Osteosynthesis With Intramedullary Nails in Children

Fernandes, Hélio Jorge Alvachian; Saad, Eduardo Abdalla; Reis, Fernando Baldy dos

doi:10.1016/s2255-4971(15)30266-4

Cited by 5 publications

(8 citation statements)

References 53 publications

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“…1 Although fractures of the bones of the forearm are successfully treated conservatively, outcomes remain variable, and, subsequently, some cases may require additional fracture manipulation or formal surgical intervention due to residual angulations. 2 3 4 5 6 Previous studies have shown that the failure of nonoperative treatment of midshaft fractures in pediatric populations ranges between 39 and 64%. 3 Alternatives include closed remanipulation and casting, pins and plaster, closed or mini-open reduction, intramedullary (IM) nailing, and open reduction and internal fixation (ORIF) with plates and screws.…”

Section: Introductionmentioning

confidence: 99%

“…1 Embora as fraturas dos ossos do antebraço sejam tratadas com sucesso de forma conservadora, os resultados permanecem variáveis e, posteriormente, alguns casos podem exigir manipulação adicional da fratura ou intervenção cirúrgica formal devido a angulações residuais. 2 3 4 5 6 Estudos anteriores mostraram que a falha do tratamento não cirúrgico das fraturas mediodiafisárias em populações pediátricas varia entre 39 e 64%. 3 As alternativas incluem remanipulação fechada e imobilização, pinos e gesso, redução fechada ou miniaberta com haste intramedular (IM) e redução aberta com fixação interna (RAFI) usando placas e parafusos.…”

Section: Introductionunclassified

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Fixação intramedular flexível para fraturas diafisárias dos ossos do antebraço em crianças

et al. 2019

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Objectives Most of the fractures of the bones of the forearm in children are successfully treated conservatively with closed reduction and casting. The outcomes remain variable and the patients may require additional fracture manipulation or formal surgical intervention due to residual angulations. The present study assesses the radiological and functional outcomes of treating displaced forearm fractures in children with intramedullary flexible titanium elastic nailing. Methods A total of 31 patients aged between 7 and 15 years old with displaced forearm fractures underwent flexible titanium elastic nailing. The patients were followed-up for a mean period of 8.51 months (range: 6–12 months) and were assessed for radiological and functional outcomes. The Price criteria were used to assess the functional outcome. Results Out of 31 patients, 21 patients underwent closed reduction, and 10 required a minimal opening of the fracture site during reduction. A total of 29 patients had excellent results with normal forearm and elbow range of motion (ROM), and 2 patients had good results. In all patients, good radiological union was seen at an average time of 7.9 weeks. Five patients had minor complications, such as skin irritation over the prominent ulnar nail ( n = 2), superficial nail insertion site infection ( n = 2), and backing out of the ulnar nail ( n = 1), requiring early removal. Conclusion Flexible nailing is an efficient application of internal fixation for shaft fractures of both bones of the forearm in children, enabling early mobilization and return to the normal activities of the patients, with low and manageable complications.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionunclassified

Fixação intramedular flexível para fraturas diafisárias dos ossos do antebraço em crianças

et al. 2019

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“…In this method, a nail is placed intramedullary in the centre of the fractured bone and therefore it is a very load-table treatment for bone fractures [39][40][41][42].…”

Section: Intramedullary Nail Osteosynthesismentioning

confidence: 99%

A Novel Screw Drive for Allogenic Headless Position Screws for Use in Osteosynthesis—A Finite-Element Analysis

Lifka

Baumgärtner

2021

Bioengineering

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Due to their osteoconductive properties, allogenic bone screws made of human cortical bone have advantages regarding rehabilitation compared to other materials such as stainless steel or titanium. Since conventional screw drives like hexagonal or hexalobular drives are difficult to manufacture in headless allogenic screws, an easy-to-manufacture screw drive is needed. In this paper, we present a simple drive for headless allogenic bone screws that allows the screw to be fully inserted. Since the screw drive is completely internal, no threads are removed. In order to prove the mechanical strength, we performed simulations of the new drive using the Finite-Element method (FEM), validated the simulations with a prototype screw, tested the novel screw drive experimentally and compared the simulations with conventional drives. The validation with the prototype showed that our simulations provided valid results. Furthermore, the simulations of the new screw drive showed good performance in terms of mechanical strength in allogenic screws compared to conventional screw drives. The presented screw drive is simple and easy to manufacture and is therefore suitable for headless allogenic bone screws where conventional drives are difficult to manufacture.

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“…Therefore, fractures, which used to be treated nonoperatively previously, are widely treated surgically with bloodless approach these days. 3 …”

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confidence: 99%

“…Portanto, as fraturas, que costumavam ser tratadas de modo não cirúrgico anteriormente, passaram a ser tratadas cirurgicamente, com abordagem sem sangue, nos dias de hoje. 3 …”

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Resposta à carta ao editor referente ao artigo: Fixaçço intramedular flexível para fraturas diafisárias dos ossos do antebraço em crianças

Acharya¹,

Devkota²,

Thakur³

et al. 2020

Rev Bras Ortop (Sao Paulo)

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Osteosynthesis With Intramedullary Nails in Children

Cited by 5 publications

References 53 publications

Fixação intramedular flexível para fraturas diafisárias dos ossos do antebraço em crianças

Fixação intramedular flexível para fraturas diafisárias dos ossos do antebraço em crianças

A Novel Screw Drive for Allogenic Headless Position Screws for Use in Osteosynthesis—A Finite-Element Analysis

Resposta à carta ao editor referente ao artigo: Fixaçço intramedular flexível para fraturas diafisárias dos ossos do antebraço em crianças

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