Flexible intramedullary nailing for femoral diaphyseal fractures in children

Tamrakar, Rikesh; Basnyat, Sagun; Shah, Gajendra Mani; Bhatta, Toya Raj; Gyawali, Bidur; Acharya, Balakrishnan M; Shrestha, Suman Kumar; Pradhan, Nabees Man Singh

doi:10.3126/jcmsn.v13i4.18122

Cited by 2 publications

(1 citation statement)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Radiological evaluation showed that most cases (80.0%) achieved union within 7-10 weeks, consistent with findings by [13]. Partial weight-bearing was advised at 4 weeks for most patients (63.3%), with the rest advised at 8 weeks.…”

Section: Discussionsupporting

confidence: 83%

Outcome of Early Retrograde Closed Intramedullary Fixation of Fracture Shaft of Femur by Titanium Elastic Nail in Children

Rahman,

Salam,

Alam

et al. 2024

EAS J Orthop Physiother

View full text Add to dashboard Cite

Background: Paediatric femoral shaft fractures are common in orthopaedic practice and can be managed using various modalities, each with its advantages and disadvantages. The Titanium Elastic Nailing System has emerged as a promising treatment option, offering potential advantages over traditional methods. Objective: This study aimed to evaluate the functional and radiological outcomes and operative complications of paediatric femoral shaft fractures treated with the Titanium Elastic Nailing System. Methods: A prospective interventional study was conducted from July 2020 to July 2021. Thirty children aged 6-14 years (mean age 11.32 ±3.76) were selected using purposive sampling and strict inclusion/exclusion criteria. Patients were followed up for at least 24 weeks at four-week intervals, and outcomes were assessed using Flynn's TEN scoring criteria. Results: All 30 patients completed the study. Radiological union was achieved in 80.0% of cases within 7-10 weeks, with 90.0% of patients able to bear full weight by the 12th week. Minor complications occurred in 20.0% of cases, while no major complications were reported. 80.0% of cases had excellent outcomes, 20.0% were satisfactory, and no poor outcomes were observed. Conclusion: The Titanium Elastic Nailing System is an excellent method for treating paediatric femoral shaft fractures, demonstrating high rates of radiological union and functional recovery with a low incidence of complications.

show abstract

Section: Discussionsupporting

confidence: 83%

Outcome of Early Retrograde Closed Intramedullary Fixation of Fracture Shaft of Femur by Titanium Elastic Nail in Children

Rahman,

Salam,

Alam

et al. 2024

EAS J Orthop Physiother

View full text Add to dashboard Cite

show abstract

The Functional Outcome of Elastic Stable Intramedullary Nailing for Diaphyseal Tibial Fractures in Children

Karim,

Barawi,

Baker

2022

JSMC

View full text Add to dashboard Cite

Background Fracture of the tibia is a common fracture among children. A method that has become popular among surgeons in recent years for treating tibial fractures is the elastic stable intramedullary nailing technique. It has many advantages compared to conventional methods in that it has faster healing, earlier weight bearing, and fewer complications. Objectives The objective is to assess the outcome of the intramedullary nailing technique used to treat diaphyseal fractures of the tibia according to clinical and radiological measurements. Materials and Methods This prospective observational study analyzes 37 cases of fractured tibiae, aged between 4 and 11 years, treated by elastic intramedullary nailing technique. The duration of sample collection was from Aug. 1, 2020, to Feb. 1, 2022. Follow-up appointments were scheduled in weeks 2, 4, 6, 10, and 20 after the surgery, and a final follow-up after one year for removing titanium stable elastic IM nailing. The samples were analyzed by using Flynn’s criteria score system. Results 86.5% of the samples scored excellently, 10.8% scored satisfactorily, and 2.7% scored poor according to Flynn’s criteria. Full weight bearing was achieved in the average time of 9.1 weeks. It was determined that there is a significant correlation between the level of fracture, time of weight bearing, the pattern of fracture, and body weight with the variables of Flynn’s criteria. Conclusion Elastic intramedullary nailing technique is a productive approach for managing tibial fractures in children. They are less invasive, carry fewer complications, and have a high prevalence of “good” and “excellent” outcomes in pediatric patients.

show abstract

Flexible intramedullary nailing for femoral diaphyseal fractures in children

Cited by 2 publications

References 10 publications

Outcome of Early Retrograde Closed Intramedullary Fixation of Fracture Shaft of Femur by Titanium Elastic Nail in Children

Outcome of Early Retrograde Closed Intramedullary Fixation of Fracture Shaft of Femur by Titanium Elastic Nail in Children

The Functional Outcome of Elastic Stable Intramedullary Nailing for Diaphyseal Tibial Fractures in Children

Contact Info

Product

Resources

About