Deszendierende intramedulläre Nagelung zur Behandlung dislozierter suprakondylärer Oberarmfrakturen im Kindesalter

Weinberg, A. M.; Bismarck, S. von; Castellani, Christoph; Mayr, Johannes

doi:10.1007/s00104-002-0595-1

Cited by 14 publications

(11 citation statements)

References 11 publications

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“…During fracture fixation, the descending ulnar nail perforated the distal corticalis and injured the nerve. 2 studies have not found any ulnar nerve injuries using the ESIN technique in 110 patients in total (Weinberg et al 2003, Schaffer et al 2007). Considering the rates of ulnar nerve injuries, these results together with ours confirm the superiority of ESIN for treatment of displaced supracondylar fractures.…”

Section: Discussionmentioning

confidence: 97%

“…Skaggs et al (2004) have described a series of supracondylar fractures with parallel radial stabilization using 2 or 3 pins. While elastic stable intramedullary nailing (ESIN) has become the gold standard for treatment of long bone fractures of the upper and lower limb (Schalamon and Petnehazy 2009), there are few reports on use of the ESIN technique for treatment of supracondylar fractures (Prevot et al 1990, Weinberg et al 2003, Schaffer et al 2007). …”

Section: Discussionmentioning

confidence: 99%

“…These findings may be explained by an inadequate relationship between the bone dimensions of adult cadavers and the diameter of implants used in this study (Weinberg et al 2007). In contrast to the biomechanical results, clinical studies have shown that there is adequate stability using antegrade nailing (Prevot et al 1990, Weinberg et al 2003, Schaffer et al 2007). In the present study, downward nailing was performed in 264 patients.…”

Section: Discussionmentioning

confidence: 99%

“…Schaffer et al (2007) and Weinberg et al (2003) treated 60 and 50 children with this technique and reported no iatrogenic injuries to the ulnar nerve.…”

mentioning

confidence: 93%

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Iatrogenic ulnar nerve injury after pin fixation and after antegrade nailing of supracondylar humeral fractures in children

Eberl¹,

Eder²,

Smolle³

et al. 2011

Acta Orthopaedica

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Background and purposeUlnar nerve injury may occur after pinning of supracondylar fractures in children. We describe the outcome and compare the rates of iatrogenic injuries to the ulnar nerve in a consecutive series of displaced supracondylar humeral fractures in children treated with either crossed pinning or antegrade nailing.MethodsMedical charts of all children sustaining this fracture treated at our department between 1994 and 2009 were retrospectively reviewed regarding the mode of treatment, demographic data including age and sex, the time until implant removal, the outcome, and the rate of ulnar nerve injuries.Results503 children (55% boys) with an average age of 6.5 years sustained a type-II, type-III, or type-IV supracondylar fracture. Of those, 440 children were included in the study. Antegrade nailing was performed in 264 (60%) of the children, and the others were treated with crossed pins. Iatrogenic ulnar nerve injury occurred in 0.4% of the children treated with antegrade nailing and in 15% of the children treated with crossed pinning. After median 3 (1.6–12) years of follow-up, the clinical outcome was good and similar between the 2 groups.InterpretationIntramedullary antegrade nailing of displaced supracondylar humeral fractures can be considered an adequate and safe alternative to the widely performed crossed K-wire fixation. The risk of iatrogenic nerve injury after antegrade nailing is small compared to that after crossed pinning.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Schaffer et al (2007) and Weinberg et al (2003) treated 60 and 50 children with this technique and reported no iatrogenic injuries to the ulnar nerve.…”

mentioning

confidence: 93%

See 2 more Smart Citations

Iatrogenic ulnar nerve injury after pin fixation and after antegrade nailing of supracondylar humeral fractures in children

Eberl¹,

Eder²,

Smolle³

et al. 2011

Acta Orthopaedica

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“…Zahlreiche Artikel diskutieren die chirurgischen Versorgungsmöglichkeiten von kindlichen suprakondylären Humerusfrakturen [1-3, 6,7,[12][13][14][15] …”

Section: Chirurgische Versorgungunclassified

Behandlungsergebnisse operativ versorgter kindlicher suprakondylärer Humerusfrakturen

et al. 2012

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Oberarm

Knorr¹,

Schmittenbecher²,

Dietz³

et al. 2006

Tscherne Unfallchirurgie

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Deszendierende intramedulläre Nagelung zur Behandlung dislozierter suprakondylärer Oberarmfrakturen im Kindesalter

Abstract: As soft tissue swelling does not hinder the surgeon, ESIN shows a high rate of closed stabilizations. No cast has to be applied and free ROM can be permitted for all patients. Avoidance of iatrogenic lesions of the n. ulnaris and secondary displacements are other advantages of this method.

Cited by 14 publications

References 11 publications

Iatrogenic ulnar nerve injury after pin fixation and after antegrade nailing of supracondylar humeral fractures in children

Iatrogenic ulnar nerve injury after pin fixation and after antegrade nailing of supracondylar humeral fractures in children

Behandlungsergebnisse operativ versorgter kindlicher suprakondylärer Humerusfrakturen

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