Nonunion of the ulna after elastic stable intramedullary nailing for unstable forearm fractures: a case series

Ballal, Moez S.; Garg, Neeraj; Bruce, Colin; Bass, A.

doi:10.1097/bpb.0b013e32832f0648

Cited by 27 publications

(9 citation statements)

References 14 publications

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“…They recorded postoperative complications in three patients, a superficial pin entry site infection 16 . Garg et al reported 21 pediatric patient treated with ESIN for displaced and unstable diaphyseal forearm fractures 22 . All their fixations were protected in an above elbow plaster cast.…”

Section: Discussionmentioning

confidence: 99%

Titanium elastic percutaneous nails for pediatric long bone shaft fractures: current concept

Sahu

Ahmed

2017

Bangladesh J Med Sci

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Abstract:Introduction: The objective of this study was to determine the effectiveness and the complications associated with elastic stable intramedullary nailing in long bone fractures in children. Methods: This study was conducted in the Department of Orthopaedic surgery in M. M. Medical College from July 2006 to November 2009. Eighty two patients were recruited from Emergency and out patient department having closed fracture of long bones of upper and lower limbs. All patients were operated under general or spinal anaethesia. All patients were followed for twelve months. Results: All children achieved union in a mean time of 10 weeks (range from 6 -16 weeks) depending on the type of long bone. Full weight bearing was possible in a mean time of 8.8 weeks. Mean duration of hospital stay was 9.8 days. The mean follow-up period was 28 months (17-48 months). Complications were recorded in 5 (6.09%) patients and included: two entry site skin irritations, one protrusion of the wires through the skin and two delayed union. The results were excellent in 97.310% and good in 2.44% patients. Conclusion: We concluded that this technique is advantageous because of early mobilization (early weight bearing), less complication with good results and is economical.

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Section: Discussionmentioning

confidence: 99%

Titanium elastic percutaneous nails for pediatric long bone shaft fractures: current concept

Sahu

Ahmed

2017

Bangladesh J Med Sci

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“…Two cases of nonunion reported by Moez et al were both treated with plating following removal of ESIN [9]. However, we have not found any reports using ESIN to treat nonunion of diaphyseal forearm fractures in children as described in our case.…”

Section: Discussionmentioning

confidence: 62%

“…Moez et al [9] recently reported three cases of ulna nonunion following ESIN of which all occurred at the mid-shaft. The reduction method was an open reduction in all their cases.…”

Section: Discussionmentioning

confidence: 99%

Hypertrophic nonunion of the ulna in a child: treatment with an elastic stable intramedullary nail without bone graft

Rashid¹,

Ibrahim²

2010

Strategies in Trauma and Limb Reconstruction

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Nonunion following diaphyseal forearm fracture is an uncommon complication in children. Compression plate fixation with bone grafting has been the standard method to treat this complication. We report a case of hypertrophic nonunion of the ulna in a child who was treated surgically using an elastic stable intramedullary nail (ESIN) without bone grafting. The nonunion healed 4 months after surgery.

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“…However, intramedullary nailing has significant advantages over plate fixation including less tissue disruption, smaller incisions, shorter operative time, a lower refracture rate, and increased ease of hardware removal [38]. Complications including nonunion, loss of motion, compartment syndrome, and others have also been reported [4,9,13,[38][39][40][41]. In contrast, plate fixation has the advantage of a more rigid, anatomic repair of the fracture.…”

Section: Discussionmentioning

confidence: 94%

Titanium elastic nailing radius and ulna fractures in adolescents

Wall¹,

O’Donnell²,

Schoenecker

et al. 2012

Journal of Pediatric Orthopaedics B

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Over the last 40 years, anatomic reduction with plate stabilization has become the standard in adult patients with diaphyseal fractures of the radius and ulna. When operative fixation has been indicated in skeletally immature patients with these fractures, a variety of techniques have been reported, with intramedullary fixation becoming increasingly accepted. There is currently significant variability in the treatment of adolescents with forearm fractures. The purpose of this study was to investigate the clinical and radiographic outcomes in the adolescent population after intramedullary fixation of both bone forearm fractures. A retrospective review identified 32 patients 12-18 years of age who had undergone intramedullary fixation of both forearm bones in the past 20 years at our institution. Galeazzi, Monteggia, radial head, and distal metaphyseal fractures were excluded. Radiographic evaluation was performed to determine union and postoperative radial bow. Clinical follow-up was carried out for postoperative complications and range of motion of the wrist, forearm, and elbow. The mean age of the patients was 14.1 years. A total of 19 fractures were closed injuries, nine were grade 1, three were grade 2, and one fracture was a grade 3b. Of the patients, 15.6% had limited postoperative range of motion. All patients in the older age group, 15-18 years of age, had a normal range of motion. A decrease in radial bow was not associated with limitation in motion. There was a 98% union rate, and all unions occurred by 7.5 months. Only three major complications occurred, two refractures and one ulnar hardware migration, and subsequent radius nonunion occurred in the one grade 3b injury. Flexible intramedullary nailing of both bone forearm fractures provides reliable bony union and excellent postoperative clinical results in adolescents. Level of evidence, IV.

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Nonunion of the ulna after elastic stable intramedullary nailing for unstable forearm fractures: a case series

Cited by 27 publications

References 14 publications

Titanium elastic percutaneous nails for pediatric long bone shaft fractures: current concept

Titanium elastic percutaneous nails for pediatric long bone shaft fractures: current concept

Hypertrophic nonunion of the ulna in a child: treatment with an elastic stable intramedullary nail without bone graft

Titanium elastic nailing radius and ulna fractures in adolescents

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