2015
DOI: 10.1590/1413-785220152305145030
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Kirschner Wire Versus Titanium Elastic Nails in Pediatric Femoral Shaft Fractures

Abstract: Objective: To evaluate the effectiveness of intramedullary fixation using the Kirschner-wire (K-wire) compared to the titanium elastic nail (TEN) in pediatric femoral shaft fractures. Methods: A sample of 42 pediatric patients with a mean age of 6.55±2.42 years (range 4-11 years) presenting femoral shaft fractures underwent intramedullary fixation using the K-wire or TEN. Results: There was no significant difference found between groups, of which 16 (38.1%) patients were treated with K-wire and 26 (61.9%) pati… Show more

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Cited by 6 publications
(12 citation statements)
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References 22 publications
(22 reference statements)
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“…Due to the osteoporosis, more than 2 cross pins are usually required for the stabilization (this may increase the risk of physeal damage) and the cast is associated. This approach has the advantage of being a simple low-cost technique, with no need for additional surgery for implant removal [ 19 ]; yet, rapid postoperative standing is hardly possible due to the cast weight, pain, and pin-related skin irritation [ 19 , 20 ].…”
Section: Discussionmentioning
confidence: 99%
“…Due to the osteoporosis, more than 2 cross pins are usually required for the stabilization (this may increase the risk of physeal damage) and the cast is associated. This approach has the advantage of being a simple low-cost technique, with no need for additional surgery for implant removal [ 19 ]; yet, rapid postoperative standing is hardly possible due to the cast weight, pain, and pin-related skin irritation [ 19 , 20 ].…”
Section: Discussionmentioning
confidence: 99%
“…Overweight and obesity seem to increase the fracture risk [8][9][10], likely due to lower bone mass relative to body size and greater mechanical load caused by falls or reduced body balance [4][5][6][7][8][9][10][11][12][13]. Femoral shaft fractures are among the most common major injuries in pediatric age representing 1.4-1.7% of all fractures in pediatric population [14][15][16]. The etiology of the injury includes falls, motor vehicle accidents, sports injuries and child abuse.…”
Section: Introductionmentioning
confidence: 99%
“…Non-accidental injury has been reported as the leading cause of femur fractures in children less than 1 year old [17][18][19] and the AAOS recommends that children younger than 36 months with a diaphyseal femur fracture should be evaluated for child abuse [20]. The ideal treatment for a pediatric diaphyseal femur fracture is highly dependent upon age and size of the child but it should also consider weight, associated injuries, fracture pattern and mechanism of lesion [14][15][16][17][18][19][20][21][22]. The treatment should focus on getting the fracture to heal in an adequate alignment according to age, avoiding complications such as nonunion, delayed union, angular or rotational deformities, limb length discrepancy, infection, neurovascular injury, disruption of the growth plate, muscle weakness, and/or compartment syndrome [21].…”
Section: Introductionmentioning
confidence: 99%
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