Behandlung der Femurschaftfraktur bei Kindern und Jugendlichen mit einem Körpergewicht ≥50 kg

Rapp, Marion; Kraus, Ralf; Illing, P.; Sommerfeldt, D. W.; Kaiser, M. M.

doi:10.1007/s00113-017-0313-6

Cited by 7 publications

(2 citation statements)

References 28 publications

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“…They concluded that children older than 10 years with a body mass greater than 50 kg and with still opened epiphyseal growth plates are more susceptible to complications, regardless of the treatment technique choice. However, a lower rate of similar complications was observed in patients treated with the ESIN [18].…”

Section: Discussionmentioning

confidence: 93%

Elastic Stable Intramedullary Nailing for Treatment of Pediatric Femoral Fractures; A 15-Year Single Centre Experience

Pogorelić¹,

Vodopić²,

Jukić³

et al. 2019

BEAT

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Objective: To analyze outcomes of treatment and complications in children treated with elastic stable intramedullary nailing (ESIN) due to femoral fracture. Methods: From May 2002 until May 2018 case records of 103 patients (76 male and 27 female), with median age of 9 (range, 3-17) and follow-up of 92 months, who underwent ESIN because of displaced femoral fracture were retrospectively reviewed. The patient’s information including age, sex, side involved, trauma mechanism, type of fracture, associated injuries, neurovascular status, complications, operation time, duration of hospital stay, time to implant removal were analyzed. The surgical procedure implied a reposition of bone fragments and osteosynthesis with titanium elastic nails introduced through an incision over the lateral and medial border of the distal femoral metaphysis. Results: All patients achieved complete radiographic healing at a mean of 8.5 (range, 5-15) weeks. Nine (8.49%) postoperative complications were recorded: three entry site skin irritation, two cases of valgus angulation and one case of nail protrusion, re-fracture, Varus angulation and delayed union. All complications, except case of re-fracture and one valgus angulation, were treated conservatively, with no long term consequences for the patients. Two patients were re-operated. After removal of nails all patients recovered complete function of the extremity, without long term consequences. Conclusion: The ESIN for treatment of femoral fractures shows very good functional and cosmetic results. It allows an early functional and cast-free follow-up with a quick pain reduction. Because of the excellent objective and subjective results, the operative stabilization of femoral fractures with ESIN should be recommended to all pediatrics patients

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Section: Discussionmentioning

confidence: 93%

Elastic Stable Intramedullary Nailing for Treatment of Pediatric Femoral Fractures; A 15-Year Single Centre Experience

Pogorelić¹,

Vodopić²,

Jukić³

et al. 2019

BEAT

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“…Research by Shaha et al [21]shows that the use of elastic intramedullary nails for patients with femoral shaft fractures weighing more than 49 kg has achieved good imaging results, without increasing the risk of malunion. Some studies have shown that [22]children over the age of 10 who weigh ≥ 50 kg and have unclosed epiphysis are prone to complications regardless of the treatment method chosen. Compared to other treatment options, patients using elastic intramedullary nails have a lower revision rate.…”

Section: Resultsmentioning

confidence: 99%

Efficacy analysis of treatment of femoral shaft fractures in adolescents with elastic intramedullary nail

Sun,

Liang,

Wang

et al. 2023

Preprint

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Objective To investigate the clinical efficacy of treatment of femoral shaft fractures in adolescents with elastic intramedullary nail. Methods From March 2016 to January 2022, the data of 59 cases of adolescent femoral shaft fractures treated by elastic intramedullary nail in the Pediatric Orthopaedic Hospital, Honghui Hospital, Xi’an Jiaotong University were analyzed retrospectively. We were able to follow-up on 59 patients (34 males, 25 females); Mean age at fracture was 13 (11 ~ 18) years; Body weight: 38 ~ 62kg, average 48kg. The time from injury to surgery ranged from 2 to 7 days. The average was 3.8 days. All operations were fixed with elastic intramedullary nails, and external fixation was fixed with hip herringbone plaster or brace. Record the operation time, intraoperative blood loss, diameter of elastic intramedullary nail, external fixation method, hospital stay, fracture healing time, etc. Results Surgery took 60 ~ 180 minutes, with an average of 110 minutes. Intraoperative blood loss: 5 ~ 30ml, average 14ml. Elastic intramedullary nail diameter: Of these, 24 patients used 4.0mm; 35 patients used 3.5mm. External fixation: hip herringbone plaster fixation in 45 cases; 14 cases were fixed with brace. Patients were hospitalised for 4 ~ 14 days, averaging 7 days. Mean post-operative follow-up of 18 months (12–36 months). The fracture healing time was 3 to 8 months (average 4.6 months). The internal fixation was taken out from 11 to 20 months after operation, with an average of 13 months. During the follow-up period, no patient had complications such as femoral head necrosis, infection, nonunion of fracture, delayed union, malunion and nail withdrawal. At the last follow-up, the lower limbs of two patients were not equal in length, but the difference was less than 1 cm. Conclusions The treatment of femoral head fractures in adolescents with flexible intramedullary nailing is simple, with less bleeding, fewer complications, less impact on limb development, and definite efficacy.

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Femur

Marzi

Frank

Rose

2022

Pediatric Skeletal Trauma

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Behandlung der Femurschaftfraktur bei Kindern und Jugendlichen mit einem Körpergewicht ≥50 kg

Cited by 7 publications

References 28 publications

Elastic Stable Intramedullary Nailing for Treatment of Pediatric Femoral Fractures; A 15-Year Single Centre Experience

Elastic Stable Intramedullary Nailing for Treatment of Pediatric Femoral Fractures; A 15-Year Single Centre Experience

Efficacy analysis of treatment of femoral shaft fractures in adolescents with elastic intramedullary nail

Femur

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