scholarly journals Pediatric long bone fractures treated by elastic intramedullary nailing

2021 ◽  
Vol 7 (6) ◽  
pp. 1095
Author(s):  
Manoj P. Gupta ◽  
Lokraj Chaurasia ◽  
Sanjeet Kumar Jha
Keyword(s):  
Intramedullary Nailing ◽  
Intramedullary Nail ◽  
Medical Records ◽  
Bone Fractures ◽  
Long Bone ◽  
High Morbidity ◽  
Long Bone Fractures ◽  
The Mean ◽  
Elastic Intramedullary Nailing ◽  
Mean Time

<p class="abstract"><strong>Background:</strong> Pediatric long bone fractures can have a high morbidity and long term disability among the survivors. The present study was aimed to study the clinical outcomes of children with long bone fractures managed by elastic intramedullary nail.</p><p class="abstract"><strong>Methods:</strong> We retrospectively reviewed the medical records of children (aged 2 to 15 years) who were admitted and treated for unilateral femoral, tibial or forearm fractures with elastic intramedullary nail from January 2018 till February 2020. All were managed with elastic intramedullary nailing. The union times and complications were noted from the medical records.<strong></strong></p><p class="abstract"><strong>Results:</strong> Femoral, tibial and forearm bones were involved in 15 patients each (33.3%). Road traffic accident was reported by 31%) and physical abuse by one case (2%). The mean time of union was 10 weeks, ranging from 6 to 12 weeks. The mean time for union of the femur and tibia was 11.54 and 11.34 weeks respectively. It was significantly lower for forearm (6.67 weeks, p value &lt;0.05). Two patients reported of bursitis and impingement, which were resolved after nail removal. One case had limb length discrepancy of about 0.5 cm in femur fracture, which was not impairing functional activity. Functional status was assessed based on Flynn criteria was found to be excellent in 36%, good in 44% and fair in 20%.</p><p class="abstract"><strong>Conclusions:</strong> The results of the present study show that titanium elastic nail (TEN) is an effective treatment modality for managing pediatric long bone fractures. We recommend the use of TEN in managing long bone fractures in children.</p>

scholarly journals Our experience with percutaneous autologous bone marrow injection in the management of delayed and nonunion of long bone fractures

2018 ◽  
Vol 4 (2) ◽  
pp. 291
Author(s):  
Yeshwanth Subash
Keyword(s):  
Bone Marrow ◽  
Bone Fractures ◽  
Autologous Bone Marrow ◽  
Functional Results ◽  
Long Bone ◽  
Female Ratio ◽  
Long Bone Fractures ◽  
The Mean ◽  
Autologous Bone ◽  
Mean Time

<p class="abstract"><strong>Background:</strong> Various modalities of treatment are available for the management of delayed and nonunion of long bone fractures. The aim of this study was to evaluate the role of percutaneous autologous bone marrow injection in the management of these fractures and to compare the results with studies of other authors as available in literature<span lang="EN-IN">.</span></p><p class="abstract"><strong>Methods:</strong> 15 patients with delayed and nonunion of long bone fractures were studied between January 2013 to January 2015 and were followed up for a period of 1 year. The patients were clinically and radiologically evaluated at regular time intervals at follow up.<strong></strong></p><p class="abstract"><strong>Results:</strong> The age of the patients ranged from 28 to 60 years with the mean age being 44.2 years. There was a male preponderance in our study with the male to female ratio being 2:1. The left side was more commonly affected as compared to the right. The mean time to radiological appearance of callus was 6.4 weeks. The mean time to clinical union was 7.33 weeks while the mean time to radiologic union was 13.4 weeks. We had a union rate of 93.3% in our series with one fracture going in for failure of union<span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> Percutaneous autologous bone marrow injection is a minimally invasive, safe and cost effective option in the management of delayed and nonunion of long bone fractures and gives good functional results<span lang="EN-IN">.</span></p>

