Flexible Stable Intramedullary Pinning Technique in the Treatment of Pediatric Fractures

Vrsansky, P.; Bourdelat, D; Faour, A.

doi:10.1097/01241398-200001000-00006

Cited by 32 publications

(37 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…partial loading), has ranged from two days to four weeks, and for full loading, from three to 11 weeks. 4,14,15,20,21,26,29 Concerning weight-bearing and the return to normal activities in the present study, the surgical method allowed partial loading before consolidation and was earlier than with conservative treatment. This difference was highly significant (ANOVA; P < 0.001).…”

Section: Age and Indication For Treatmentsmentioning

confidence: 85%

“…These nails make it possible to control limb length and avoid growth cartilage lesions, and they also shorten the duration of hospitalization and allow faster recovery. 10,[18][19][20][21][22] In our study, TEN was mainly indicated for transverse and short oblique fractures, and in patients over the age of five years. It also should be taken into consideration that all cases treated surgically required another period of hospitalization in order to remove the nails.…”

Section: Age and Indication For Treatmentsmentioning

confidence: 99%

See 1 more Smart Citation

Flexible intramedullary nails with traction versus plaster cast for treating femoral shaft fractures in children: comparative retrospective study

et al. 2013

View full text Add to dashboard Cite

CONTEXT AND OBJECTIVE: Femoral fractures are common in children between 2 and 12 years of age, and 75% of the lesions affect the femoral shaft. Traction followed by a plaster cast is universally accepted as conservative treatment. However, in some situations, a surgical approach is recommended. The objective here was to compare treatments for femoral shaft fractures using intramedullary nails (titanium elastic nails, TEN) versus traction and plaster casts in children. The hypothesis was that TEN might provide better treatment, with good clinical results in comparison with plaster casts. DESIGN AND SETTING: This retrospective comparative study was conducted in a public university hospital. METHODS: Sixty children with femoral fractures were evaluated; 30 of them underwent surgical treatment with TEN and 30 were treated conservatively using plaster casts. The patients' ages ranged from 5 to 13 years (mean of 9 years). RESULTS:The mean duration of hospitalization was nine days for the surgical group and 20 days for the conservative group. The incidence of overgrowth in the patients treated with TEN was 60.0% and, for those treated conservatively, 13.3%. Partial weight-bearing was allowed after 3.5 weeks in the surgical group and after 9.6 weeks in the conservative group. New hospitalization was required for 90.0% in the surgical group and 16.7% in the conservative group. Patients treated with plaster casts presented higher incidence of complications, such as loss of reduction. CONCLUSIONS: The surgical method presented better results for children. RESUMO CONTEXTO E OBJETIVO:Fraturas femorais são comuns em crianças entre 2 e 12 anos de idade, e 75% das lesões acometem a diáfise. Tração seguida de aparelho gessado ("gesso") é universalmente aceita como tratamento conservador. Entretanto, em algumas situações o tratamento cirúrgico é recomendado. O objetivo foi comparar o tratamento de fraturas diafisárias do fêmur com hastes intramedulares (titanium elastic nails, TEN) com tração e gesso em crianças. A hipótese era de que TEN pode ser melhor tratamento, com bons resultados clínicos em comparação com o gesso. TIPO DE ESTUDO E LOCAL: Este estudo retrospectivo e comparativo foi conduzido num hospital público universitário. MÉTODOS: Sessenta crianças com fraturas de fêmur foram avaliadas, 30 delas foram submetidas a tratamento cirúrgico com TEN e 30 foram tratadas de forma conservadora usando gesso. A idade dos pacientes variou de 5 a 13 anos (média de 9 anos). RESULTADOS: O tempo médio de internação foi de 9 dias para o grupo cirúrgico e 20 dias para o grupo conservador. A incidência de crescimento excessivo nos pacientes tratados com TEN foi de 60,0% e, para aqueles tratados de forma conservadora, 13,3%. Sustentação parcial de peso foi permitida após 3,5 semanas no grupo cirúrgico e após 9,6 semanas no grupo conservador. Houve 90,0% de novas internações no grupo cirúrgico e 16,7% no grupo conservador. Pacientes tratados com gesso apresentaram maior incidência de complicações, tais como perda de redução. CONCLUS...

