Complications and failures of titanium elastic nailing in pediatric femur fractures

Saseendar, S.; Menon, Jagdish; Patro, Dilip K.

doi:10.1007/s00590-010-0637-1

Cited by 19 publications

(13 citation statements)

References 26 publications

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“…Femoral diaphysis fractures are caused by high-energy trauma and are among the commonest pediatric traumatic lesions treated by orthopedic surgeons 1 , 2 , 3 . In children and adolescents, these fractures present bimodal distribution, with peaks at between two and three years of age (5.9/10,000/year) and at 17-18 years (4.2/10,000/year) (4) .…”

Section: Introductionmentioning

confidence: 99%

Unstable Femoral Fractures Treated With Titanium Elastic Intramedullary Nails, in Children

Soni

Schelle

Valenza

et al. 2012

Revista Brasileira de Ortopedia (English Edition)

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Objective: To evaluate the indications, epidemiology, associated lesions, complications and prognosis among children with unstable femoral diaphysis fractures who were treated with titanium elastic intramedullary nails. Method: This was a retrospective analysis on 24 patients aged 5-12 years with unstable femoral diaphysis fractures who underwent surgical treatment with elastic titanium intramedullary nails at the Cajuru University Hospital, Curitiba-PR, between April 2002 and March 2008, with a minimum follow-up of 36 months. The epidemiological data, angular deviations, leg shortening and bone consolidation were evaluated. Results: The medical files of 113 cases operated between April 2002 and March 2008 were reassessed. From these, 24 cases of unstable femoral diaphysis fractures treated with elastic titanium intramedullary nails with retrograde insertion were included in the study. There were two bilateral fractures and two exposed fractures. Seven patients were female and 17 were male, and the mean age was 8.3 years. The following were presented at the end of the study: shortening, varus or valgus displacement, final retrocurvatum or antecurvatum of zero, and absence of delayed consolidation or pseudarthrosis. Conclusions: The elastic titanium intramedullary nails were easily placed and removed. We believe that using elastic titanium intramedullary nails is a good option for fixation of unstable femoral fractures in children.

show abstract

Section: Introductionmentioning

confidence: 99%

Unstable Femoral Fractures Treated With Titanium Elastic Intramedullary Nails, in Children

Soni

Schelle

Valenza

et al. 2012

Revista Brasileira de Ortopedia (English Edition)

View full text Add to dashboard Cite

show abstract

“…Femoral diaphysis fractures are caused by highenergy trauma and are among the commonest pediatric traumatic lesions treated by orthopedic surgeons (1)(2)(3) . In children and adolescents, these fractures present bimodal distribution, with peaks at between two and three years of age (5.9/10,000/ year) and at 17-18 years (4.2/10,000/year) (4) .…”

Section: Introductionmentioning

confidence: 99%

“…Certain complications that are present in surgical methods like external fixation, plates and solid intramedullary nails have led to a search for "ideal" fixation devices for the pediatric population. In this manner, flexible intramedullary nails made of titanium have emerged (3) .…”

Section: Introductionmentioning

confidence: 99%

“…complications (such as renewed fracturing, scarring and infection) and also because of the belief that overgrowth of the femur would occur and therefore that anatomical reduction might not be favorable (9) . Reynolds demonstrated that fractures of the femur and tibia resulted in accelerated growth of these bones for up to two years, reaching a maximum after three months, with a growth rate up to 38% greater than in the contralateral limb (3) . Several studies have shown accelerated overgrowth may occur following a femoral fracture during childhood (10,11) and that this creates deformity in the limb, which persists until adolescence and the start of adulthood (12) .…”

Section: Introductionmentioning

confidence: 99%

“…The complications are classified as major or minor. Major complications are those that require surgical treatment, such as skewed consolidation, delayed consolidation or pseudarthrosis (3,13,16) .…”

Section: Introductionmentioning

confidence: 99%

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Fraturas instáveis do fêmur em crianças tratadas com hastes intramedulares elásticas de titânio

et al. 2012

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ABSTRACTdiaphysis fractures treated with elastic titanium intramedullary nails with retrograde insertion were included in the study. There were two bilateral fractures and two exposed fractures. Seven patients were female and 17 were male, and the mean age was 8.3 years. The following were presented at the end of the study: shortening, varus or valgus displacement, final retrocurvatum or antecurvatum of zero, and absence of delayed consolidation or pseudarthrosis. Conclusions: The elastic titanium intramedullary nails were easily placed and removed. We believe that using elastic titanium intramedullary nails is a good option for fixation of unstable femoral fractures in children.

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The Science, Art, and Commerce of Orthopedic Trauma Implantology: How to Use this Book

Banerjee¹,

Saseendar²,

Dasgupta

2022

Handbook of Orthopaedic Trauma Implantology

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Complications and failures of titanium elastic nailing in pediatric femur fractures

Cited by 19 publications

References 26 publications

Unstable Femoral Fractures Treated With Titanium Elastic Intramedullary Nails, in Children

Unstable Femoral Fractures Treated With Titanium Elastic Intramedullary Nails, in Children

Fraturas instáveis do fêmur em crianças tratadas com hastes intramedulares elásticas de titânio

The Science, Art, and Commerce of Orthopedic Trauma Implantology: How to Use this Book

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