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.

scholarly journals Elastic stable intramedullary nailing for fractures in children – specific applications

2014 ◽  
Vol 87 (3) ◽  
pp. 147-151 ◽  
Author(s):  
Dan Cosma ◽  
Dana Elena Vasilescu
Keyword(s):  
Minimally Invasive ◽  
Intramedullary Nailing ◽  
Healing Process ◽  
Plaster Cast ◽  
Fracture Site ◽  
Elastic Stable Intramedullary Nailing ◽  
Minimally Invasive Technique ◽  
Invasive Technique ◽  
Cast Immobilization ◽  
Fractures In Children

Elastic stable intramedullary nailing (ESIN) is a new minimally invasive technique for the treatment of pediatric fractures. It approximates the physiological healing process of bone, without opening the fracture site. Also, the operative stress is minimal because of the minimally invasive nature of the procedure, and the volume of implants is small, offering a very good stability without plaster cast immobilization.

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 Results of a novel surgical technique for iridodialysis repair using segments

2021 ◽  
Author(s):  
Ugur Unsal ◽  
Huri Sabur ◽  
Mehmet Soyler
Keyword(s):  
Surgical Technique ◽  
Minimally Invasive ◽  
Clinical Results ◽  
Study Data ◽  
Invasive Technique ◽  
Minimally Invasive Surgical ◽  
Corrected Distance Visual Acuity ◽  
History Of ◽  
Surgical Manipulation

Abstract Purpose: To describe a novel surgical technique for iridodialysis repair using iris retractor segments and report its clinical results.Methods: 53 eyes of 53 patients who underwent surgery for iridodialysis repair were enrolled in this retrospective study. Data recorded from patient files consisted of age, sex, history of trauma, surgical indications and type of surgery, preoperative and postoperative corrected distance visual acuity (CDVA), intraocular pressure (IOP), complications, and follow-up time. The novel, minimally invasive surgical technique was explicitly described in detail.Results: Mean follow-up time was 34.4 (range 12-84) months. The subjects were 29 (54.7%) men and 26 (45.3%) women, and the mean age was 56.6±14.0 years. Iridodialysis repair performed using one segment in 37 (69.8%) eyes, two segments in 15 (28.3%) eyes, and three segments in 1 (1.9%) eye. Pupilloplasty was performed in 17 eyes due to wide pupil diameter. The iridodialysis repair was combined with lens removal in 48 eyes, and anterior vitrectomy was performed in 10 eyes. CDVA significantly improved after surgery (p<0.001). Post-traumatic IOP rise was the most common complication, and six patients needed medical therapy for glaucoma control.Conclusion: Iridodialysis repair using iris retractor segment is a minimally invasive technique and found to be safe and effective, providing less surgical manipulation and surgical time than other techniques.

Titanium Elastic Nails for Distal Radius-ulna Fractures in Young Dogs

2021 ◽  
Author(s):  
Harmanpreet Singh Sodhi ◽  
Ashwani Kumar ◽  
Arun Anand ◽  
Vandana Sangwan ◽  
Dhiraj Kumar Gupta
Keyword(s):  
Distal Radius ◽  
Bone Fractures ◽  
Weight Bearing ◽  
Medullary Canal ◽  
Long Term Results ◽  
Long Bone ◽  
Uneventful Recovery ◽  
Fractures In Children ◽  
Ulna Fractures ◽  
Elastic Nails

