scholarly journals Traumatic long bone fractures in children seen in a metropolitan tertiary hospital in Enugu, Nigeria

2021 ◽  
Vol 14 (2) ◽  
pp. 12-18
Author(s):  
Wilfred O. Okenwa ◽  
Anthony J. Edeh
Keyword(s):  
Bone Fractures ◽  
Tertiary Hospital ◽  
Long Bone ◽  
Occurrence Rate ◽  
State University ◽  
Associated Injuries ◽  
Female Ratio ◽  
Long Bone Fractures ◽  
Fractures In Children ◽  
Fall From Height

Injuries in children are a well-known occurrence and often lead to fractures. The fractures may affect long bones, occur in all ages and could be accidental or non-accidental with associated injuries that may cause disability or permanent deformity. Lack of epidemiological research on causes, mechanism of injury and site of long bone fractures in children in our environment prompted this study. The study evaluates variables that maybe responsible for long bone fractures in children and document them accordingly for use in planning injury prevention strategies in children. The study was carried out in a tertiary hospital in a metropolitan city (Enugu State University of Science and Technology [ESUT] Teaching Hospital, Enugu, Nigeria). Medical records of patients, ward admission register, accident and emergency register and theatre registers were used for data collection. Children under 16 years who presented to the hospital with long bone fractures between January 2015 and December 2017 were part of the study. Eighty-five children with 86 long bone fractures out of 258 children that presented and were admitted into the orthopedic service were noted. Mean age of patients was 7.2 years + 1.8 years. The commonest long bone fractured was the femur n- 23 (26.7%). Males-female ratio was 1.15:1. Fall from height was the commonest cause of injury and abrasion/laceration the commonest associated injuries. Long bone fractures in children occur mostly due to falls from height and affects the femur more than any other bone. Bimodal annual occurrence rate has been noted and caregivers ought to be more vigilant during those times to help reduce the rate of long bone fractures in children.

scholarly journals Classification of long bone fractures in children

2017 ◽  
Vol 88 (2) ◽  
pp. 121-122
Author(s):  
Ivan Hvid ◽  
Klaus Parsch
Keyword(s):  
Bone Fractures ◽  
Long Bone ◽  
Long Bone Fractures ◽  
Fractures In Children

Nonunion of Long Bone Fractures in Children

1985 ◽  
Vol 5 (2) ◽  
pp. 135-142 ◽  
Author(s):  
Richard P. Lewallen ◽  
Hamlet A. Peterson
Keyword(s):  
Bone Fractures ◽  
Long Bone ◽  
Long Bone Fractures ◽  
Fractures In Children

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 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>

External Fixation of Long Bone Fractures in Children

1994 ◽  
Vol 29 (6) ◽  
pp. 1525
Author(s):  
Se Hyun Cho ◽  
Hae Ryong Song ◽  
Kyung Hoi Koo ◽  
Young Sik Min ◽  
Yeun Chun Jung ◽  
...  
Keyword(s):  
External Fixation ◽  
Bone Fractures ◽  
Long Bone ◽  
Long Bone Fractures ◽  
Fractures In Children

Limitations in Use of Elastic Stable Intramedullary Nailing (ESIN) in Children with Disorders of Bone Mineralization

2020 ◽  
Vol 22 (2) ◽  
pp. 77-83
Author(s):  
Artur Oberc ◽  
Jerzy Sułko
Keyword(s):  
Bone Structure ◽  
Bone Fractures ◽  
Bone Mineralization ◽  
Cartilage Damage ◽  
Long Bone ◽  
Mechanical Resistance ◽  
Long Bone Fractures ◽  
Fractures In Children ◽  
Satisfactory Outcome ◽  
Pin Fixation

Background. Elastic intramedullary nails (ESIN) have been the treatment of choice in many long bone fractures in children for more than 20 years. The introduction of ESIN has drastically reduced tissue traumatization during fracture fixation procedures and decreased the risk of growth cartilage damage, as well as allowing for preservation of the natural biology of closed fracture healing. The objective of the present report is to draw attention to a small group of patients with bone mineralization disorders, who consequently demonstrate decreased mechanical resistance of the skeletal system, in whom indications for using ESIN fixation are limited. Material and methods. The study group consisted of 6 patients who met the criteria for using ESIN fixation, but did not demonstrate a satisfactory outcome. The inclusion criteria included age below 18 years, appropriate ESIN nail insertion technique with correct calculation of nail diameter (2/5 of the medullary canal diameter), body mass < 50 kg and achieving appropriate prebending that is the prerequisite of three-point intramedullary support. The patients’ medical records and radiographs were analyzed and they were invited for clinical and radiological follow-up examinations. Results. All six patients demonstrated a gradually increasing bending deformity of the long bone axis. Additionally, in three patients, there was intrusion of terminal parts of the nails into the bone. In one patient with bone fibrous dysplasia, the proximal epiphysis was perforated by the flattened ends of the nails. In all patients, the removal of the ESIN fixation was followed by single or double-level corrective osteotomies and Rush pin fixation. Conclusion. In cases of long bone fractures in children with metabolic bone disorders in whom the bone structure is weakened and the bones themselves are easily deformed, more rigid intramedullary fixation with Rush or Fassier-Duval type nails as primary osteosynthesis should be considered.

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