Intramedullary Nailing of Paediatric Tibial Fractures: Comparison between Flexible and Rigid Nails

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Flexible intramedullary nailing versus external fixation of paediatric femoral fractures.

Treatment outcomes were compared in two groups of children with femoral diaphyseal fractures which were treated with external fixation (20 fractures) or flexible intramedullary nailing (20 fractures). These 40 children were between 5.4 to 14.1 years of age. The duration of the operation averaged 52 minutes for the external fixator compared with 70 minutes for the flexible nail group. The time t...

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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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Locked intramedullary nailing of open tibial fractures.

We report the use of Grosse-Kempf reamed intramedullary nailing in the treatment of 41 Gustilo type II and III open tibial fractures. The union times and infection rates were similar to those previously reported for similar fractures treated by external skeletal fixation, but the incidence of malunion was less and fewer required bone grafting. The role of exchange nailing is discussed and a tre...

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Intramedullary nailing of proximal tibial fractures

can be difficult when using the standard entry portal. We evaluated the suprapatellar portal, using a midline quadriceps tendon incision, to perform intramedullary nailing of the tibia. Seven patients were treated with this adaptation of the standard intramedullary nailing procedure. An arthroscopy was done before and after the nailing procedure. No special equipment was used to perform the int...

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The Role of Biplanar Distal Locking in Intramedullary Nailing of Tibial Shaft Fractures

Background: To compare the union times of the uncomplicated tibial shaft fractures, which were distally locked by twocoronal and one sagittal screws and by only two coronal screws.Methods: 45 patients with tibial shaft treated with intramedullary nailing included in this study. 23 of 45 fractureswere treated with uniplanar two distal interlocking (Group 1) and 22 fractures were treated with bip...

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ژورنال

عنوان ژورنال: Scandinavian Journal of Surgery

سال: 2020

ISSN: 1457-4969,1799-7267

DOI: 10.1177/1457496920958620