External Fixation Of Lower Limb Fractures In Children

2000 ◽  
Vol 35 (6) ◽  
pp. 851
Author(s):  
Tae Woo Park ◽  
Sung Do Cho ◽  
Yong Sun Cho ◽  
Bum Soo Kim ◽  
Soon Woo Hong ◽  
...  
Keyword(s):  
External Fixation ◽  
Lower Limb ◽  
Lower Limb Fractures ◽  
Fractures In Children ◽  
Limb Fractures

External Fixation of Lower Limb Fractures in Children

1998 ◽  
Vol 8 (01) ◽  
pp. 35-41 ◽  
Author(s):  
A. Siegmeth ◽  
O. Wruhs ◽  
V. Vécsei
Keyword(s):  
External Fixation ◽  
Lower Limb ◽  
Lower Limb Fractures ◽  
Fractures In Children ◽  
Limb Fractures

EXTERNAL FIXATION OF LOWER LIMB FRACTURES IN CHILDREN

1992 ◽  
Vol 33 (5) ◽  
pp. 691-693 ◽  
Author(s):  
Robert J. H. Gregory ◽  
Tonya C. S. Cubison ◽  
Ian M. Pinder ◽  
Steven R. Smith
Keyword(s):  
External Fixation ◽  
Lower Limb ◽  
Lower Limb Fractures ◽  
Fractures In Children ◽  
Limb Fractures

scholarly journals Epidemiological evaluation of traumatic lower limb fractures in children

Medicine ◽  
2019 ◽  
Vol 98 (38) ◽  
pp. e17123
Author(s):  
Huan Liu ◽  
Hongwei Wang ◽  
Bing Shao ◽  
Han Lu ◽  
Song Zhang ◽  
...  
Keyword(s):  
Lower Limb ◽  
Lower Limb Fractures ◽  
Fractures In Children ◽  
Epidemiological Evaluation ◽  
Limb Fractures

scholarly journals Treatment of Lower Limb Fractures in Children with Multiple and Concomitant Injuries

2015 ◽  
pp. 5-12
Author(s):  
V. V. Timofeev ◽  
A. V. Bondarenko ◽  
A. A. Podsonnyi
Keyword(s):  
Lower Limb ◽  
Total Duration ◽  
Long Term Results ◽  
Duration Of Treatment ◽  
Concomitant Injuries ◽  
Lower Limb Fractures ◽  
Fractures In Children ◽  
Fixation Devices ◽  
Limb Fractures

Treatment results for 306 children (1-17 years) with lower limb fractures accompanied by multiple and concomitant injuries were studied during 2005 - 2014. Comparative assessment of conservative treatment, transcutaneous osteosynthesis with external fixation devices and internal fixation was performed. The number of complications, duration and number of hospitalizations, total duration of treatment, long-term results and quality of life at terms from 1 to 3 years after injury were evaluated. Indications to the application of every osteosynthesis technique were determined.

scholarly journals Injury of the Tibial Nutrient Artery Canal during External Fixation for Lower Extremity Fractures: A Computed Tomography Study

2020 ◽  
Vol 9 (7) ◽  
pp. 2235
Author(s):  
Haidara Almansour ◽  
Johann Jacoby ◽  
Heiko Baumgartner ◽  
Marie K. Reumann ◽  
Konstantin Nikolaou ◽  
...  
Keyword(s):  
Computed Tomography ◽  
External Fixation ◽  
Blood Supply ◽  
External Fixator ◽  
Lower Limb ◽  
Medial Malleolus ◽  
Nutrient Artery ◽  
Lower Limb Fractures ◽  
Limb Fractures ◽  
Surgical Guidelines

The tibial nutrient artery (TNA) is the major diaphyseal artery of the tibia supplying two thirds of the inner osseous cortex. Hence, iatrogenic injury of the TNA endangers the integrity of the tibial blood supply and may compromise fracture healing. The incidence of its injury in the setting of external fixation for lower limb fractures has not been previously investigated. The aim of this study was to evaluate the incidence of TNA injury in the context of external fixation and to characterize the topography of the fixator pins in relation to the TNA canal (TNAC). Patients who underwent external fixation for distal femoral fractures and for tibial (proximal, shaft, and distal) fractures and had a postoperative computed tomography study were retrospectively included. The following parameters were retrieved: 1) Pin characteristics (orientation and cortical position of the pins), 2) The anatomic relationship between the TNAC and external fixation pin (topography above/below and at the level of the TNAC, and the distance between the pin and medial tibial plateau and/or the medial malleolus), and 3) The incidence of TNAC injury (complete/partial disruption of TNA lumen). A total of 105 patients with 214 tibial pins were analyzed. In 27 patients (26%), the TNAC was completely injured by the pins of the external fixator. In 13 patients (12%), the TNAC was partially injured. Of the 214 analyzed pins, 85 pins (40%) were located at the level of the TNAC (the TNAC and the pin are seen on the same axial slice). Most pins that were applied at the level of the TNAC belonged to a knee-bridging external fixator. Of those, ninety-three percent of the pins were anteromedially applied according to published surgical guidelines. Six percent of the pins were applied through the tibial crest and 1% anterolaterally. Of those 85 pins, 42 pins (49%) injured the TNAC at least partially. Based on the analyzed pins and the incidence of partial and complete injury of the TNAC, we observed that the tibial segment at which the tibial nutrient artery is endangered was located approximately (95% CI: 13–15 cm) from the medial tibia plateau and (95% CI: 22–25 cm) from the medial malleolus. Thus, TNAC injury by external fixation pins in the context of lower limb fractures can be considered common. Almost half of the pins applied at the middle third of the tibia injured the TNA, despite adherence to published surgical guidelines for external fixation. When possible, pin application at the middle third of tibia should be avoided to circumvent iatrogenic injury of the TNA and to safeguard tibial blood supply.

