures of the lower extremity in children. There are several different options for treating tibial-shaft fractures in children, early or immediate application of a above knee cast, closed reduction and minimally invasive plate osteosynthesis, external fixation, plate fixation, and internal fixation with the insertion of intramedullary nails. Aim of the work: The aim of this study was to asses of efficacy and safety of treatment of diaphyseal fracture tibia in children by nancy nail versus conservative treatment. Results: Fracture union and full weight bearing with return to normal activity were earlier in ESIN group, angulation in both the coronal and sagittal planes was higher in the casting group than in the ESIN group, other followed up factors (malrotation, LLD, skin complications, knee and ankle range of motion) were not found to be statistically significant in our study. Conclusion: The present study supports the treatment of tibial shaft fractures in children aged 8-15 years with ESIN, as it hastens fracture union, reduces the rate of malunion, and allows earlier, weight bearing, rehabilitation and return to normal activity.