Flexible intramedullary nails for fractures in children

Barry, Matthew; Paterson, J. M. H.

doi:10.1302/0301-620x.86b7.15273

Cited by 101 publications

(89 citation statements)

References 28 publications

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“…12 The healing, as a result of this elastic stabilization, is by external callus. 13 The basic science literature supports that controlled motion at the fracture site results in improved healing in long bones fractures. 14,15 There are few articles in the literature on the management of diaphyseal fractures of the tibia in children with intramedullary fixation.…”

Section: Discussionmentioning

confidence: 99%

Elastic Stable Intramedullary Nailing for Treatment of Pediatric Tibial Fractures

Gurung

Khatri

2016

J Lumbini Med Coll

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ABSTRACT:Introduction: Tibia fractures in the skeletally immature patient can usually be treated with above knee cast or patellar tendon bearing cast. The purpose of our study was to evaluate epidemiology and outcome of Elastic stable intramedullary nailing fixation of pediatric tibial shaft fractures treated at our institution. Methods: Over a period of one year, fifty pediatric patients of tibial shaft fractures, with average age of 9.68 yr (SD=2.37), were treated with elastic stable intramedullary nail. Demographic data, union and complication rate were evaluated. Results: There were 36 closed and 14 open fractures. The average time to union was 11.6 weeks (SD=2.65) for close and 14.3 weeks (SD=2.62) for open fracture. There were no instances of growth arrest, re-manipulations, or re-fracture. Conclusion: We conclude that flexible intramedullary fixation is an easy and effective method of management of both open and closed unstable fractures of the tibia in children.

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Section: Discussionmentioning

confidence: 99%

Elastic Stable Intramedullary Nailing for Treatment of Pediatric Tibial Fractures

Gurung

Khatri

2016

J Lumbini Med Coll

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“…Thus the minimum age for femur intramedullary fixation is kept at 5 years and the maximum age is kept at until the closure of proximal physis which usually occurs at about 16 years, after which rigid interlocking nailing can be done without the risk of avascular necrosis of the head of the femur. 5,6 Out of the total number of patients 26 (63.4%) had fracture shaft of femur, 8 (19.5%) had fracture shaft of tibia, 2 (4.9%) had fracture shaft of humerus, and 5 (12.2%) had fracture of forearm bones. 39 (95.2%) fractures were closed and 2 (4.8%) fractures, one tibia and one forearm were open, Gustilo & Anderson grade I and II respectively.…”

Section: Methodsmentioning

confidence: 99%

“…6 The limb to be operated is prepared and draped. For the humerus and forearm fractures the affected limb is placed on a side table with about 60 0 to 90 0 of abduction at shoulder joint.…”

Section: Techniquementioning

confidence: 99%

“…antegrade nailing with two TENS of equal diameter inserted from lateral cortex at the level of deltoid insertion through two separate holes made one below the other. 6 …”

Section: For Fracture Shaft Of Femurmentioning

confidence: 99%

“…The entry point at the tip of olecranon, though may be used, but preferably should be avoided due to the potential risk of physeal injury. 6 The nail diameter should measure 40% of the narrowest diameter of the diaphysis or 2/5 th of the internal diameter of the medullary canal 6 or it is determined by measuring the width of the isthmus of long bone, subtracting 20% for the magnification and dividing the remaining by two. 6,7,10 Two nails of equal diameter suitable according to the width of the canal are used.…”

Section: For Fracture Both Bones Of Forearmmentioning

confidence: 99%

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