scholarly journals Flexible Intramedullary Nailing of Pediatric Femoral Fractures

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Joshua S. Murphy ◽  
Ryan Koehler ◽  
Megan Johnson ◽  
Pooya Hosseinzadeh
Keyword(s):  
Intramedullary Nailing ◽  
Femoral Fractures ◽  
Flexible Intramedullary Nailing

Treatment of femoral fractures in children aged two to six

2020 ◽  
Vol 102-B (8) ◽  
pp. 1056-1061 ◽  
Author(s):  
J. Eric Gordon ◽  
John T. Anderson ◽  
Perry L. Schoenecker ◽  
Matthew B. Dobbs ◽  
Scott J. Luhmann ◽  
...  
Keyword(s):  
Intramedullary Nailing ◽  
Femoral Fractures ◽  
Age Group ◽  
Spica Casting ◽  
Flexible Intramedullary Nailing ◽  
Fractures In Children ◽  
Significant Difference ◽  
The Family ◽  
Intramedullary Stabilization ◽  
The Mean

Aims Current American Academy of Orthopaedic Surgeons (AAOS) guidelines for treating femoral fractures in children aged two to six years recommend early spica casting although some individuals have recommended intramedullary stabilization in this age group. The purpose of this study was to compare the treatment and family burden of care of spica casting and flexible intramedullary nailing in this age group. Methods Patients aged two to six years old with acute, non-pathological femur fractures were prospectively enrolled at one of three tertiary children’s hospitals. Either early closed reduction with spica cast application or flexible intramedullary nailing was accomplished under general anaesthesia. The treatment method was selected after discussion of the options by the surgeon with the family. Data were prospectively collected on patient demographics, fracture characteristics, complications, pain medication, and union. The Impact on Family Scale was obtained at the six-week follow-up visit. In all, 75 patients were included in the study: 39 in the spica group and 36 in the nailing group. The mean age of the spica group was 2.71 (2.0 to 6.9) years and the mean age of the nailing group was 3.16 (2.0 to 6.9) years. Results All fractures healed without evidence of malunion or more than 2.0 cm of shortening. The mean Impact on Family score was 70.2 for the spica group and 63.2 (55 to 99) for the nailing group, a statistically significant difference (p = 0.024) in a univariate analysis suggesting less impairment of the family in the intramedullary nailing group. There was no significant difference between pain medication requirements in the first 24 hours postoperatively. Two patients in the spica group and one patient in the intramedullary nailing group required additional treatment under anaesthesia. Conclusion Both early spica casting and intramedullary nailing were effective methods for treating femoral fractures in children two to six years of age. Intramedullary stabilization provides an option in this age group that may be advantageous in some social situations that depend on the child’s mobility. Fracture treatment should be individualized based on factors that extend beyond anatomical and biological factors. Cite this article: Bone Joint J 2020;102-B(8):1056–1061.

Flexible Intramedullary Nailing for Femoral Fractures

1989 ◽  
Vol 24 (3) ◽  
pp. 750
Author(s):  
Chang Uk Choi ◽  
Hee Soo Choi ◽  
Young Ho Kim ◽  
Min Ku Lee
Keyword(s):  
Intramedullary Nailing ◽  
Femoral Fractures ◽  
Flexible Intramedullary Nailing

scholarly journals Flexible intramedullary nailing in paediatric femoral fractures. A report of 73 cases

2011 ◽  
Vol 6 (1) ◽  
pp. 64 ◽  
Author(s):  
Ramprakash Lohiya ◽  
Vikas Bachhal ◽  
Usman Khan ◽  
Deepak Kumar ◽  
Vishwapriya Vijayvargiya ◽  
...  
Keyword(s):  
Intramedullary Nailing ◽  
Femoral Fractures ◽  
Flexible Intramedullary Nailing

scholarly journals Flexible intramedullary nailing for distal femoral fractures in patients with myopathies

2012 ◽  
Vol 6 (2) ◽  
pp. 119-123 ◽  
Author(s):  
Hanspeter Huber ◽  
Guillaume André ◽  
Francine Rumeau ◽  
Pierre Journeau ◽  
Thierry Haumont ◽  
...  
Keyword(s):  
Intramedullary Nailing ◽  
Femoral Fractures ◽  
Distal Femoral Fractures ◽  
Flexible Intramedullary Nailing

scholarly journals Retrograde flexible intramedullary nailing in children's femoral fractures

