Synostosis after fracture of both forearm bones treated by intramedullary nailing

2020 ◽  
Author(s):  
E. Uygur ◽  
A. Özkut ◽  
F. Akpınar
Keyword(s):  
Intramedullary Nailing ◽  
Forearm Bones

scholarly journals Elastic stable intramedullary nailing in pediatric diaphyseal forearm bone fracture

2017 ◽  
Vol 3 (2) ◽  
pp. 190
Author(s):  
Poojan Kumar Rokaya ◽  
Mangal Rawal ◽  
Javed Ahmad Khan ◽  
Praveen Kumar Giri
Keyword(s):  
Intramedullary Nailing ◽  
Bone Fracture ◽  
Closed Reduction ◽  
Forearm Fracture ◽  
Minimal Invasive ◽  
Elastic Stable Intramedullary Nailing ◽  
Forearm Bones ◽  
Average Loss ◽  
Forearm Bone ◽  
Elastic Intramedullary Nailing

<p class="abstract"><strong>Background:</strong> Pediatric forearm bone fracture present significant challenges where most of them are managed with closed reduction and casting. Irreducible, unstable and open fracture usually requires operative stabilization. Intramedullary nailing is considered minimal invasive however it is not free of complication. The aim of this study is to analyze the outcome and complications after elastic stable intramedullary nailing in pediatric diaphyseal forearm fracture<span lang="EN-IN">.</span></p><p class="abstract"><strong>Methods:</strong> A descriptive observational study was carried out for four years (2013-2016) in diaphyseal pediatric forearm fracture stabilized with titanium elastic stable intramedullary nailing. Final range of motion, complications and outcome were assessed using Clavien-Dindo classification modification appropriate for orthopedic surgery.<strong></strong></p><p class="abstract"><strong>Results:</strong> We report the outcome of 36 patients with complete medical records. Closed reduction and nailing was successful in 25 patients (69.4%) whereas eleven patients (30.6%) required open reduction (both radius and ulna in 6 patients 16.7%, ulna in 3 patients 8.3% and radius in 2 patients 5.6%). Radiological union was achieved at an average of 7.75±1.5 weeks (range 6 to 16 weeks). Forearm rotation was limited in 7 patients with average loss of 16° pronation and 18° supination. The overall rate of complication was 22.2%. According to Clavien-Dindo classification excellent results were noted in 29 patients (80.6%), good in 3 patients (8.3%) and fair in 4 patients (11.1%)<span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> Elastic intramedullary nailing in pediatric diaphyseal forearm bones fracture is minimally invasive with low rate of complication and the outcomes are fair to excellent<span lang="EN-IN">.</span></p>

ATTRITIONAL RUPTURE OF EXTENSOR POLLICIS LONGUS: A RARE COMPLICATION FOLLOWING ELASTIC STABLE INTRAMEDULLARY NAILING OF A PAEDIATRIC RADIAL FRACTURE

Hand Surgery ◽  
2011 ◽  
Vol 16 (01) ◽  
pp. 69-72 ◽  
Author(s):  
James A. Sproule ◽  
Simon J. Roche ◽  
Eswara G. Murthy
Keyword(s):  
Intramedullary Nailing ◽  
Rare Complication ◽  
Paediatric Population ◽  
Elastic Stable Intramedullary Nailing ◽  
Extensor Pollicis Longus ◽  
Elastic Stable Intramedullary Nail ◽  
Acceptable Method ◽  
Forearm Bones ◽  
Diaphyseal Fractures ◽  
Sharp Edges

Elastic stable intramedullary nail fixation has become established as an acceptable method of treatment for diaphyseal fractures of both forearm bones in the paediatric population. It is considered safe, minimally invasive and does not compromise physeal growth. We report a case of delayed rupture of extensor pollicis longus due to attrition over the sharp edges of a protruding nail end after elastic stable intramedullary nailing of a paediatric radial diaphyseal fracture.

scholarly journals Functional outcome of elastic stable intramedullary nailing of diaphyseal fractures of paediatric long bones

2016 ◽  
Vol 2 (4) ◽  
pp. 359
Author(s):  
Arun Vashisht ◽  
Gaurav Dev Sharma
Keyword(s):  
Conservative Treatment ◽  
Functional Outcome ◽  
Intramedullary Nailing ◽  
Weight Bearing ◽  
Elastic Stable Intramedullary Nailing ◽  
Personal Hygiene ◽  
Long Bones ◽  
Forearm Bones ◽  
Diaphyseal Fractures ◽  
Partial Weight

<p class="abstract"><strong>Background:</strong> After the advent of titanium elastic nails (TENs) and gratifying results of elastic stable intramedullary nailing (ESIN) in diaphyseal fractures of paediatric long bones, not only the parents of patients are opting surgical treatment over conservative, but also more and more orthopaedicians are offering ESIN with TENs to obviate the inherent problems of conservative treatment. We took up this study to evaluate the functional outcome of ESIN with TENs<span lang="EN-IN">.</span></p><p class="abstract"><strong>Methods:</strong> 44 patients aged 5-15 years suffering from diaphyseal fractures of femur, tibia, humerus, and forearm bones were treated by ESIN with TENs.<strong></strong></p><p class="abstract"><strong>Results:</strong> All 44 patients showed uneventful union, femur in an average period of 8.3 weeks, tibia in 7.3 weeks, forearm bones within 7 weeks and humerus in 7.5 weeks. Commonest complication was pain at insertion site. 1 femur patient had lengthening of 1.5 cm. 1 femur and 1 forearm patient showed joint stiffness. No patient had delayed/non-union, sagittal/coronal/rotational mal-union, and deep infection. Partial weight bearing (PWB) started from 2<sup>nd</sup>/3<sup>rd</sup> day attaining full weight bearing (FWB) in 6-10 weeks<span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> ESIN with TENs appears logical and safe to obviate the inherent problems of conservative treatment, as ESIN is least invasive and allows early PWB/FWB leading to early independence of personal hygiene/toilet use with early social integration/return to school<span lang="EN-IN">.</span></p>

scholarly journals Repair of an open forearm fracture and extensive bony loss (case report)

