TEN versus external fixator in the management of pediatric diaphyseal femoral fractures: evaluation of the outcomes

Rollo, Giuseppe; Guida, Pasquale; Bisaccia, Michele; Pichierri, Paolo; Filipponi, Marco; Lanzetti, Riccardo Maria; Caraffa, Auro; Stasi, Alessandro; Russi, Valentina; Lupariello, Domenico; Meccariello, Luigi

doi:10.1007/s00590-018-2201-3

Cited by 17 publications

(15 citation statements)

References 16 publications

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“…in children [16][17][18] . For example, Rollo et al 19 showed that humeral fracture patients treated with TEN are more satisfied compared with external fixation. Compared with traditional surgical methods, TEN has superior value to plate fixation with less blood loss, shorter operative time, and less economic loss 20 .…”

Section: Introductionmentioning

confidence: 99%

Comparison of Open Reduction and Internal Fixation with Plate and Titanium Elastic Intramedullary Nail in Treating Pediatric Humeral Fracture

Jinsong

Huang

Chen

et al. 2021

Orthopaedic Surgery

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Objective: To investigate the therapeutic efficacy of titanium elastic intramedullary nail (TEN) and open reduction and internal fixation with plate (ORIF) in the treatment of humeral fracture in children. Methods: A retrospective study was carried out in a total of 69 patients who were admitted to the hospital from January 2013 to December 2018. These patients, including 41 males and 28 females, were aged from 6 to 12 years old with a median of 8 years. These patients were diagnosed with humeral fracture and underwent the surgery of ORIF (n = 22) or TEN (n = 47). The intraoperative bleeding, operation time, length of stay (LOS), and fracture healing time were compared between the two groups. The therapeutic effect was assessed by the shoulder range of motion, the elbow range of motion, the UCLA shoulder function score, and the Mayo elbow performance score (MEPS) 6 months after the surgery.

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Section: Introductionmentioning

confidence: 99%

Comparison of Open Reduction and Internal Fixation with Plate and Titanium Elastic Intramedullary Nail in Treating Pediatric Humeral Fracture

Jinsong

Huang

Chen

et al. 2021

Orthopaedic Surgery

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“…Open reduction and internal fixation for metaphyseal fractures may lead to implant loosening, failure of internal fixation and infection, causing nonunion and severe malunion. Surgical treatment should be avoided [6]. This patient was hospitalized with right femoral osteomyelitis at the age of 2, and imaging examination revealed an occult right tibial epiphyseal fracture (type IV).…”

Section: Discussionmentioning

confidence: 98%

“…Currently there is no effective treatment options for this disease, mostly symptomatic therapy [7]. The recurring low-energy fractures put the children under severe psychological pressure and increased the economic burden on the family and society.…”

Section: Discussionmentioning

confidence: 99%

Congenital Insensitivity to Pain with Multiple Fractures: A Case Report and Literature Review

Zhou¹,

Liu²,

Yang³

et al. 2021

ijSciences

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Congenital insensitivity to pain (CIP) is a rare autosomal recessive genetic disease, the main clinical manifestations are loss of pain or dullness, accompanied by a series of complications. We followed up a patient with CIP for 9 years, and a total of 4 fractures in 6 parts of the lower limbs were found. The patient presented with typical pain retardation, accompanied by osteomyelitis, multiple fractures, self-harm behavior (biting the tip of the tongue and fingers), and not being afraid of heat. A mutation was found on the sodium channel type IX a subunit (SCN9A) gene (chr2: 167056320 (EX27E), NM_002977. 3: c. 4796G>T (p. Arg1599Leu)). There is currently no effective treatment for this disease. We have adopted a combination of conservative and surgical treatment for this child's orthopedic disease (osteomyelitis and fracture). During the 4th fracture hospitalization, with the informed consent of the family, we used zoledronic acid to prevent fractures caused by low energy. Follow-up for 3 years found that zoledronic acid not only promoted fracture healing, but also avoided new fracture formation. Through reviewing the literature, we observe that this is the first report of using zoledronic acid to successfully avert new fractures in this type of patient. Now we summarize the treatment experience and review the literature in order to provide reference for the clinical treatment of this disease and enrich the SCN9A gene mutation spectrum.

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“…Biofilm renders bacteria highly tolerant to antibiotics and host defenses [6][7][8]. Unfortunately, infections of the orthopedic-traumatological surgical site are very common in children [9] and in the elderly [10][11][12][13][14][15][16][17][18][19][20].The aim of our work is to verify if there are differences between pathogens, and treatment between the two groups most susceptible to skin infections by means of synthesis such as children and the elderly.…”

Section: Introductionmentioning

confidence: 99%

Children vs elderly in orthopedic surgery site of infection. Are there difference? Experience of a high volume plastic surgeon consultant.

Franzese¹,

Conte²,

Gagliardo³

et al. 2020

Acta Med Sal

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Introduction: Prevention of surgical site infection in surgery and bone trauma has some hallmarks not shared with other surgical disciplines. The surgeon is not always able to open the pathogen and a key to correct therapy. The aim of our work is to verify if there are differences between pathogens, and treatment between the two groups most susceptible to skin infections by means of synthesis such as children and the elderly. Materials and Methods: From January 2011 to december 2018, we perform 3189 consultancies in various departments of orthopedics and traumatology. From the exclusion criteria we recruited 168 patients with superficial infection of the surgical site after orthopedic surgery. A group represented by children (under 12 years old) and a group of older people over 65. The evaluation criteria between the two groups were: the infectious bacterial flora; the type of antibiotic, the duration of antibiotic therapy; the type of medications used in the post-operative period, the complications.Results:The results showed that elderly patients are more likely to be bacterial superinfection due to poor hygiene. Therapy in children is shorter and has minor complications. Proper management of the surgical site showed a rapid resolution of the infection in both groups. Conclusion: The correct management and hygiene of the surgical site allows its rapid recovery from infection. The plastic surgeon management of the fracture site infection can be a winning weapon in the treatment of this problem both in the child and in the elderly.

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TEN versus external fixator in the management of pediatric diaphyseal femoral fractures: evaluation of the outcomes

Abstract: This study showed that TENS and external fixation have similar results in term of fracture healing and complication, even if patients treated with TENS are more satisfied.

Cited by 17 publications

References 16 publications

Comparison of Open Reduction and Internal Fixation with Plate and Titanium Elastic Intramedullary Nail in Treating Pediatric Humeral Fracture

Comparison of Open Reduction and Internal Fixation with Plate and Titanium Elastic Intramedullary Nail in Treating Pediatric Humeral Fracture

Congenital Insensitivity to Pain with Multiple Fractures: A Case Report and Literature Review

Children vs elderly in orthopedic surgery site of infection. Are there difference? Experience of a high volume plastic surgeon consultant.

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