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

Abstract

Elastic stable intramedullary nailing in children fractures is easy to perform and has little complications if a proper technique is used.

Elastic stable intramedullary nailing of femoral shaft fractures in children: Particularities and results at Sylvanus Olympio teaching hospital of Lomé, Togo

“…For these reasons, studies on the topic are rare in Sub-Saharan Africa. [24,25] The lack of orthopaedic table, of image intensifier during our study period and the long time to surgery explain the obligation for us, to open the thigh and to remove the bony callus before the reduction. The access to the fracture and the bony callus removal leads to bleeding, hence the necessity of blood transfusion in 18 cases (56.25%) with all the risks.…”

Elastic nailing of the femoral fractures in the 6-10 year age: a study from Kashmir

“…Other reason for selecting stainless steel nails was that majority of our patients were from poor socioeconomic background and it was difficult for them to purchase titanium nails which have double the cost as compared to stainless steel nails. [15][16][17] We chose a six to ten year age group for our study because it is a more homogenous group and the behavior of the femoral bone in response to the fracture is similar. Concerns have recently been raised regarding the use of FIN in older, heavier children and in unstable fracture configurations.…”

“…We used stainless steel nails in every patient as we were convinced by various studies, comparing stainless steel and titanium nails that prove both to be equally effective, stainless steel nails being more effective in certain situations like in an obese child, unstable femoral fractures and in children >10 yrs old. [15][16][17][18][19] We used to select the largest diameter nail that could be accommodated. The appropriate size was determined by measuring the diameter of the medullary canal on a radiograph: Nail diameter = 0.4 × diameter of medullary canal or = diameter of medullary canal/21 mm.…”