A comparison between the Major Trauma Centre management of complex open lower limb fractures in children and the elderly

Injury ◽  
2019 ◽  
Vol 50 (7) ◽  
pp. 1376-1381 ◽  
Author(s):  
Muhammad Faheem Khadim ◽  
Ahmed Emam ◽  
Thomas C. Wright ◽  
Thomas W.L. Chapman ◽  
Umraz Khan
Keyword(s):  
Lower Limb ◽  
Major Trauma ◽  
The Elderly ◽  
Trauma Centre ◽  
Lower Limb Fractures ◽  
Fractures In Children ◽  
Major Trauma Centre ◽  
Limb Fractures

scholarly journals Treatment of Lower Limb Fractures in Children with Multiple and Concomitant Injuries

2015 ◽  
Vol 22 (3) ◽  
pp. 5-12
Author(s):  
V. V Timofeev ◽  
A. V Bondarenko ◽  
A. A Podsonnyi
Keyword(s):  
Lower Limb ◽  
Total Duration ◽  
Long Term Results ◽  
Duration Of Treatment ◽  
Concomitant Injuries ◽  
Lower Limb Fractures ◽  
Fractures In Children ◽  
Fixation Devices ◽  
Limb Fractures

Treatment results for 306 children (1-17 years) with lower limb fractures accompanied by multiple and concomitant injuries were studied during 2005 - 2014. Comparative assessment of conservative treatment, transcutaneous osteosynthesis with external fixation devices and internal fixation was performed. The number of complications, duration and number of hospitalizations, total duration of treatment, long-term results and quality of life at terms from 1 to 3 years after injury were evaluated. Indications to the application of every osteosynthesis technique were determined.

Sezonowość złamań kończyny dolnej w populacji pacjentów pediatrycznych

2017 ◽  
Vol 21 (2) ◽  
Author(s):  
Magdalena Czerżyńska ◽  
Anna Justyna Milewska ◽  
Elżbieta Gościk
Keyword(s):  
Bone Fracture ◽  
Lower Limb ◽  
Seasonal Changes ◽  
Bone Fractures ◽  
Pediatric Population ◽  
X Ray ◽  
Limb Fracture ◽  
Lower Limb Fractures ◽  
Fractures In Children ◽  
Limb Fractures

Introduction. Bone fracture is a discontinuation of bone tissue due to trauma. The main type of bone fractures in children are greenstick fracture. In this type of fracture we can observe gently sinus bone dislocation, without cortex and periosteum breaks. To major causes of bone fracture in pediatric population we can include accidental or non-accidental fractures. Aim. The aim of the study was to show the seasonal changes of lower limb fracture in chi den. Material and methods. To retrospective analyzes Author had included the description of lower limb x-ray images. Firstly authors has got permission for local Bioethical Commission (R-I-002/108/2015). The X-ray description had been looking for the key word “fractures” with fractures localization and fractures’ months of injury, related to patients age and sex. Collected data was analyzed in Statistica 12.5 (chi2 test; p < 0.001). Results. The highest lower limb cases was detected during spring and winter, 161 (27.52%) and 163 (27.86%). During summertime this number was a bit lower – 152 (25.98%). The smallest injuries was observed in autumn 34 (5.81%). Author found statistica relationship (p < 0.001). Between age group and lower limb fracture injuries months’. Children < 5 yo and 6-10 yo was the most fractures-depended during summertime (48.43 and 37.16%), but teenagers in winter (36.93%). More girls than boys had got injury on spring and autumn. During wintertime, the numbers of boys and girls was similar. Conclusions. Lower limb fractures was more often. During daily routinely activities and was characterization with seasonal changes. The atmospherics condition helps performed outdoors activities and also create injuries, opposite than in autumn. During spring and summer good weather helps outdoor activities.

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