Titanium Elastic Nail - Complications in the Treatment of Paediatric Diaphyseal Fracture of Femur§

Sarkar, Saikat; Bandyopadhyay, Ranadeb; Mukherjee, Arindam

doi:10.2174/1874325001307010012

Cited by 20 publications

(12 citation statements)

References 10 publications

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“…9 Bandyopadhyay et al in their study of 70 patients 42 patients (60%) the mechanism of injury was due to motor vehicle accident, 22 (31.42%) were due to fall from height while remaining 4 (8.58%) were due to sports injury. 15 The average duration of surgery in our study was 69.6 minutes. In Singh et al study, the average duration of surgery was 63 minutes.…”

Section: Discussionmentioning

confidence: 70%

Titanium elastic nailing for paediatric femoral shaft fractures: a prospective descriptive study

Santosha

Gulrez

2017

Int J Res Orthop

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Background: Femoral shaft fracture is the most common major paediatric orthopaedic fractures. For generations traction and casting was the standard treatment for all femoral shaft fractures in children. Over the past two decades the advantages of fixation and rapid mobilisation have been increasingly recognised. Aim: To assess the functional and clinical outcome after closed reduction and internal fixation with titanium elastic nail in diaphyseal femoral fractures between 5 to 16 years. Methods: The study was conducted in the Department of Orthopaedic Surgery, Regional Institute of Medical Sciences (RIMS), Imphal, Manipur, from September 2013 to April 2015. Thirty children (20 boys and 10 girls) in the age group of 5 to 16 years with recent femoral diaphyseal fractures were stabilised by titanium elastic nails [TENS]. Results were evaluated according to Flynn's scoring criteria. Results: After 25 months of follow up all thirty patients were available for evaluation. Radiological union were achieved in a mean time of 11.5 weeks. Mean duration of hospital stay was 15.23 days. According to Flynn's criteria of TENS outcome score results were excellent in 66.7% patients, Satisfactory in 30% patients, Poor in 3.3% patient. All patients had early return to school. Per operative technical problems included failure of closed reduction in 2 cases. Conclusions: Titanium elastic nailing is an effective treatment in diaphyseal fractures of femur in properly selected patients.

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Section: Discussionmentioning

confidence: 70%

Titanium elastic nailing for paediatric femoral shaft fractures: a prospective descriptive study

Santosha

Gulrez

2017

Int J Res Orthop

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“…However, some series report limb lengthening to be the major reason for poor outcomes. 13,14 We had stringent criteria for selecting only closed pediatric femoral fractures that were hemodynamically stable and without associated trauma making our sample size limited. This is one of the few studies attempting to analyze the risk factors that affect the final outcomes of the pediatric shaft femur fractures treated by TENS.…”

Section: Discussionmentioning

confidence: 99%

Do demographic and perioperative parameters really affect the final outcomes of pediatric femur shaft fractures managed by elastic nails? A prospective study

Reddy

Pushpasekaran

Singh

et al. 2018

Journal of Orthopaedics

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“…Intramedullary osteosynthesis is by far the most widely used method to achieve it. It ensures rapid healing, low rate of complications, and short hospital stay ( 50 , 51 ). Kuntscher nail was used previously, but its use has been almost abandoned with better understanding of the vascularization of the femur proximal part.…”

Section: Discussionmentioning

confidence: 99%

“…Kuntscher nail was used previously, but its use has been almost abandoned with better understanding of the vascularization of the femur proximal part. The last ten years have brought changes in the insertion methodology, and therefore new fixation techniques ( 51 , 52 ). Fixation method choice depends on the fracture type, patient age, skeletal maturity and body mass index.…”

Section: Discussionmentioning

confidence: 99%

Treatment of Pediatric Femoral Fractures in the City of Zagreb

Antabak

Boršćak

Čagalj

et al. 2020

ACC

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Femur fractures in children can be treated with a number of operative and conservative methods. Numerous factors determine which method is optimal for a specific fracture. The aim of this research was to analyze distribution of femur fractures in children living in the urban communities of Zagreb and Zagreb County by localization, type and frequency of treatment methods used according to age and fracture mechanism. The research included 103 children aged up to 18 years, treated for femur fractures at the Zagreb University Hospital Centre and Zagreb Children's Hospital. Data were collected from these institutions and a retrospective study covered the 2010-2015 period. The cause of fracture and diagnosis were coded with the help of the International Statistical Classification of Diseases and Related Health Problems. Operative treatment was applied in 55% of cases, which is contrary to previous researches. The highest incidence of femur fractures was recorded in the 0-to 4-year age groups, accounting for 49.1% of all fractures. These fractures mostly occurred due to falls and were more often treated with non-operative methods. All other age groups were mostly treated with operative methods. Coxofemoral immobilization and traction were used as non-operative methods, whereas flexible intramedullary nailing was the most frequently used operative method. The treatment depended on age, complexity of the fracture, fracture type, fragment displacement, and associated injuries. The cause was also an important factor on choosing the treatment method. Nonoperative treatment was mostly used for fractures caused by falls (64.71% of cases due to falls) and operative treatment was mostly used for fractures caused by traffic accidents (79.4% of cases due to traffic accidents). It is a wide-known opinion that the best treatment for femur fractures in children is non-operative treatment. However, recent studies have shown that the use of operative methods in femur fracture treatment is growing. Our cohort of children treated during a five-year period (2010)(2011)(2012)(2013)(2014)(2015) also underwent operative treatment more often than non-operative one. Two non-operative and eight operative methods were used. With such a large number of methods, it is clear that there is no unique method for all fractures. However, it is clear that the trend of using operative treatment is connected to the perennial trend of considerable sociodemographic and socioeconomic changes in urban settings such as Zagreb. Lifestyle changes directly affect the prevalence of femur fractures among children, as well as approach to treatment choice. General opinion is that most of fractures that occur at an early age can be treated with non-operative methods. Our research on femur fractures in children confirmed this rule. The youngest age group that had the highest incidence of fractures (49.1% of all fractures) was treated with non-operative methods in 75% of cases. Operative methods prevailed in other age groups. Similar results have been published by other ...

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Titanium Elastic Nail - Complications in the Treatment of Paediatric Diaphyseal Fracture of Femur§

Cited by 20 publications

References 10 publications

Titanium elastic nailing for paediatric femoral shaft fractures: a prospective descriptive study

Titanium elastic nailing for paediatric femoral shaft fractures: a prospective descriptive study

Do demographic and perioperative parameters really affect the final outcomes of pediatric femur shaft fractures managed by elastic nails? A prospective study

Treatment of Pediatric Femoral Fractures in the City of Zagreb

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