SECONDARY INTRAMEDULLARY NAILING OF OPEN LOWER EXTREMITY LONG BONE FRACTURES AFTER EXTERNAL FIXATION

1993 ◽  
Vol 86 (Supplement) ◽  
pp. 80
Author(s):  
Thomas Calton ◽  
Stephen L. Henry ◽  
Zack Stearns ◽  
David Seligson
Keyword(s):  
Lower Extremity ◽  
External Fixation ◽  
Intramedullary Nailing ◽  
Bone Fractures ◽  
Long Bone ◽  
Long Bone Fractures

scholarly journals Outcome of shaft fractures among children treated with elastic stable intramedullary nailing

2020 ◽  
Vol 8 (5) ◽  
pp. 1662
Author(s):  
Mahmood Ahmad ◽  
Tahir El Tahir ◽  
Saba Ahmad ◽  
Umair Ahmad
Keyword(s):  
Intramedullary Nailing ◽  
Bone Fractures ◽  
Elastic Stable Intramedullary Nailing ◽  
Postoperative Treatment ◽  
Long Bone ◽  
Bony Union ◽  
Orthopedic Injury ◽  
Long Bone Fractures ◽  
Shaft Fractures ◽  
Fractures In Children

Background: Long bone fractures are frequent occurrence among children and considered a frequent pediatric orthopedic injury requiring hospitalization. Authors aimed to retrospectively analyze the outcome of fixation of long bone fractures with elastic stable intramedullary nailing (ESIN) among children and adolescents.Methods: From 2010 to 2018, ESIN was performed on 128 children aged 2 to 17 years having single shaft fractures of long bones. The data related to associated injuries, postoperative complications, postoperative treatment, till bony union or removal of rods, mal-union, functional deficit, need for secondary surgical intervention and subjective complaints at follow-up originated from postoperative clinical and radiological consultations carried out regularly. The primary end points were time of complete radiological union or removal of rods.Results: The mean age at the time of accident was 9.5 years. There were 37 (28.9%) femoral fractures, 16 (12.5%) of the lower leg, 51 (39.8%) fractures of radius/ulna and 24 (18.8%) of the humerus. In 2 (2.3%) children, reoperation was necessary due to prominent ends of elastic rods and 6 (4.7%) had early removal of rods due to same reasons. End point of the study, removal of rods noted in 126 (82.8%), radiological evidence of union in 7 (5.5%) and 15 (11.7%) cases were lost at follow-up.Conclusions: ESIN fixation of diaphyseal fractures in children and adolescents is safe. ESIN was found to be minimally invasive method, noted to produce excellent functional as well as cosmetic outcomes.

scholarly journals Evaluation of surgical fixation of paediatric diaphyseal long bone fractures in lower limb with elastic stable intramedullary nailing (Esin)

2017 ◽  
Vol 3 (4g) ◽  
pp. 501-504
Author(s):  
Dr. Kamal Kumar Arora ◽  
Dr. Simranjit Singh ◽  
Dr. Priti Chaudhary ◽  
Dr. Rajesh Kapila ◽  
Dr. Rajan Sharma ◽  
...  
Keyword(s):  
Intramedullary Nailing ◽  
Lower Limb ◽  
Bone Fractures ◽  
Elastic Stable Intramedullary Nailing ◽  
Long Bone ◽  
Long Bone Fractures ◽  
Surgical Fixation

Principles of intramedullary nailing

2011 ◽  
Author(s):  
David Noyes ◽  
John McMaster
Keyword(s):  
Intramedullary Nailing ◽  
Bone Fractures ◽  
Long Bone ◽  
Trauma Surgeon ◽  
Long Bone Fractures

♦ Intramedullary nailing provides the trauma surgeon with a biologic solution to the stabilization of both simple and complex long bone fractures♦ An appreciation of the biomechanics and the technical difficulties is essential.

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