scholarly journals Femoral shaft fractures in children with non-ambulatory neuromuscular disorders can be effectively treated using flexible intramedullary nails

2020 ◽  
Vol 14 (2) ◽  
pp. 132-138 ◽  
Author(s):  
Ali A. Siddiqui ◽  
Kenneth D. Illingworth ◽  
Oussama A. Abousamra ◽  
Erin M. Meisel ◽  
Robert M. Kay
Keyword(s):  
Neuromuscular Disorders ◽  
Femoral Shaft ◽  
Control Group ◽  
Angular Deformity ◽  
Intramedullary Nails ◽  
Femoral Shaft Fractures ◽  
Femur Fractures ◽  
Shaft Fractures ◽  
Fractures In Children ◽  
Flexible Intramedullary Nails

Purpose There is little information in the literature regarding flexible intramedullary nails (FIN) for treating femur fractures in children with neuromuscular disorders. The purpose of this study is to investigate the outcomes of FIN for femoral shaft fractures in non-ambulatory children with neuromuscular disorders. Methods A retrospective review was conducted on patients with femur fractures at a paediatric hospital between 2004 and 2018. Inclusion criteria were femoral shaft fracture treated with FIN. Outcomes were compared between patients with neuromuscular disorders (NM group) and a control group of those without neuromuscular disorders. Results A total of 37 patients with 37 femoral shaft fractures were studied (12 patients in the NM group and 25 in the control group). All NM group patients were non-ambulatory at baseline. Fractures were length stable in all 25 patients in the control group and in 2/12 (17%) patients in the NM group. All fractures healed in both groups. Three complications (all nail migrations) requiring reoperation before fracture union occurred in the NM group, yielding a major complication rate of 25% (3/12) in the NM group versus 0% (0/25) in controls (p = 0.03). Angular deformity occurred in 5/12 (42%) NM group patients and 1/25 (4%) control group patient (p = 0.009); none required reoperation. Conclusion Femur fractures in non-ambulatory children with neuromuscular disorders can be successfully treated with FIN. Angular deformities are common in this population, but had no functional impact in the non-ambulatory NM group patients. Surgeons must also be vigilant for implant prominence and skin breakdown in these patients. Level of evidence III

scholarly journals Flexible intramedullary nails: the panacea for paediatric femoral shaft fractures

2017 ◽  
Vol 3 (3) ◽  
pp. 411
Author(s):  
Jagdeep Singh ◽  
Jagandeep S. Virk ◽  
Anoop Kalia ◽  
Naveen Mittal
Keyword(s):  
Stainless Steel ◽  
Full Range ◽  
Femoral Shaft ◽  
Grey Zone ◽  
Age Group ◽  
Intramedullary Nails ◽  
Femoral Shaft Fractures ◽  
Femur Fractures ◽  
Shaft Fractures ◽  
Flexible Intramedullary Nails

<p class="abstract"><strong>Background:</strong> Management of pediatric femoral shaft fractures continues to evolve with time with flexible intramedullary nailing being one of the options to treat a specific age group of children. Grey zone exists concerning the cost effectiveness and appropriate timing of nail removal in treating such fractures. The objective of the study was<strong> </strong>to evaluate the treatment outcome of fracture shaft of the femur in children in the age group of 5- 12 years with flexible intramedullary nail<span lang="EN-IN">.</span></p><p class="abstract"><strong>Methods:</strong> The study comprised of 30 consecutive cases of acute fractures of the femoral shaft in children of the age group of 5 to 12 years. Only closed fractures of the mid-diaphyseal region of the femur were included while supracondylar, subtrochanteric and pathological fractures were excluded. Flexible intramedullary nails of stainless steel (n=24) or titanium (n=6) were used for fixation of these fractures.<strong></strong></p><p class="abstract"><strong>Results:</strong> Evaluation of the results was done according to the criteria by Flynn et al. 21(70%) out of 30 patients had an excellent result and remaining 9 (30%) had a satisfactory result. All fractures united with a full range of motion at the hip and knee joint without any major complications<span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Intramedullary elastic nailing of simple diaphyseal femur fractures in children is an effective method with negligible complications. Treatment cost can be significantly lowered by using the much cheaper stainless steel flexible nails rather than the more expensive titanium nails.</span></p>

Social and Economic Benefits of Flexible Intramedullary Nails in the Treatment of Pediatric Femoral Shaft Fractures

Orthopedics ◽  
2002 ◽  
Vol 25 (10) ◽  
pp. 1067-1070
Author(s):  
Justin Greisberg ◽  
Mary J Bliss ◽  
Craig P Eberson ◽  
Patricia Solga ◽  
Charles d'Amato
Keyword(s):  
Femoral Shaft ◽  
Economic Benefits ◽  
Intramedullary Nails ◽  
Femoral Shaft Fractures ◽  
Shaft Fractures ◽  
Flexible Intramedullary Nails

Correction Angular Deformity & Evaluation of Overgrowth for Femoral Shaft Fractures in Children

1998 ◽  
Vol 11 (1) ◽  
pp. 123
Author(s):  
Chung Nam Kang ◽  
Jong Oh Kim ◽  
Dong Wook Kim ◽  
Young Do Koh ◽  
Jae Doo You ◽  
...  
Keyword(s):  
Femoral Shaft ◽  
Angular Deformity ◽  
Femoral Shaft Fractures ◽  
Shaft Fractures ◽  
Fractures In Children

scholarly journals TENS for the surgical management of femoral shaft fractures in 6-14 years age group children

2017 ◽  
Vol 5 (2) ◽  
pp. 13-21
Author(s):  
Mohit Khanna ◽  
Jitendra Wadhwani ◽  
Amit Batra ◽  
Sidharth Yadav ◽  
Sarfraz Iman ◽  
...  
Keyword(s):  
Prospective Study ◽  
Weight Bearing ◽  
Femoral Shaft ◽  
Full Weight Bearing ◽  
External Fixators ◽  
Age Group ◽  
Femoral Shaft Fractures ◽  
Femur Fractures ◽  
Shaft Fractures ◽  
Fractures In Children

Background. Fracture shaft of femur in pediatric age group is one of the most common leading emergencies. Children in the age group of 6-14 years are treated with either traction, hip spica, flexible/elastic stable retrograde intramedullary nail, or external fixators. We conducted a clinical prospective study on the use of Titanium Elastic Nailing System (TENS) for the treatment of femoral shaft fractures in children. Methods. The prospective study included 45 cases of fresh femoral shaft fractures. The Inclusion Criteria were a) Age group of 6-14 years, b) Recent fracture of femur shaft c) Transverse, short oblique, minimally comminuted fractures. Results. The clinical results were evaluated using Flynn’s criteria of scoring as, Excellent in 40 patients (88.89 %), Satisfactory in 5 patients (11.12 %) and poor in none. Radiological criteria for fracture union were assessed by using Anthony et al scale. Nine patients developed bursitis at entry point of the nail. Three patients had superficial infection due to bursitis. Full weight bearing was possible in mean time of 8.7 weeks (range; 7-12 weeks). Conclusion. TENS is very effective in management of paediatric shaft femur fractures in the age group of 6-14 years with advantages of early union, early mobilization and manageable complications.

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