scholarly journals Outcome of Elastic Stable Intramedullary Nail in Length Unstable Diaphyseal Femur Fractures in Children: A Case Series

2020 ◽  
Vol 42 (2) ◽  
pp. 26-28
Author(s):  
Prawesh S Bhandari ◽  
Suresh Uprety
Keyword(s):  
Intramedullary Nailing ◽  
Satisfactory Result ◽  
Intramedullary Nail ◽  
Femur Fracture ◽  
Case Series ◽  
Elastic Stable Intramedullary Nailing ◽  
Male Predominance ◽  
Elastic Stable Intramedullary Nail ◽  
Femur Fractures ◽  
Fractures In Children

Introduction Elastic stable intramedullary nailing (ESIN) has been a common method of treatment of diaphyseal femur fracture in children. Though they are used in length stable fracture with favourable results, their use is debated in case of length unstable variants. The objective of the study was to evaluate outcome of these nails in length unstable diaphyseal femur fracture in children. MethodsWe retrospectively reviewed seven fractures in seven children treated with ESIN for functional outcome. ResultsTotal of seven patients with seven unstable femur fractures were studied. There was male predominance with 71.4%. The fracture united at a mean duration of 12 wks. The overall Flynn scoring showed 71.4 % excellent and 28.6 % satisfactory result. ConclusionElastic stable intramedullary nailing can be safely used in length unstable variant of femur fracture in children.

scholarly journals EARLY OUTCOMES OF FLEXIBLE INTRAMEDULLARY NAILING IN PEDIATRIC SHAFT OF FEMUR FRACTURES

2021 ◽  
Vol 71 (6) ◽  
pp. 2157-60
Author(s):  
Muhammad Umair Hashmi ◽  
Muhammad Nadeem Ahsan ◽  
Babar Bakht Chughtai ◽  
Saqib Majeed
Keyword(s):  
Intramedullary Nailing ◽  
Intramedullary Nail ◽  
Femur Fracture ◽  
Fracture Site ◽  
Medullary Canal ◽  
Femur Fractures ◽  
Flexible Intramedullary Nailing ◽  
Mean Diameter ◽  
Flexible Intramedullary Nail ◽  
Age Range

Objective: To study the early outcomes and complications of fixation of pediatric shaft of femur fractures using flexible intramedullary nail. Study Design: Prospective observational study. Place and Duration of Study: Orthopedic Department, Bahawal Victoria Hospital Bahawalpur, from Jan to Jun 2021. Methodology: Children between the ages of 5-11 years with shaft of femur fractures were included in the study. Fixation of fracture was done using elastic intramedullary nail. Final outcomes of fixation were observed using Flynn and Schwend Scoring System. Six-month follow-up was done in all cases. Data was analyzed using SPSS-20. Results: Total 70 cases having shaft of femur fracture were included in the study. Age range of cases was 5-11 years with mean age of 7.75 ± 1.66 years and mean weight of 24.44 ± 4.77 kilograms. Mean diameter of femur medullary canal was 7.48 ± 0.63 millimeters and mean diameter of flexible nail was 3.03 ± 0.26 millimeters. Mean post-operative period of radiological union of fracture was 8.57 ± 1.05 weeks. Per-operatively, fracture site was approached in 4 (5.7%) cases. Migration of nail was not seen in any case. Final outcomes according to Flynn and Shwend Score were excellent in 62 (88.5%), satisfactory in 7 (10%) and poor in 1 (1.4%) case. Conclusion: Fixation of shaft of femur fracture using flexible intramedullary nailing technique is safe and reliable with good outcomes among children between 5-11 years of age.

scholarly journals Elastic Stable Intramedullary Nailing for Treatment of Pediatric Tibial Fractures

2016 ◽  
Vol 4 (1) ◽  
pp. 11
Author(s):  
Sandeep Gurung ◽  
Dipendra KC ◽  
Roshni Khatri
Keyword(s):  
Intramedullary Nailing ◽  
Demographic Data ◽  
Elastic Stable Intramedullary Nailing ◽  
Tibial Shaft ◽  
Elastic Stable Intramedullary Nail ◽  
Shaft Fractures ◽  
Tibia Fractures ◽  
One Year ◽  
Skeletally Immature Patient ◽  
Tibial Shaft Fractures

Introduction: Tibia fractures in the skeletally immature patient can usually be treated with above knee cast or patellar tendon bearing cast. The purpose of our study was to evaluate epidemiology and outcome of Elastic stable intramedullary nailing fixation of pediatric tibial shaft fractures treated at our institution.   Methods: Over a period of one year, fifty pediatric patients of tibial shaft fractures, with average age of 9.68 yr (SD=2.37), were treated with elastic stable intramedullary nail. Demographic data, union and complication rate were evaluated.   Results: There were 36 closed and 14 open fractures. The average time to union was 11.6 weeks  (SD=2.65) for close and  14.3 weeks (SD=2.62) for open fracture. There were no instances of growth arrest, remanipulations, or refracture.   Conclusion: We conclude that flexible intramedullary fixation is an easy and effective method of management of both open and closed unstable fractures of the tibia in children.

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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