Elastic Stable Intramedullary Nailing of Femoral Shaft Fracture-Experience in 48 Children
نویسندگان
چکیده مقاله:
Background: Femoral shaft fractures are an incapacitating pediatric injury accounting for 1.6% of all pediatric bonyinjuries. Management of these fractures is largely directed by age, fracture pattern, associated injuries, built of the childand socioeconomic status of the family. We retrospectively evaluated the use of elastic stable intramedullary nail (ESIN)in surgical management of femoral shaft fractures in children and its complications.Methods: Fifty two children were treated with titanium elastic nails (TEN) from June 2009 to June 2014 at ourinstitution. At the end of the study there were 48 children. Fractures were classified according to Winquest andHansen’s as Grade I (n=32), Grade II (n=10), Grade III (n=6) and compound fractures by Gustilo and Anderson’sclassification, Grade I (n=5), Grade II (n=3 ). There were 36 mid-shaft fractures, 7 proximal third shaft fractures, 5distal third shaft fractures. The final results were clinically evaluated by using Flynn’s criteria and radiologically byAnthony et al’s criteria.Results: The mean duration of follow-up was 20 months (range 12 – 40 months). All fractures healed radiologicallywith grade III callus formation at 9 – 12 weeks (mean 9.7 weeks). The results were analyzed using Flynn’s criteriaand were excellent in 40 children (83%) and satisfactory in 8 children (17%). The soft tissue discomfort near the kneeproduced by nail ends was the most common problem in our study (25%). Other complications include limb shortening(n=5), Varus malunion (n=4), Nail protruding site infection (n=4) and nail migration (n=2). There was no delayed union,non-union or refractures.Conclusion: TEN is minimally invasive, safe, relatively easy to use and an effective treatment for fracture shaft offemur in properly selected children.
منابع مشابه
Elastic stable intramedullary nailing of femoral shaft fractures in children.
We report the use of elastic stable intramedullary nailing (ESIN) in 123 fractures of the femoral shaft in children. Flexible rods are introduced through the distal metaphyseal area, and the aim is to develop bridging callus. Early weight-bearing is possible and is recommended. There was one case of bone infection and no delayed union. Complications were minimal, the most common being minor ski...
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BACKGROUND Forearm fractures are the most common fractures in children (23% of all fractures). Basically there are two treatment options available for diaphyseal forearm fractures in children: closed reduction with cast immobilisation (conservative therapy) and the elastic stable intramedullary nailing (ESIN). Treatment decision is influenced by the doctor's estimation of fracture instability. ...
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عنوان ژورنال
دوره 6 شماره 1
صفحات 39- 46
تاریخ انتشار 2018-01-01
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