ISSN 2320-5407 International Journal of Advanced Research (2016), Volume 4, Issue 3, 975-985 975 Journal homepage: http://www.journalijar.com INTERNATIONAL JOURNAL OF ADVANCED RESEARCH RESEARCH ARTICLE RESULTS OF OPERATIVE MANAGEMENT OF PAEDIATRIC FEMORAL DIAPHYSEAL FRACTURES WITH CLOSED REDUCTION AND TENS AT A TERTIARY CARE CENTRE, A PROSPECTIVE STUDY. Dr. Sanjeev Gupta 1* , Dr. Mohammad Azhar ud din Darokhan 2 , Dr. Omeshwar Singh 2 , Dr Jabreel Muzaffar 2 , Dr. Vijay Vikas Sharma 3 , Dr. Neeraj Mahajan 4 . 1. Associate Professor Orthopaedics G.M.C. Jammu. 2. Junior Resident department of Orthopaedics G.M.C. Jammu. 3. Senior Resident department of Orthopaedics G.M.C. Jammu. 4. Consultant Orthopaedics G.M.C. Jammu G.M.C. Jammu. Manuscript Info Abstract Manuscript History: Received: 14 January 2016 Final Accepted: 26 February 2016 Published Online: March 2016 Key words: *Corresponding Author Dr. Sanjeev Gupta. 50 cases of fracture shaft of femur were managed by closed reduction with TENS at post graduate department of orthopaedics G.M.C Jammu between July 2013 to July 2015 Out of 50 cases 36 (72%) cases were male and 14(28%) female. These fractures were common in the age group between 9 to 12 years accounting for 26 cases (52%) who were involved in outdoor activities, sports and hence more prone to trauma. Right limb (60%) was more involved than left limb (40%), Road traffic accidents (80%) was the major cause of fracture shaft of femur followed by fall from height (20%), Middle third (76%) of shaft was mostly fractured followed by proximal third (20%) then lower third (4%), transverse fracture was the most common pattern of fracture (60%) followed by short oblique (24%) and short spiral type(16%). No patient develop superficial or deep infection at the surgical site.Total period of union took from 8 to 10 weeks, average time of union was 9weeks. It was also seen that 6 patients (12%) had limb length discrepancy of less than 2cm and 4 patients (8%) had angulation of less than 5 degrees and 6 patients (12%) had knee stiffness after TENS. Overall results based on Flynn et al criteria was excellent in 48 cases (96%) and good in 2 case (4%). Copy Right, IJAR, 2016,. All rights reserved. Introduction:- Femoral shaft fracture is an incapacitating injury in children. The treatment has traditionally been age related, influenced by the type of injury, associated injuries and the location and type of fracture. The aim of fracture treatment is not only anatomical realignment, but also restoration of muscle and joint function as close as possible to the normal. Psychological recovery is accelerated by early resumption of functional activity, which encourages healing of fracture, maintenance of normal circulation, preservation of tone of the muscles and restoration of the movements of the joints. The aim therefore is early mobilization by early use of the injured part without movement at the fracture site. Because of rapid healing and spontaneous correction of angulations most of femoral shaft fractures in children younger than six years of age can be treated conservatively. Above six years of age all such fractures when treated non-operatively could have loss of reduction, malunion, intolerance and complication associated with plaster. Near the end of skeletal maturity accurate reduction is necessary as angular deformity is no longer correctable by growth.