Titanium elastic nailing in pediatric femoral diaphyseal fractures in the age group of 5–16 years – A short term study

Bhuyan, Basant Kumar; Singh, Suryansh Mohan

doi:10.1016/j.jcot.2014.08.001

Cited by 25 publications

(24 citation statements)

References 27 publications

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“… 13 Bhuyan reported excellent results in 82.5% patients after titanium elastic intramedullary nailing of 40 pediatric patients. 15 In a prospective study performed by Karaman et al a complication rate of 10.0% (4/40) was observed. They reported two insufficient reductions, 1 refracture and one leg length discrepancy.…”

Section: Discussionmentioning

confidence: 93%

Complications after operative treatment of femoral shaft fractures in childhood and adolescence

Kruppa¹,

Wiechert²,

Schildhauer³

et al. 2018

Orthop Rev (Pavia)

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Purpose of the study was to retrospectively analyze the complication rates after operatively treated femoral shaft fractures in childhood and adolescence. Retrospective evaluation of 42 children with operatively treated femoral shaft fractures between 2000 and 2014. Fractures were classified as 27 A type, 12 B type and 3 C type fractures according the OTA/AO classification. 8 (19.05%) fractures were open. Age averaged 10.2 years (3-16). Fracture treatment was recorded as temporary or definitive external fixation, ESIN, plate fixation or IMN. Complications such as wound infection, re-fractures, nonunion and malunion were analyzed. Six (14.29%) fractures were temporarily stabilized using an external fixator. In 22 (52.38%) children the femoral shaft fracture was stabilized using ESINs. 10 (23.81%) children had a plate fixation and 9 (21.43%) adolescents were treated using an IMN. ESIN treated children were significantly younger (P=0.000) and had less weight (P=0.000) than children treated with both other methods. Complications were two (4.76%) superficial and two deep (4.76%) wound infections, one (2.38%) re-fracture with the ESIN in situ, one (2.38%) nonunion and one (2.38%) malunion. Six (14.29%) children required a reoperation for a complication. Risk factors for complications were temporarily applied external fixators, open fractures, C Type fractures (P=0.031) and an increasing age (P=0.048) and weight (P=0.047) of the child. The majority of children in our study population were successfully treated using ESIN presenting a low complication rate. Complications were observed following open fractures and more complex fracture types. Furthermore we observed an increasing complication rate with increasing ages and weights of the children.

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Section: Discussionmentioning

confidence: 93%

Complications after operative treatment of femoral shaft fractures in childhood and adolescence

Kruppa¹,

Wiechert²,

Schildhauer³

et al. 2018

Orthop Rev (Pavia)

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show abstract

“…Bone growth is affected minimally, as the need to cross physis can be avoided with these nails; the mean femur overgrowth is 1.2 mm. Operating time and blood loss is significantly reduced [ 60 , 61 ].…”

Section: Surgical Managementmentioning

confidence: 99%

Current Concepts in Paediatric Femoral Shaft Fractures

John

Sharma

et al. 2017

TOORTHJ

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Pediatric femoral shaft fractures account for less than 2% of all fractures in children. However, these are the most common pediatric fractures necessitating hospitalization and are associated with prolonged hospital stay, prolonged immobilization and impose a significant burden on the healthcare system as well as caregivers. In this paper, the authors present a comprehensive review of epidemiology, aetiology, classification and managemement options of pediatric femoral shaft fractures.

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“…The study concluded that TENS is a efficient and effective way for the managing of pediatric femoral shaft fractures, as it is minimally invasive, easy to use and has good functional and cosmetic outcome. 9…”

Section: Discussionmentioning

confidence: 99%

Assessment of Results of Treatment of Paediatric Femoral Diaphyseal Fractures with Titanium Elastic Nails

Bandil¹,

Bandil²

2018

IJCMSR

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Introduction: Femoral fractures are among the most common fractures of long bones. The management of pediatric femur fractures depends basically on the age group of the child although the age of bone and size of the child also determines the treatment choice. The choice of management may also be determined by surgical experience and local trends in practice. Study aimed to assess the results of treatment of paediatric femoral diaphyseal fractures with titanium elastic nails. Material and methods: The study was performed Medical institute. A total of 22 patients with closed shaft femur fractures and age ranging between 5-16 years scheduled to undergo treatment with titanium elastic nails were selected for the study. Children with open fractures, outside this age group with concomitant head injury, bilateral femur fracture or associated fracture of either limb whose fixation was done after 7 days were excluded from the study. No control group was used. They were treated by retrograde TENS fixation using two nails of equal diameter for each fracture. Pre-operative evaluation includes full length radiograph of the fractured femur both antero-posterior (A-P) and lateral views. Results: In the present study, 22 patients with closed shaft femur fractures were treated with titanium elastic nails. The mean age of the patient was 13.23 years. We observed that in regards to fracture location, proximal fracture was seen in 5 patients, midshaft fracture in 14 patients and distal fracture in 3 patients. However, in regards to pattern of location, transverse fracture was seen in 6 patients, oblique fracture in 8 patients, spiral fracture in 5 patients and comminuted fracture in 3 patients. Conclusion: From this study we can conclude that Intramedullary nailing of the pediatric femoral diaphyseal fractures using titanium elastic nail is an effective surgical modality, with advantages of minimal incisional scar, minimal soft tissue damage, with early union time and excellent union rates, and without affecting shoulder and elbow function.

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Titanium elastic nailing in pediatric femoral diaphyseal fractures in the age group of 5–16 years – A short term study

Cited by 25 publications

References 27 publications

Complications after operative treatment of femoral shaft fractures in childhood and adolescence

Complications after operative treatment of femoral shaft fractures in childhood and adolescence

Current Concepts in Paediatric Femoral Shaft Fractures

Assessment of Results of Treatment of Paediatric Femoral Diaphyseal Fractures with Titanium Elastic Nails

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