Elastic Stable Intramedullary Nailing of Femoral and Tibial Shaft Fractures in Children

Ganesan, Rajamohan; Srinivasan, Anbu; Palaniappan, Mathivanan; Kolundan, Kalyanasundaram; Kannan, Kishore; Subramaniankarunanithi, Subramaniankarunanithi

doi:10.14260/jemds/2016/1178

Cited by 7 publications

(3 citation statements)

References 15 publications

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“…A different study from Gujarat found that excellent results occurred in 54% of instances, satisfactory results in 24% of cases, unsatisfactory results in 12% of cases, and failures occurred in 10% of cases [ 14 ]. Ganesan et al also observed excellent results in 50% of the instances, satisfactory results in 30% of the cases, unsatisfactory results in 10% of the cases, and failure results in 10% of the cases [ 15 ]. According to a study by Jagiasi et al, the results were outstanding in 40% of the instances, very good in 6.66%, good in 30%, fair in 20%, and poor in 3.33% of the cases [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

Study of Functional Outcome and Postoperative Complications Among Proximal Humerus Fracture Patients Treated With Proximal Humerus Internal Locking System (PHILOS) Plating

Jhamnani¹,

Dhanda²,

Surana³

2023

Cureus

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Background Proximal humerus fractures comprise nearly 4%-5% of all fracture types and nearly 25% of fracture humerus. These fractures are commonly seen in the elderly population (people aged 60 years or more). The best way to treat elderly people who have three- or four-part fractures of the proximal humerus is debatable, with many in favour of prosthetic humeral head replacements. This study aimed to assess the functional outcome of proximal humerus fractures managed with a proximal humerus locking plate and to investigate the incidence of complications in these patients. Methodology This retrospective study included 32 cases of proximal humerus fractures managed surgically at a tertiary care teaching hospital in Rajasthan between July 2016 to July 2022 with a proximal humerus internal locking system (PHILOS) plate. NEER scoring system was used to categorise the fractures. Functional assessment was done using Constant Murley's shoulder score. Constant Murley shoulder score was graded as failure (0-69 points), unsatisfactory (70-79), satisfactory (80-89), and excellent (90-100). Subjects having metastatic and pathological fractures; associated fractures in the ipsilateral limb; having major nerve injury and cases of open fracture were excluded from this study. Results The mean age was 54.5±6.4 years. Of the total 32 cases of proximal humerus fractures, 12 cases of two-part fractures received an excellent grade, compared to seven cases of three-part fractures. Three two-part fracture cases and two three-part fracture cases all received satisfactory grades. Excellent results (score > 89) were noticed in 62.5% (n = 20) of the instances, satisfactory results (scoring 80-89) in 21.87% (n=7), poor results (score 70-79) in 9.38% (n=3), and failure results (score 70) in 6.25% (n=2). In 65.6% of cases, follow-up showed no complications. Shoulder stiffness and malunion (9.38%) were the most frequent consequences, followed by avascular necrosis (6.25%). Conclusions Based on the findings of this retrospective study, it can be opined that PHILOS plaiting appears to be a secure option for proximal humerus fracture cases. It offers solid fixation, prompt mobilisation, and excellent functional outcomes as observed in this study. Additionally, very few post-operative complication rates again support our conclusion.

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Section: Discussionmentioning

confidence: 99%

Study of Functional Outcome and Postoperative Complications Among Proximal Humerus Fracture Patients Treated With Proximal Humerus Internal Locking System (PHILOS) Plating

Jhamnani¹,

Dhanda²,

Surana³

2023

Cureus

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“…The risk of falling and suffering fractures is very common in children and elderly people. Tibia fractures are the third most frequent long bone fractures in children with 15% occurrence [3], [4]. Considering that fractures in superficial bones are frequent, it would be beneficial to have an alternative non-ionizing and non-invasive screening method, for first response screening in ambulances, retirement houses, pregnant women, newborn, and infants, or in low-income settings.…”

Section: Introductionmentioning

confidence: 99%

Feasibility of Bone Fracture Detection Using Microwave Imaging

Santos

Fernandes

Costa

2022

IEEE Open J. Antennas Propag.

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This paper studies the feasibility of Microwave Imaging (MWI) for detection of fractures in superficial bones like the tibia, using a simple and practical setup. First-responders could use it for fast preliminary diagnosis in emergency locations, where X-Rays are not available. It may prove valuable also for cases where X-ray are not recommended, e.g., length pregnant women or children. The method is inspired on the synthetic aperture radar technique. A single Vivaldi antenna is used to linearly scan the bone in the 8.3-11.1 GHz frequency range and collect the scattered fields. The system is operated in air, without the need for impractical impedance-matching immersion liquids. The image is reconstructed using a Kirchhoff migration algorithm. A Singular Value Decomposition (SVD) strategy is used to remove skin and background artifacts. To test this technique, a set of full-wave simulations and experiments were conducted on a multilayer phantom and on an ex-vivo animal bone. Results show that the system can detect and locate bone transverse fractures as small as 1 mm width and 13 mm deep, even when the bone is wrapped by 2 mm thick skin.

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“…Most of the tibial shaft fractures are managed conservatively. The indications for the operative treatment include open fractures, neurovascular deficits, polytrauma, unstable fracture patterns, and fractures that fail to meet acceptable reduction parameters (roughly 10 degrees of sagittal angulation, 10 degrees of varus/valgus, >50% translation (2) .…”

Section: Introductionmentioning

confidence: 99%

Management of Open Tibial Shaft Fractures in Children with Intramedullary Elastic Nail

El-Adawy¹,

Megahed²,

Yosef³

et al. 2021

The Egyptian Journal of Hospital Medicine

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Background: Elastic intramedullary nailing is a method of diaphyseal fracture osteosynthesis in children. This technique has many advantages. Namely, there is primary bone union with avoidance of growth plate injury, early weight bearing, and minimally invasive surgery with a short duration of hospitalization. Objective: In this study, we evaluated radiological and functional results of treatment of open tibial shaft fractures in children using intramedullary elastic nail. Patients and Methods: This study was a prospective clinical study that included 24 cases with open tibial fractures treated with intramedullary elastic nail at Zagazig University Hospital (ZUH), Egypt and in Tripoli Central Hospital in Libya from June 2020 until September 2020 with six months follow-up. All patients were assessed radiologically by anteroposterior and lateral plain radiographs of the tibia that included the knee and ankle to limit unnecessary radiation. Results: The majority of studied group were excellent in 19 cases clinically according to Ketenjian and Shelton Criteria and 23 cases were united using radiological assessment. Only two cases had superficial skin infection and just one case had delayed union. Conclusion: Flexible intramedullary nailing is an effective treatment option in patients with open fracture (gustilo type I, II), four to fifteen years age group.

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Elastic Stable Intramedullary Nailing of Femoral and Tibial Shaft Fractures in Children

Cited by 7 publications

References 15 publications

Study of Functional Outcome and Postoperative Complications Among Proximal Humerus Fracture Patients Treated With Proximal Humerus Internal Locking System (PHILOS) Plating

Study of Functional Outcome and Postoperative Complications Among Proximal Humerus Fracture Patients Treated With Proximal Humerus Internal Locking System (PHILOS) Plating

Feasibility of Bone Fracture Detection Using Microwave Imaging

Management of Open Tibial Shaft Fractures in Children with Intramedullary Elastic Nail

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