Elastic stable intramedullary nailing versus submuscular plating in pediatric diaphyseal femur fractures

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Deeptiman James ◽  
Dennis Martin ◽  
Anand Kumar ◽  
Srijeeth Krishnan ◽  
Abhay Gahukamble ◽  
...  
2020 ◽  
Vol 42 (2) ◽  
pp. 26-28
Author(s):  
Prawesh S Bhandari ◽  
Suresh Uprety

Introduction Elastic stable intramedullary nailing (ESIN) has been a common method of treatment of diaphyseal femur fracture in children. Though they are used in length stable fracture with favourable results, their use is debated in case of length unstable variants. The objective of the study was to evaluate outcome of these nails in length unstable diaphyseal femur fracture in children. MethodsWe retrospectively reviewed seven fractures in seven children treated with ESIN for functional outcome. ResultsTotal of seven patients with seven unstable femur fractures were studied. There was male predominance with 71.4%. The fracture united at a mean duration of 12 wks. The overall Flynn scoring showed 71.4 % excellent and 28.6 % satisfactory result. ConclusionElastic stable intramedullary nailing can be safely used in length unstable variant of femur fracture in children.


2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
Surjit Lidder ◽  
Nima Heidari ◽  
Florian Amerstorfer ◽  
Stephan Grechenig ◽  
Annelie M. Weinberg

Monteggia fractures are rare in children, and subtle radial head dislocations, with minor plastic deformation of the ulna, may be missed in up to a third of cases. Complications of Monteggia fractures-dislocations include persistent radial head dislocation, forearm deformity, elbow stiffness, and nerve palsies at the time of presentation. An unusual case of median nerve palsy following elastic stable intramedullary nailing of a type I Monteggia lesion in a 6-year-old girl is presented, and we highlight that, although most nerve palsies associated with a Monteggia fracture-dislocations are treated expectantly in children, early intervention here probably provided the best outcome.


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