Comparison of mal-union between titanium and stainless steel elastic nail fixation of pediatric femoral fractures

Aim: to compare the mal-union between titanium and stainless steel elastic nail fixation of pediatric femoral fractures. methods: this comparative study was conducted at department of orthopedic surgery,bahawal victoria hospital,bahawalpur from march 2016 to september 2016.total 136 patients with closed femoral fractures (within 7 days of fracture),both sex male and female and having age from 4 to 15 years were selected. results: average age of the patients of group a was 9.94±3.67 years and average age of group b was 9.65±3.82 years and average age of the all patients was 9.79±3.74 years. malunion was noted in 6(8.82%) patients and 16(23.53%) patients of group a and b.significantly higher percentage of malunion was noted in study group b as compared to study group a with p value 0.0344. conclusion: results of this study showed that children with femoral shaft fracture had higher rate of malunion while managed with titanium elastic nails as compared to stainless steel elastic nails.titanium elastic nail group found with higher number of male patients with malunion as compared to stainless steel group but insignificant difference was detected in female patients of both groups.