The Use of Pediatric Flexible Intramedullary Nails for Minimally Invasive Fibular Fracture Fixation

2018 ◽  
Vol 57 (4) ◽  
pp. 844-849
Author(s):  
James C. Connors ◽  
Mark A. Hardy ◽  
Duane J. Ehredt ◽  
Michael A. Coyer
Keyword(s):  
Minimally Invasive ◽  
Fracture Fixation ◽  
Intramedullary Nails ◽  
Fibular Fracture ◽  
Flexible Intramedullary Nails

scholarly journals MRI evaluation of axillary neurovascular bundle: Implications for minimally invasive proximal humerus fracture fixation

2021 ◽  
Vol 5 (2) ◽  
pp. 205-211
Author(s):  
Eric B. Wilkinson ◽  
Johnathan F. Williams ◽  
Kyle D. Paul ◽  
Jun Kit He ◽  
Justin R. Hutto ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Fracture Fixation ◽  
Proximal Humerus Fracture ◽  
Proximal Humerus ◽  
Neurovascular Bundle ◽  
Humerus Fracture ◽  
Mri Evaluation

Fish-Mouth Thoracic Fracture Fixation with Minimally Invasive Percutaneous Reduction: A Technical Note

2019 ◽  
Vol 122 ◽  
pp. 106-111
Author(s):  
Chester J. Donnally ◽  
Karthik Madhavan ◽  
Julian G. Lugo-Pico ◽  
Lee Onn Chieng ◽  
Steven Vanni
Keyword(s):  
Minimally Invasive ◽  
Fracture Fixation ◽  
Technical Note ◽  
Percutaneous Reduction

Clinical comparison of two plate systems for distal fibular fracture fixation

2017 ◽  
Vol 23 ◽  
pp. 36-37
Author(s):  
Y.C. Kim ◽  
C.J. Park ◽  
C.W. Lee ◽  
J.H. Ahn
Keyword(s):  
Fracture Fixation ◽  
Clinical Comparison ◽  
Fibular Fracture

Fracture Fixation

2019 ◽  
pp. 130-133
Author(s):  
Jack Porrino ◽  
Alvin R. Wyatt
Keyword(s):  
Internal Fixation ◽  
External Fixator ◽  
Fracture Fixation ◽  
Surgical Intervention ◽  
Operative Intervention ◽  
Intramedullary Nails ◽  
Early Mobility ◽  
Fast Healing ◽  
And Function

Chapter 27 discusses fracture fixation. Although many fractures are managed nonoperatively, others require various forms of surgical intervention. Fracture fixation can be conservative or surgical. The goal is to stabilize the fractured bone, enable fast healing, and return early mobility and function of the injured extremity. Orthopedic hardware permits stabilization of the fractured bone, expediting healing and early mobility. Percutaneous pins and wires can be used to apply traction to a fracture. External and internal fixation are used when more advanced operative intervention is required and encompass external fixator devices, pins/wires, screws, plates, and intramedullary nails/rods. Hardware is unfortunately susceptible to complication, including loosening, migration, fracture, and infection.

scholarly journals Can flexible intramedullary nails provide proper fixation of long bone fractures in patients weighing over 100 pounds?

2019 ◽  
Vol 26 (1) ◽  
pp. 9-13
Author(s):  
David B. Frumberg ◽  
Devan J. Van Lanen-Wanek ◽  
Julio J. Jauregui ◽  
Vidushan Nadarajah ◽  
Emmanuel M. Illical
Keyword(s):  
Bone Fractures ◽  
Major Complication ◽  
Tibial Fractures ◽  
Control Group ◽  
Study Group ◽  
Intramedullary Nails ◽  
Biomechanical Models ◽  
Paediatric Patients ◽  
Select Group ◽  
Flexible Intramedullary Nails

Purpose: Length stable diaphyseal femur and tibial shaft fractures in paediatric patients may be fixed with flexible intramedullary nails (FINs) in selected paediatric patients. Previous studies based on biomechanical models have suggested that the forces of gait may overcome the stability of this construct in patients weighing more than 45 kg. Surgeons occasionally use FINs for fixation in patients outside this limit. The purpose of this study was to evaluate whether FINs could be used in paediatric patients weighing over 45 kg without increasing the rate of complications. Methods: A retrospective cohort review was performed for 12 patients weighing over 45 kg with femoral or tibial fractures treated with FINs, matched 1:2 for gender and bone type with 24 patients weighing less than 45 kg; also with femoral or tibial fractures treated with FINs over the same period. Results: There was no significant differences in rate of major complication or increases in angulation between the study and control group. The study group had major complication (8.3%) of hypertrophic nonunion in the tibia, and the control group had one major complication (4.2%) of increased anterior bowing in the femur. The odds ratio of developing a major complication in the study group was 2:1 which was not significant (p = 0.06). Conclusions: FINs can be considered as a treatment option for fixation of femoral and tibial fractures in a select group of paediatric patients weighing more than 45 kg. Clinical and functional outcomes measurements in larger sample sizes are needed before making any definitive conclusions.

An Adjustable-Length Intramedullary Nail: Development and Mechanical Evaluation in Cervine Tibiae

2015 ◽  
Vol 9 (2) ◽  
Author(s):  
Alexander D. W. Throop ◽  
Alexander Martin Clark ◽  
Laurel Kuxhaus
Keyword(s):  
Patient Outcomes ◽  
Axial Compression ◽  
Intramedullary Nail ◽  
Fracture Fixation ◽  
Gold Standard ◽  
Torsional Stiffness ◽  
Clinical Use ◽  
Intramedullary Nails ◽  
Four Point Bending ◽  
Wide Range

Intramedullary nails are the gold standard of fracture fixation, yet problems can still arise due to their manufacture in discrete lengths. Patient outcomes are less favorable when implanted with an improper length nail, and the wide range of discrete length options can increase the size hospital inventory. Prototypes of adjustable-length intramedullary nails were developed and tested in axial compression, torsion, and four-point bending. These prototypes are comparable to conventional nails in axial and bending stiffness. The torsional stiffness of the prototypes is less than that of conventional nails, but may be sufficient for clinical use.

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