Flexible intramedullary nails: the panacea for paediatric femoral shaft fractures

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Flexible intramedullary nails: the panacea for paediatric femoral shaft fractures

Not many years ago the use of traction and application of hip spica cast were standard treatments for all femoral shaft fractures in children. 2 However, the management of femoral shaft fractures in children above the age of five years has tilted more towards an operative option in the last two decades attributed to low incidence of malunion, short hospital stays, cost effectiveness and early a...

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Intramedullary locking nails for femoral shaft fractures in elderly patients.

Fractures of the femoral shaft are generally considered to affect young patients, but we have reviewed 24 cases in patients over 60 years who have been treated by locked nailing, usually by closed methods. Most were women with low-velocity injuries, but despite this, 14 fractures were significantly comminuted. The complication rate was 54% with a peri-operative mortality of 17%. Most complicati...

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Intramedullary locking nails in the management of femoral shaft fractures.

Intramedullary locking nails have proved to be of considerable advantage when treating complex, comminuted or segmental femoral shaft fractures. We have reviewed 117 patients with 120 femoral shaft fractures treated with the Strasbourg device. These included 20 compound fractures, 13 pathological fractures and two non-unions. Rehabilitation and union rates have been very satisfactory and there ...

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Treatment of Pediatric Open Femoral Fractures with External Fixator Versus Flexible Intramedullary Nails

  Background: In children, inappropriate treatment of open femoral fractures may induce several complications. A few studies have compared the external fixator with flexible intramedullary nails in high-grade open femoral fractures of children. The present study aims at comparing results of these two treatment methods in open femoral fractures. Methods: In this descriptive analytical study, 27 ...

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Cost analysis of managing paediatric femoral shaft fractures: flexible intramedullary nailing versus non-operative management.

This retrospective study aimed at comparing the cost of operative treatment versus non-operative treatment in the management of isolated paediatric femoral shaft fracture, in a single Trauma and Orthopaedic unit in a district general hospital in South East England. Patients were divided into three groups according to their treatment, and the cost was analysed depending on their requirements for...

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ژورنال

عنوان ژورنال: International Journal of Research in Orthopaedics

سال: 2017

ISSN: 2455-4510

DOI: 10.18203/issn.2455-4510.intjresorthop20171596