Minimally Invasive Intramedullary Nailing of Midshaft Clavicular Fractures Using Titanium Elastic Nails

2008 ◽  
Vol 64 (6) ◽  
pp. 1528-1534 ◽  
Author(s):  
Marcus Mueller ◽  
Christoph Rangger ◽  
Nadine Striepens ◽  
Christof Burger
Keyword(s):  
Minimally Invasive ◽  
Intramedullary Nailing ◽  
Elastic Nails

scholarly journals Elastic stable intramedullary nailing for fractures in children – principles, indications, surgical technique

2014 ◽  
Vol 87 (2) ◽  
pp. 91-94 ◽  
Author(s):  
Dana Elena Vasilescu ◽  
Dan Cosma
Keyword(s):  
Surgical Technique ◽  
Minimally Invasive ◽  
Intramedullary Nailing ◽  
Elastic System ◽  
Fracture Site ◽  
Medullary Canal ◽  
Elastic Stable Intramedullary Nailing ◽  
Invasive Technique ◽  
Fractures In Children ◽  
Elastic Nails

Elastic stable intramedullary nailing (ESIN) is a minimally invasive technique. According to this technique, two elastic nails are introduced through the metaphysis into the medullary canal, are advanced through the fracture site and impacted into the opposite metaphysis. These nails are preformed in a C-shaped manner, which allows for their precise orientation and the creation of an elastic system that resists deformation.

Minimally Invasive Fixation of Displaced Midclavicular Fractures With Titanium Elastic Nails

2010 ◽  
Vol 24 (4) ◽  
pp. 217-223 ◽  
Author(s):  
Ping-Cheng Liu ◽  
Song-Hsiung Chien ◽  
Jian-Chih Chen ◽  
Chih-Hsin Hsieh ◽  
Pei-His Chou ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Elastic Nails ◽  
Minimally Invasive Fixation

scholarly journals Functional Outcome of Intramedullary Nailing with Rush Pin for Pediatric Both Bone Fractures of Forearm in Western Hilly Nepal

2017 ◽  
Vol 5 (1) ◽  
pp. 23
Author(s):  
Rahul Shrestha ◽  
Subin Byanjankar ◽  
Rajeev Dwivedi ◽  
Ruban Raj Joshi ◽  
Mahesh Raj Ghimire
Keyword(s):  
Functional Outcome ◽  
Intramedullary Nailing ◽  
Bone Fractures ◽  
Low Cost ◽  
Major Complication ◽  
Western World ◽  
Chi Square ◽  
Significant Difference ◽  
Elastic Nails ◽  
Mean Time

Introduction: Both bone diaphysis fracture of forearm is common in children of hilly area in Nepal because the children climbs tree and cliff for playing and cutting grass. Close reduction and casting is the preferred method of treatment these fractures but the chances of re-displacement is very high. Intramedullary nailing with titanium elastic nails or rush pins is widely accepted these days with good outcome. Titanium nails are popular in western world but is costly whereas rush pins are cheap and are preferred in developing world. The aim of this study was to evaluate the functional outcome of intramedullary rush pin for pediatric both bone fracture of forearm. Methods: In this retrospective, observational study done from 1st of February 2017 to 31st of March 2017, a total of sixty patients with both bone fractures of forearm were treated with intramedullary rush pin and followed up for six months for evaluation of functional outcome. T-test and Chi-square tests were done. Results: Closed reduction and internal fixation was done in 48 (80%) patients. Mean age of the patients was 9.23 year (SD=2.77). Fifty-six (93.3%) patients were male with a significant difference (p<0.001). With price et al. grading system, 49 (81.7%) patients had excellent results, nine (15%) had good and two (3.3%) patients had fair results. There was no major complication. Mean time to implant removal was 24.16 weeks (SD=1.62) from the time of surgery with range of 20 to 28 weeks. Among transverse and oblique fractures, patients with transverse fracture were likely to have better outcome (p=0.04). Conclusion: Intramedullary nailing with rush pin gives excellent to good functional outcome in majority of the cases without major complications at low cost for management of both bone fractures of forearm in children.

Operative Management of Distal Tibial Extra-articular Fractures – Intramedullary Nail Versus Minimally Invasive Percutaneous Plate Osteosynthesis

2017 ◽  
Vol 19 (6) ◽  
pp. 537-541 ◽  
Author(s):  
Iftikhar H. Wani ◽  
Naseem ul Gani ◽  
Mohammad Yaseen ◽  
Adil Bashir ◽  
Mohammad Shahid Bhat ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Intramedullary Nailing ◽  
Callus Formation ◽  
Plate Osteosynthesis ◽  
Controlled Study ◽  
Articular Fractures ◽  
Foot Function Index ◽  
Function Index ◽  
Foot Function ◽  
One Year

Background. The ideal treatment of distal tibial extra articular fractures remains controversial. Minimally invasive percutaneous plate osteosynthesis and intramedullary nailing are the two most commonly used methods. We did a prospective randomized controlled study to assess the functional outcome of distal tibial extra articular tibial fractures by comparing these treatment methods. Materials and methods. Sixty patients with distal tibial extra articular fractures were randomly assigned to an IMN (intramedullary nailing) group and a MIPPO (minimally invasive percutaneous plate osteosynthesis) group. All patients were followed up for a period of one year. At final follow-up, clinical and radiological outcome was assessed by foot function index. Malunion, infection, implant removal, time to union and secondary interventions were compared between the two groups. The comparison of continuous variables was performed by using the Student t-test or Mann-Whitney U test in accordance with normality testing. A value of p less than 0.05 was considered statistically significant. Results. All patients were followed up for a period of one year. Time to callus formation was equal in both groups. There was no non-union in our series. Malunion was more common in the nailing group. The foot function index was similar in both groups. Conclusion. MIPPO and intramedullary nailing are effective treatment options in the management of distal tibial extra particular fractures, with comparable functional outcomes.

scholarly journals A Comparative Study of Intramedullary Nailing and Minimally Invasive Percutaneous Plate Osteosynthesis for Type A Tibial Fracture Healing

2020 ◽  
Vol 2 (3) ◽  
pp. 14-19
Author(s):  
Jianjun Huang ◽  
Songsen Su ◽  
Yongqing Liu ◽  
Haibin Yu
Keyword(s):  
Minimally Invasive ◽  
Fracture Healing ◽  
Intramedullary Nailing ◽  
Tibial Fracture ◽  
Callus Formation ◽  
Plate Osteosynthesis ◽  
Operation Time ◽  
Type A ◽  
Healing Time ◽  
Formation Time

Objective This study aimed to retrospectively compare the efficacy of intramedullary nailing and minimally invasive percutaneous plate osteosynthesis (MIPPO) on the fracture healing of patients with type A tibial fractures. Methods Patients who had been diagnosed with type A tibial fracture (AO classification method) and treated with minimally invasive surgery in our hospital from January 2016 to January 2019 were included in the study. There were 21 patients in the MIPPO group and 27 patients in the intramedullary nailing group. The operation time, intraoperative blood loss, surgical incision length, callus formation time, and fracture healing time of the two groups were analyzed and compared. Results In the intramedullary nailing group, the callus formation time and the fracture healing time were shorter than those in the MIPPO group (P<0.005). Their operation time, intraoperative blood loss, and the surgical incision length were comparable between the two groups. Conclusions For patients with type A tibial fracture and poor wound tissue conditions, intramedullary nailing fixation treatment may be a better choice than MIPPO. Because in patients receiving intramedullary nailing treatment, the callus formation time and fracture healing time are short, and functional exercises can be performed soon after the surgery, which can reduce the occurrence of related complications.

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