Osteosynthesis in Children with Titanium Elastic Nails in Ipsilateral Lower Limb Fractures

Abstract

Although we often find isolated lower limb fractures of the femur or tibia in children, ipsilateral fracture of both femur and tibia is a rarity among the pediatric population. The ipsilateral limb fracture is a rare event even in the adult patient population. The mechanism involved is most often one with high energy. The issue for pediatric surgeons and orthopedic pediatric surgeon remains relevant, as reported by this clinical case, due to the optimal orthopedic treatment of pediatric patients in this cases undefined. The interest arises from it being a clinical case involving ipsilateral fracture of femur, tibia and fibula associated with multisystem trauma sustained by the child. Titanium seems to be the ideal osteosynthesis material, especially in children with polytrauma, considering its chemical biocompatibility properties (being an inert material) and physical, its elasticity.

Study to determine the Results of Femoral Shaft Fractures among Children managed with Immediate Hip Spica Cast

“…A local study conducted at the Department of Pediatric Surgery of the National Institute of Pediatric Health in Karachi showed excellent results in the treatment of a sudden hip fracture. The study documented that shortening ranged from 0.5 cm to 2.5 cm in 15 (71.42%) of 21 children after plaster removal and extended after inding a kink in one child (2 cm) 3/21 (14.28%) in children (Mishra et al, 2020;Trailescu et al, 2020). However, in this study, general anaesthesia was used for spica plaster, and the age group ranged from 2 to 11 years.…”