2021 ◽  
Vol 27 (1) ◽  
pp. 87-91
Author(s):  
Sh.M. Davirov ◽  
◽  
P.U. Urinboev ◽  
Keyword(s):  
High Risk ◽  
Intramedullary Nailing ◽  
Forearm Fracture ◽  
Complete Recovery ◽  
Bony Defect ◽  
Fibular Graft ◽  
Comminuted Fracture ◽  
Soft Tissue Necrosis ◽  
Ilizarov Frame ◽  
Forearm Bones

Introduction Repair of a double open comminuted fracture of forearm bones with extensive bony loss is challenging due to a high risk of infection and the need to address a significant bony defect. Neither internal fixation nor open reduction could be considered due to substantial bone loss and severely impaired circulation with a high risk of soft tissue necrosis and infection. We report staged management of forearm fracture using avascular autologous graft to repair the defect and maintain the forearm length. Objective Demonstrate the successful management of the double open comminuted fracture of forearm bones with extensive bony loss using Ilizarov external fixation, classical autologous grafting harvested from fibula and intramedullary (IM) nailing. Results and discussion The limb was temporarily fixed with Ilizarov frame in an extra-focal manner. An autogenous fibular graft of 11 cm was used to fill in the gap. Intramedullary nailing of the radius and ulna was produced and ulnar defect was repaired with autogenous fibular graft. IM nails were removed once the bones consolidated. The limb function was completely regained, anatomical length of the segment maintained and metal constructs removed. Conclusion Combination of different bone fixation modalities, classical autografting technique and intramedullary nailing provided complete recovery of the broken limb maintaining the function and bringing down the risk of complications to ensure a good clinical result.

Plate osteosynthesis versus intramedullary nailing for both forearm bones fractures

2013 ◽  
Vol 24 (5) ◽  
pp. 769-776 ◽  
Author(s):  
Sang Ki Lee ◽  
Kap Jung Kim ◽  
Jae Won Lee ◽  
Won Sik Choy
Keyword(s):  
Intramedullary Nailing ◽  
Plate Osteosynthesis ◽  
Forearm Bones

Elastic intramedullary nail treatment of adolescent perihardware radius and ulna refracture

2021 ◽  
Vol 14 (1) ◽  
pp. e236098
Author(s):  
Carah M Griffin ◽  
Jeremy S Somerson
Keyword(s):  
Intramedullary Nailing ◽  
Intramedullary Nail ◽  
Plate Fixation ◽  
Forearm Fracture ◽  
Entire Length ◽  
Hardware Removal ◽  
Intramedullary Nails ◽  
Flexible Intramedullary Nailing ◽  
Additional Protection ◽  
Forearm Bones

A 13-year-old girl presented to the clinic with a midshaft refracture of both forearm bones adjacent to the site of a prior forearm fracture that had been treated with plating. She was treated with hardware removal and placement of elastic intramedullary nails. Flexible intramedullary nailing can be successful for a skeletally mature adolescent in treatment of refracture surrounding plate fixation of a midshaft forearm fracture. This technique allows for additional protection of the entire length of the affected bones, while avoiding the extensive dissection needed for extended plating.

COMPARATIVE ANALYSIS OF CLOSED REDUCTION AND EXPERT TIBIA NAILING WITH OPEN REDUCTION AND PLATE & SCREW FIXATION IN THE TREATMENT OF PROXIMAL TIBIA EXTRAARTICULAR FRACTURES

2018 ◽  
Author(s):  
Anil Pandey ◽  
Setul Shah ◽  
Deepak S Maravi ◽  
S Uikey
Keyword(s):  
Intramedullary Nailing ◽  
Closed Reduction ◽  
Proximal Tibia ◽  
Plate Fixation ◽  
Surgical Site Infections ◽  
Delayed Union ◽  
Large Sample Size ◽  
Multicentric Study ◽  
Group A ◽  
Group B

Introduction:- Extra-articular proximal tibial fractures account for 5–10 % of all tibial shaft fractures and it result from high-velocity trauma. Closed reduction with minimally invasive plating and locked intramedullary  nailing have been widely used for treatment of proximal tibia extraarticular fractures. Our pupose is to compare the pros and cons of these two methods. Materials and methods:- 22 patients were included in this study for a period of 2 years. Patients treated with IMN were kept in group A patients treated with percutaneus plating were kept in group B. Standard approach of nailing and plating were used and proper follow up were taken for next upcoming 1 year. Results:- Combined average age was 38years. Male were more commonly affected than female (13:8). Majority of fracture were of type A33. Operative time was < 2 hours in both groups. Less blood loss occurred during intramedullary nailing as compared to locking plate fixation. Surgical site infections (SSIs) were seen in two patients in the PTP group. Delayed union occurred in two patients in the IMN group. The average range of motion was 119.7(range 90-150, SD= 19.18) in group A and 115.2(range 80-150, SD = 17.28) in group B. Conclusion:- in treatment of proximal tibia extra articular fracture use of IMN and PTLCP gives comparable results. To validate this issue further a large sample size multicentric study is recommended   Key words: intramedullary nailing (IMN), Extraarticular tibialn fracture, Surgical site infection.

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