2002 ◽  
Vol 26 (1) ◽  
pp. 52-55 ◽  
Author(s):  
Chang-Wug Oh ◽  
Byung-Chul Park ◽  
Poong-Taek Kim ◽  
Hee-Soo Kyung ◽  
Sung-Jung Kim ◽  
...  
Keyword(s):  
Intramedullary Nailing ◽  
Femoral Fractures ◽  
Flexible Intramedullary Nailing

scholarly journals Flexible intramedullary nailing for supracondylar femoral fractures in children with Duchenne muscular dystrophy

2020 ◽  
Vol 21 ◽  
Author(s):  
Marco Distefano ◽  
Camilla Bettuzzi ◽  
Giada Salvatori ◽  
Giovanna Cristella ◽  
Caterina Novella Abati ◽  
...  
Keyword(s):  
Duchenne Muscular Dystrophy ◽  
Muscular Dystrophy ◽  
Intramedullary Nailing ◽  
Femoral Fractures ◽  
Flexible Intramedullary Nailing ◽  
Fractures In Children ◽  
Supracondylar Femoral Fractures

Flexible intramedullary nailing of femoral shaft fractures

2019 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Spencer M. Richardson ◽  
J. Houston Dove ◽  
James H. Beaty ◽  
Benjamin W. Sheffer ◽  
David D. Spence ◽  
...  
Keyword(s):  
Intramedullary Nailing ◽  
Femoral Shaft ◽  
Femoral Shaft Fractures ◽  
Flexible Intramedullary Nailing ◽  
Shaft Fractures

scholarly journals Fracture fixation strategy and specific muscle tissue availability of neutrophilic granulocytes following mono- and polytrauma: intramedullary nailing vs. external fixation of femoral fractures

2020 ◽  
Vol 25 (1) ◽  
Author(s):  
Johannes Greven ◽  
Klemens Horst ◽  
Zhi Qiao ◽  
Felix Marius Bläsius ◽  
Ümit Mert ◽  
...  
Keyword(s):  
Clinical Practice ◽  
External Fixation ◽  
Intramedullary Nailing ◽  
Muscle Tissue ◽  
Femur Fracture ◽  
Femoral Fractures ◽  
Pig Model ◽  
Minor Role ◽  
Neutrophil Granulocytes ◽  
Concomitant Injuries

Abstract Background In the stabilization of femoral fractures in mono- and polytrauma, clinical practice has shown better care through intramedullary nailing. However, the reason why this is the case is not fully understood. In addition to concomitant injuries, the immunological aspect is increasingly coming to the fore. Neutrophil granulocytes (PMNL), in particular next to other immunological cell types, seem to be associated with the fracture healing processes. For this reason, the early phase after fracture (up to 72 h after trauma) near the fracture zone in muscle tissue was investigated in a pig model. Material and methods A mono- and polytrauma pig model (sole femur fracture or blunt thoracic trauma, hemorrhagic shock, liver laceration, and femur fracture) was used to demonstrate the immunological situation through muscle biopsies and their analysis by histology and qRT-PCR during a 72 h follow-up phase. Two stabilization methods were used (intramedullary nail vs. external fixator) and compared with a nontraumatized sham group. Results Monotrauma shows higher PMNL numbers in muscle tissue compared with polytrauma (15.52 ± 5.39 mono vs. 8.23 ± 3.36 poly; p = 0.013), regardless of the treatment strategy. In contrast, polytrauma shows a longer lasting invasion of PMNL (24 h vs. 72 h). At 24 h in the case of monotrauma, the fracture treated with external fixation shows more PMNL than the fracture treated with intramedullary nailing (p = 0.026). This difference cannot be determined in polytrauma probably caused by a generalized immune response. Both monotrauma and polytrauma show a delayed PMNL increase in the muscle tissue of the uninjured side. The use of intramedullary nailing in monotrauma resulted in a significant increase in IL-6 (2 h after trauma) and IL-8 (24 and 48 h after trauma) transcription. Conclusion The reduction of PMNL invasion into the nearby muscle tissue of a monotrauma femur fracture stabilized by intramedullary nailing supports the advantages found in everyday clinical practice and therefore underlines the usage of nailing. For the polytrauma situation, the fixation seems to play a minor role, possibly due to a generalized immune reaction.

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