show abstract

Section: Age and Indication For Treatmentsmentioning

confidence: 85%

Section: Age and Indication For Treatmentsmentioning

confidence: 99%

Flexible intramedullary nails with traction versus plaster cast for treating femoral shaft fractures in children: comparative retrospective study

et al. 2013

View full text Add to dashboard Cite

show abstract

“…An excellent functional outcome was reported, with all patients mobilizing independently by three to five months. 18 Qidawi described a retrospective review of 84 fractures of the tibia treated with intramedullary K-wires with a mean time to union of 9.5 weeks.…”

Section: Discussionmentioning

confidence: 99%

Elastic Stable Intramedullary Nailing for Treatment of Pediatric Tibial Fractures

Gurung

Khatri

2016

J Lumbini Med Coll

View full text Add to dashboard Cite

ABSTRACT:Introduction: Tibia fractures in the skeletally immature patient can usually be treated with above knee cast or patellar tendon bearing cast. The purpose of our study was to evaluate epidemiology and outcome of Elastic stable intramedullary nailing fixation of pediatric tibial shaft fractures treated at our institution. Methods: Over a period of one year, fifty pediatric patients of tibial shaft fractures, with average age of 9.68 yr (SD=2.37), were treated with elastic stable intramedullary nail. Demographic data, union and complication rate were evaluated. Results: There were 36 closed and 14 open fractures. The average time to union was 11.6 weeks (SD=2.65) for close and 14.3 weeks (SD=2.62) for open fracture. There were no instances of growth arrest, re-manipulations, or re-fracture. Conclusion: We conclude that flexible intramedullary fixation is an easy and effective method of management of both open and closed unstable fractures of the tibia in children.

show abstract

“…Thus the minimum age for femur intramedullary fixation is kept at 5 years and the maximum age is kept at until the closure of proximal physis which usually occurs at about 16 years, after which rigid interlocking nailing can be done without the risk of avascular necrosis of the head of the femur. 5,6 Out of the total number of patients 26 (63.4%) had fracture shaft of femur, 8 (19.5%) had fracture shaft of tibia, 2 (4.9%) had fracture shaft of humerus, and 5 (12.2%) had fracture of forearm bones. 39 (95.2%) fractures were closed and 2 (4.8%) fractures, one tibia and one forearm were open, Gustilo & Anderson grade I and II respectively.…”

Section: Methodsmentioning

confidence: 99%

“…4 Gradually and gradually due to the encouraging results, the intramedullary fixation with elastic nails, which was originally used for femoral fractures, started becoming the treatment for all paediatric diaphyseal fractures. 5 In view of the problems encountered with conservative treatment and the shifting trends in the treatment of paediatric long bone fractures, we took up this study to appraise the logicality and safety of intramedullary fixation in paediatric bones.…”

Section: Introductionmentioning

confidence: 99%

Appraisal of logicality and safety of intramedullary fixation of paediatric diaphyseal fractures by titanium elastic nails

Vashisht

Rastogi

2016

Int J Res Med Sci

View full text Add to dashboard Cite

Flexible Stable Intramedullary Pinning Technique in the Treatment of Pediatric Fractures

Cited by 32 publications

References 1 publication

Flexible intramedullary nails with traction versus plaster cast for treating femoral shaft fractures in children: comparative retrospective study

Flexible intramedullary nails with traction versus plaster cast for treating femoral shaft fractures in children: comparative retrospective study

Elastic Stable Intramedullary Nailing for Treatment of Pediatric Tibial Fractures

Appraisal of logicality and safety of intramedullary fixation of paediatric diaphyseal fractures by titanium elastic nails

Contact Info

Product

Resources

About