Background: Radius-ulna is the most frequently fractured bone of the pectoral limb in dogs with high predisposition to distal fractures. The smaller size of the distal fragment and open physis restrict the use of rigid fracture fixation techniques in distal fractures of growing dogs. Titanium elastic nails (TENs) are recommended in medical practice to stabilize long bone fractures in children. There is paucity of literature on TENs for the repair of radius-ulna fractures in dogs. Methods: This clinical study enrolled 10 dogs (7 grey hound and one each of Crossbred, Pomerenarian and Siberian Husky) suffering from distal radius-ulna (6 transverse and 4 short oblique) fractures since a mean ± SD duration of 3.40±4.5 days. The mean ± SD age and body weight of the dogs was 12.60±6.45 months and 14.09±6.41 Kg, respectively. All except one fracture was stabilized with two TENs inserted into the medullary canal of radial bone in a normograde manner from distal to proximal end using open cranio-lateral surgical approach. Result: Majority fractures achieved satisfactory reduction (n=8), radiographically. Weight bearing scores on walking increased gradually from day 12 (1.62 ± 1.51) to 45th (2.57±1.51), day 60th (3.75±0.5) and day 90 (4.0±0). Five dogs had uneventful recovery whereas remaining had major (n=2) or minor (n=3) complications. The length of the operated bone was non-significantly lesser as compared to contralateral healthy bone on day 60. Goniometric assessment of carpal joint of operated limb showed restricted range of motion on day 12 that improved to the near normal as contralateral healthy limb on day 60. Long-term results showed full (9) and acceptable (1) functional outcome. In conclusions, the TENs technique is simple and less invasive alternative fixation technique for distal radius-ulna fractures in young and light weighing dogs. As per authors, this is the first report on the use of TENs for the management of radius-ulna fracture in dogs.

scholarly journals Comparison between Conventional and Minimally Invasive Dynamic Hip Screws for Fixation of Intertrochanteric Fractures of the Femur

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
A. Mahmood ◽  
M. Kalra ◽  
M. K. Patralekh
Keyword(s):  
Surgical Technique ◽  
Minimally Invasive ◽  
Early Mobilization ◽  
Dynamic Hip Screw ◽  
Minimally Invasive Technique ◽  
Invasive Technique ◽  
Intertrochanteric Fractures ◽  
Tissue Destruction ◽  
Side Plate ◽  
Hip Screw

Background. Intertrochanteric fractures of the proximal femur are one of the most common fractures encountered, and dynamic hip screw with a side plate is the standard treatment. We compared a minimally invasive surgical technique with the conventional surgical technique used in the fixation of intertrochanteric fractures with the dynamic hip screw (DHS) device. Methods. Thirty patients with such fractures were treated with the conventional open technique and 30 with a new minimally invasive technique. Patients in both groups were followed up for 1 year. Results. There was less blood loss, minimal soft tissue destruction, shorter hospital stay, and early mobilization with the minimally invasive technique. Conclusion. The present study finds minimally invasive technique superior to conventional (open) DHS.

scholarly journals Feasibility of novel transapical off pump beating heart mitral valve repair in a patient with dextrocardia and situs inversus

2020 ◽  
Vol 58 (2) ◽  
pp. 392-394
Author(s):  
Inderjeet Bhatia ◽  
Daniel Tai-Leung Chan ◽  
Simon Chi-Cheung Lam ◽  
Timmy Wing-Kuk Au
Keyword(s):  
Mitral Valve ◽  
Surgical Technique ◽  
Minimally Invasive ◽  
Mitral Valve Repair ◽  
Situs Inversus ◽  
Beating Heart ◽  
Invasive Technique ◽  
Valve Repair ◽  
Off Pump ◽  
Mitral Repair

Abstract We present a case to demonstrate the feasibility of transapical beating heart mitral valve repair in a patient with dextrocardia. This minimally invasive technique provides simple, safe and satisfactory mitral repair. The surgical technique, outcome and prognosis are not affected by the condition.

Outcomes and complications of elastic stable intramedullary nailing for forearm fractures in children

2005 ◽  
Vol 14 (5) ◽  
pp. 375-380 ◽  
Author(s):  
Axel Jubel ◽  
Jonas Andermahr ◽  
Jörg Isenberg ◽  
Arash Issavand ◽  
Axel Prokop ◽  
...  
Keyword(s):  
Intramedullary Nailing ◽  
Elastic Stable Intramedullary Nailing ◽  
Forearm Fractures ◽  
Fractures In Children
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