TENS for surgical stabilisation of acetabular fracture in the skeletally immature: A novel technique

Razak, Kamarul Arifin Abdul; Ghani, Khursid; Musa, A.A.

doi:10.1016/j.injury.2020.11.004

Cited by 4 publications

(6 citation statements)

References 9 publications

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“…Fifth, the elastic titanium nail is bended in the medullary cavity and can form an elastic moment in the long bone [21]. Sixth, the micro motion of fracture end resulting from the elastic xation could bene t the fracture healing [22].…”

Section: Discussionmentioning

confidence: 99%

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Minimally Invasive Treatment of Pelvic Fractures with Titanium Elastic Nailing: An Innovative Technology

Jia,

Qin,

Lin

et al. 2024

Surg Innov

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Background Minimally invasive treatment has become the most popular and effective treatment for pelvic fractures. This study aimed to evaluate the safety and efficacy of a new technique, titanium elastic nailing (TEN), for the minimally invasive treatment of pelvic fractures. Method Twenty-four patients with pelvic fractures were referred to us between January 2020 to January 2022, including sixteen males and 8 females. Pelvic fractures were temporarily fixed by pelvic fixation belt accompanied by traction from the lower limb bone. Anterior pelvic ring injuries (superior ramus of pubis) and ilium fractures were treated with closed reduction and intramedullary fixation with minimally invasive TEN. Intraoperative C-arm, including pelvic anteroposterior, pelvic outlet, inlet and ilium oblique views, and O-arm fluoroscopy (intraoperative CT) were employed to assess fractures reduction and determine the location of the elastic titanium nail within the bone channel. Results By adopting closed reduction and minimally invasive incision techniques, pelvic fractures could be safely fixed by placing an elastic titanium nail in the osseous medullary cavity channels of the pelvis. Postoperative investigation indicated that the wounds of all patients were healed in the first stage without any occurrence of complications, such as injuries to the nerves, blood vessels, and important tissue structures. Patients are essential quickly after the operation and could perform the functional exercise in the early stages of the recovery. Conclusion TEN can be used for minimally invasive treatment of pelvic fractures. This novel technique has no obvious complications and is worthwhile in clinical practice.

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Section: Discussionmentioning

confidence: 99%

“…32 Sixth, the micro-motion of the fracture end resulting from the elastic fixation could benefit fracture healing. 33 Our group has conducted a large-scale clinical study of minimally invasive elastic titanium nail intramedullary fixation for the first time. The following skills could be helpful to increase the success rate of the operation.…”

Section: Discussionmentioning

confidence: 99%

Minimally Invasive Treatment of Pelvic Fractures with Titanium Elastic Nailing: An Innovative Technology

Jia,

Qin,

Lin

et al. 2024

Surg Innov

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“…121 Novel techniques include the use of the Titanium Elastic Nail System (TENS) as a minimally invasive option for reduction of acetabular fractures; Abdul Razak et al described a case of using three TENS to reduce a right anterior column posterior hemitransverse acetabular fracture. 122 Although the authors describe the fixation as stable intraoperatively, no comment was made on the patient's recovery or long-term follow-up results. 122…”

Section: Anterior Ring Fracturesmentioning

confidence: 99%

“…described a case of using three TENS to reduce a right anterior column posterior hemitransverse acetabular fracture. 122 Although the authors describe the fixation as stable intraoperatively, no comment was made on the patient's recovery or long‐term follow‐up results. 122 …”

Section: Investigations and Managementmentioning

confidence: 99%

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Paediatric pelvic fractures – an updated literature review

Nguyen

Drynan

Holland

2022

ANZ Journal of Surgery

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Background: Pelvic fractures in children are indicative of significant trauma. Patients will often have associated injuriessome of which require urgent intervention to prevent death and disability. Paediatric and adult pelvises respond to traumatic forces differently and distinct approaches are required for each population. Historically, pelvic fractures have been treated conservatively, but this trend is changing with a better understanding of the pelvis' inability to remodel significant deformity, as well as new techniques for operative fixation. Methods: A comprehensive search of the literature was conducted for articles published between 2000 and 2020 on paediatric pelvic fractures using medical databases including PubMed, Embase and the Cochrane Library. Results: We included 143 studies in our literature review and summarized the incidence, pathophysiology, assessment, management and complications associated with paediatric pelvic fractures. Conclusions: The rarity of paediatric pelvic fractures corresponds with a paucity of randomized clinical trials covering this topic. Trends such as the screening pelvic x-ray are derived from adult populations but are now questioned in children. Other aspects of assessment and management of these children warrant such levels of scrutiny.

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Percutaneous Titanium Elastic Nail Stabilization for Pelvic and Acetabular Fractures: Surgical Technique and Case Series

Murphy,

Graan,

Balogh

2024

Journal of Orthopaedic Trauma

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The stabilization of fractures of the anterior pelvic ring and anterior column of the acetabulum with antegrade or retrograde intramedullary screws has been frequently described. However, these narrow and nonlinear bony corridors can be challenging and dangerous to accommodate with rigid linear implants. Titanium elastic nails (TEN) are ideal implants to navigate in the narrow, irregular medullary canal in this anatomical location. This study aims to describe this surgical technique and its preliminary results. From April 2018 to October 2023, patients who underwent acute TEN stabilization of their pelvic or acetabular fractures were identified from a review of medical records at a Level 1 trauma center. A focused review of their clinical documentation was performed to describe their demographics, injury patterns, the surgical techniques used in their treatment, and their clinical and radiographic outcomes. During the almost 6-year period, 19 patients were identified (age: 39 6 22 years; 74% male). There were 3 acetabulum and 16 pelvic ring fractures stabilized. One of the 19 patients underwent bilateral TEN fixation of the superior pubic rami. Patients were followed-up through hospital outpatient clinics postoperatively (median followup 14 months, IQR: 8-24 months). No fractures were complicated by nonunion or secondary displacement of the reduction. A 14-yearold patient required hardware removal due to irritation, and a 19month-old patient underwent planned hardware removal due to her age. No patients have undergone hip arthroplasty to date, and there were no instances of infection or neurovascular injury. These preliminary results are promising and suggest that larger scale assessment of the indications and feasibility of TEN stabilization in pelvic and acetabular surgery is warranted.

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TENS for surgical stabilisation of acetabular fracture in the skeletally immature: A novel technique

Cited by 4 publications

References 9 publications

Minimally Invasive Treatment of Pelvic Fractures with Titanium Elastic Nailing: An Innovative Technology

Minimally Invasive Treatment of Pelvic Fractures with Titanium Elastic Nailing: An Innovative Technology

Paediatric pelvic fractures – an updated literature review

Percutaneous Titanium Elastic Nail Stabilization for Pelvic and Acetabular Fractures: Surgical Technique and Case Series

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