A New Technique for Reduction of Paediatric Femoral Fractures Using Elastic Stable Intramedullary Nails

Abstract

damage to the digital neurovascular bundle. The infected bones are excised and all septic tissue carefully debrided. The wound is washed, and the skin closed with interrupted sutures over a corrugated drain. The foot is dressed lightly with gelonet, wool and crepe bandage.Postoperatively, the patient should continue antibiotics and remain on bed-rest for 5 days, before being discharged with special well-padded surgical footwear. DISCUSSIONThis technique saves the toe and heals rapidly. The conventional ray amputation often involves the sacrifice of healthy tissue, at the expense of a small area of ulceration next to the infected MTP joint. The mobile flail joint created quickly fills up with granulation and fibrous tissue, allowing a reasonable range of movement. This operation is useful in neuropathic diabetic foot ulcers over the MTP joint, where the blood supply is good, or when peripheral arterial disease has been rectified.

Elastic stable intramedullary nailing in paediatric traumatology at Yopougon Teaching Hospital (Abidjan)

“…[7] At this point, Wainwright et al, had reported a novel way to reduce femoral fracture without traction device, that can be useful in poor-equipped areas. [8] Radial neck joystick relocation of severely displaced fractures has failed in half of our cases. Moreover, trained surgical teams like that of Métaizeau et al, [9] cited for lesions over 80° of tilt a substantial failure rate of 33%, increasing difficulties in such injuries.…”

Short Term Outcome of Fixation of Paediatric Femoral Shaft Fracture by Titanium Elastic Nail - A Prospective Study

“…Many treatment options are reported for school age children [1,2]. The treatment options for preschool femur fractures include immediate [3] or delayed spica cast immobilization [4], skin or skeletal traction on a splint [5], plating [6], elastic nail [4], and external fixators. Most of the femoral shaft fractures in children younger than six years of age can be managed with the traditional conservative methods due to high potential of healing [7,8].…”

Titanium elastic nail in femur fractures as an alternative to spica cast in preschoolers

“…Many treatment options are reported for school age children [1,2], but only five papers addressed the problem in preschool children, with three of them about titanium elastic nail (TEN) [3][4][5][6][7]. The treatment options for preschool femur fractures include immediate [8] or delayed spica cast immobilization [9], skin or skeletal traction on a splint [10], plating [11], elastic nail [9], and external fixators. The most commonly used treatment for preschool children are spica cast immobilization and traction.…”