Vol. 6, Issue 1, Part A (2024)

Aim: The aim of the present study was to evaluate the functional and radiological outcomes of paediatric femur diaphyseal fracture treated with locking compression plate.
Material and Methods: Seventy patients who underwent submuscular plating for humeral, femoral, or tibial shaft fractures over the course of three years had their clinical, radiological, and functional outcomes assessed. A single surgical team from the Department of Orthopaedics, Shri Guru Ram Rai Institute of Medical and Health Sciences, Dehradun performed all of the procedures.
Results: Of the people who participated in the study, 49 were men and 21 were women. The majority of the participants were men. From the youngest patient to the oldest, the range of ages was six to fourteen years. With a standard deviation of 2.08, the average age was 11.49 years. There were 40 fractures on the right side (57.14%) more than 30 fractures on the left (42.86%). Regarding the types of fractures, there were 25 fractures (35.71%), 18 fractures (25.72%), 21 fractures (30%), 6 fractures (8.57%) that were spiral. Falling while performing sports was reported in 15.71% of injuries, while falls from heights accounted for 8.57%. Road traffic accidents accounted for 60% of all injuries. After looking at the functional results, 64 (91.42%) were great, 5 (7.14%) were good, and 1 (1.42%) were bad.
Conclusion: Submuscular plating is a dependable treatment option for diaphyseal long bone fractures when it is well-planned and carried out. Early mobilisation is possible with a good radiological and functional outcome with this minimally invasive method, and problems are minor.