Response to the commentary of L. von Laer to the publication: Elastic stable intramedullary nailing of femoral shaft fractures in children (“Nancy-nailing”)

1995 ◽  
Vol 4 (4) ◽  
pp. 211-211
Author(s):  
H.-G. Dietz
Keyword(s):  
Intramedullary Nailing ◽  
Femoral Shaft ◽  
Elastic Stable Intramedullary Nailing ◽  
Femoral Shaft Fractures ◽  
Shaft Fractures ◽  
Fractures In Children

scholarly journals Outcome of Titanium Elastic Intramedullary Nail in the Treatment of Shaft of Femur Fracture in Children

2017 ◽  
Vol 13 (3) ◽  
pp. 195-199
Author(s):  
J.A. Khan ◽  
G.P. Singh ◽  
A. Pandey
Keyword(s):  
Range Of Motion ◽  
Intramedullary Nailing ◽  
Femoral Shaft ◽  
Limb Length Discrepancy ◽  
Elastic Stable Intramedullary Nailing ◽  
Limb Length ◽  
Femoral Shaft Fractures ◽  
Length Discrepancy ◽  
Shaft Fractures ◽  
Fractures In Children

Background Femoral-shaft fractures are among the most common fractures of the lower extremity in children. There are several different options for treating femoral-shaft fractures in children. Elastic stable intramedullary nailing (ESIN) has become the standard treatment for fractures of shaft of femur in children for reasons including mini-invasive surgery, no need for casting, early mobilization and discharge as well as growing concerns toward cost-effectiveness.Objective To demonstrate the effectiveness of intramedullary fixation of fracture shaft of femur in skeletally immature children using the titanium elastic intramedullary nails.Method Forty children who underwent fixation with titanium intramedullary nails because of fracture of shaft of femur (Winquist and Hansen type 1 and 2) were reviewed. There were 60% male and 40% female patients and mean follow-up was six months. Time of union, deformity at fracture site, limb length discrepancy, knee range of motion and complications were assessed.Result Average age of the patients was 5.17 years (range 3 to 10). All patients achieved complete healing at a mean 12.8 weeks (range 10 to 20 weeks). Average limb length discrepancy was -0.16 cm (range -1.0 to 1.1 cm) average knee range of motion was 137.55 degrees (range 118 to 152 degrees). Complications were recorded in 13 (31.7%) patients and included: Five malunion which did not show any deformity or functional impairment and eight superficial wound infections which were healed after removal of nail. All patients were active as their pre injury levels at six months follow up.Conclusion Elastic stable intramedullary nailing is the method of choice for the simple pediatrics fracture shaft of femur, as it is minimally invasive and shows good functional and cosmetic results. It allows short hospital stay and quick recovery from pain and is cast-free.

scholarly journals Poor prognostic factors of femoral shaft fractures in children treated by elastic intramedullary nailing

SICOT-J ◽  
2020 ◽  
Vol 6 ◽  
pp. 34
Author(s):  
Alexandru Ulici ◽  
Elena Odagiu ◽  
Oana Haram ◽  
Adelina Ionescu ◽  
Gabriel Alin Sterian ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Intramedullary Nailing ◽  
Femoral Shaft ◽  
Delayed Union ◽  
Elastic Stable Intramedullary Nailing ◽  
Mechanism Of Injury ◽  
Femoral Shaft Fractures ◽  
Shaft Fractures ◽  
Fractures In Children ◽  
Elastic Intramedullary Nailing

Introduction: Femoral shaft fractures in pediatric patients are treated by elastic intramedullary nailing using titanium or stainless-steel nails. The elastic stable intramedullary nailing behaves as an internal splint, promoting early mobilization. This type of treatment involves a minimally invasive approach, no damage to the growth plates, and no impairment of femoral head blood supply. Purpose: The aim of our study was to identify the negative predicting factors that might lead to an increased complication rate after elastic stable intramedullary nailing of femoral shaft fractures in children. Methods: We conducted a retrospective study on 137 patients with femoral shaft fractures treated by elastic stable intramedullary nailing. Patients’ age ranged between 4 and 17 years. We used data from the medical records of the patients to evaluate postoperative complications. Plain radiographs were analyzed to determine the fracture type, fracture location, and postoperative complications such as delayed union, angular deformities, and limb length discrepancies. Multivariate analysis was conducted to identify predictors for poor outcomes. Results: Complications occurred in 29 patients (21%) and consisted of delayed union, axial deformities, or lower limb length discrepancies. In the group of patients that suffered from complications, mechanism of injury, age, and weight were significant. They were older by an average of 5 years; half of them weighed more than 50 kg and over a half were involved in a road traffic accident. Conclusions: Elastic nailing is a successful tool to treat femoral shaft fractures. Three factors were demonstrated to influence the outcome. The mechanism of injury, age > 11 years, and weight > 50 kg are the most important and are predictors for development of complications such as delayed union or deformity.

Femoral Shaft Fractures in Children: Traction and Casting versus Elastic Stable Intramedullary Nailing

2002 ◽  
Vol 53 (5) ◽  
pp. 914-921 ◽  
Author(s):  
Karl E. Buechsenschuetz ◽  
Charles T. Mehlman ◽  
Kevin J. Shaw ◽  
Alvin H. Crawford ◽  
Elisa B. Immerman
Keyword(s):  
Intramedullary Nailing ◽  
Femoral Shaft ◽  
Elastic Stable Intramedullary Nailing ◽  
Femoral Shaft Fractures ◽  
Shaft Fractures ◽  
Fractures In Children

Complications of elastic stable intramedullary nailing of femoral shaft fractures in children weighing fifty kilograms (one hundred and ten pounds) and more

2016 ◽  
Vol 40 (12) ◽  
pp. 2627-2634 ◽  
Author(s):  
Federico Canavese ◽  
Lorenza Marengo ◽  
Antonio Andreacchio ◽  
Mounira Mansour ◽  
Matteo Paonessa ◽  
...  
Keyword(s):  
Intramedullary Nailing ◽  
Femoral Shaft ◽  
Elastic Stable Intramedullary Nailing ◽  
Femoral Shaft Fractures ◽  
Shaft Fractures ◽  
Fractures In Children

scholarly journals Elastic Stable Intramedullary Nailing Femoral Shaft Fractures in Children from Six to Ten Years Age

2021 ◽  
Vol 84 (1) ◽  
pp. 1908-1913
Author(s):  
Ahmed Hashim Amin ◽  
Ahmed Mohamed Nahla ◽  
Ahmed Mashhour Gaber ◽  
Millad Mohammed Allafi Kamsawi
Keyword(s):  
Intramedullary Nailing ◽  
Femoral Shaft ◽  
Elastic Stable Intramedullary Nailing ◽  
Femoral Shaft Fractures ◽  
Shaft Fractures ◽  
Fractures In Children

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

2014 ◽  
Vol 11 (1) ◽  
pp. 8 ◽  
Author(s):  
Akakpo-NumadoGamedzi Komlatsè ◽  
BoumeMissoki Azanledji ◽  
SakiyeKodjo Abossisso ◽  
Mihluedo-AgbolanKomlan Anani ◽  
Gnassingbe Komla ◽  
...  
Keyword(s):  
Intramedullary Nailing ◽  
Teaching Hospital ◽  
Femoral Shaft ◽  
Elastic Stable Intramedullary Nailing ◽  
Femoral Shaft Fractures ◽  
Shaft Fractures ◽  
Fractures In Children
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