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 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.

Redefining Optimal Medullary Canal Fill in Flexible Intramedullary Nailing of Pediatric Femur Fractures

PEDIATRICS ◽  
2016 ◽  
Vol 137 (Supplement 3) ◽  
pp. 564A-564A
Author(s):  
James Shaha ◽  
J. Matthew Cage ◽  
Sheena R Black ◽  
Robert L. Wimberly ◽  
Steven Shaha ◽  
...  
Keyword(s):  
Intramedullary Nailing ◽  
Medullary Canal ◽  
Femur Fractures ◽  
Flexible Intramedullary Nailing

Redefining Optimal Nail to Medullary Canal Diameter Ratio in Stainless Steel Flexible Intramedullary Nailing of Pediatric Femur Fractures

2017 ◽  
Vol 37 (7) ◽  
pp. e398-e402 ◽  
Author(s):  
James S. Shaha ◽  
Jason M. Cage ◽  
Sheena R. Black ◽  
Robert L. Wimberly ◽  
Steven H. Shaha ◽  
...  
Keyword(s):  
Stainless Steel ◽  
Intramedullary Nailing ◽  
Medullary Canal ◽  
Diameter Ratio ◽  
Femur Fractures ◽  
Flexible Intramedullary Nailing ◽  
Canal Diameter

scholarly journals New Technique: A Novel Femoral Derotation Osteotomy for Malrotation following Intramedullary Nailing

2012 ◽  
Vol 2012 ◽  
pp. 1-2 ◽  
Author(s):  
S. Jagernauth ◽  
A. J. Tindall ◽  
S. Kohli ◽  
P. Allen
Keyword(s):  
Female Patient ◽  
Intramedullary Nailing ◽  
Intramedullary Nail ◽  
Femoral Fracture ◽  
Fracture Site ◽  
Distal Interlocking ◽  
Nail Insertion ◽  
Derotation Osteotomy ◽  
Walking Difficulty

A 19-year-old female patient sustained a closed spiral midshaft femoral fracture and subsequently underwent femoral intramedullary nail insertion. At followup she complained of difficulty in walking and was found to have a unilateral in-toeing gait. CT imaging revealed 30 degrees of internal rotation at the fracture site, which had healed. A circumferential osteotomy was performed distal to the united fracture site using a Gigli saw with the intramedullary femoral nail in situ. The static distal interlocking screws were removed and the malrotation was corrected. Two further static distal interlocking screws were inserted to secure the intramedullary nail in position. The osteotomy went on to union and her symptoms of pain, walking difficulty, and in-toeing resolved. Our paper is the first to describe a technique for derotation osteotomy following intramedullary malreduction that leaves the intramedullary nail in situ.

Characteristics of 1000 Femur Fractures in the Dog and Cat

1995 ◽  
Vol 08 (04) ◽  
pp. 203-209 ◽  
Author(s):  
S. W. Eicker ◽  
D. Abdinoor ◽  
W. D. Prieur ◽  
T. D. Braden
Keyword(s):  
Retrospective Study ◽  
Femur Fracture ◽  
Kirschner Wire ◽  
Skin Condition ◽  
Fracture Site ◽  
Cerclage Wire ◽  
Femur Fractures ◽  
Wire Cerclage ◽  
Fracture Study ◽  
Type Of Fracture

SummaryA fracture documentation study of the femur in dogs and cats was developed. It consists of frequency of type of animal involved, the type of fracture involved, and the type of repair carried out. Specifically, the data documented are: date, leg, patient number, practice number, surgeon number, sex, species, age, weight, amount overweight, fracture site, skin condition, fragment number, days trauma to surgery, Salter type, management, presurgical complications, primary fixation, secondary fixation, graft, cerclage wire, cerclage method, screw size, Kirschner wire size, pin size, plate, pins (Kirschner apparatus), bars (Kirschner apparatus). This data was collected over a five-year period from 79 surgeons in private and university practice in 10 different countries.One thousand femur fractures were documented in this retrospective study. The type of animals and type of fractures are reported herewith. Also the type of fixation is reported. This is the most comprehensive femur fracture study reported to date.

scholarly journals Intramedullary reaming and irrigation in associated with antibiotic-loaded calcium sulfate implantation in the treatment of infection after intramedullary nailing: A retrospective study of 19 cases.

2020 ◽  
Author(s):  
Hong-An Zhang ◽  
Chun-Hao Zhou ◽  
Xiang-Qing Meng ◽  
Jia Fang ◽  
Cheng-He Qin
Keyword(s):  
Intramedullary Nailing ◽  
Distraction Osteogenesis ◽  
Intramedullary Nail ◽  
Calcium Sulfate ◽  
Bone Fractures ◽  
Weight Bearing ◽  
Medullary Canal ◽  
Nail Removal ◽  
Treatment Of Infection

Abstract Background The incidence of intramedullary infection is increasing with the frequent application of intramedullary fixations on long bone fractures in latest decades. However, appropriate treatment for those special infection remains a challenge. The aims of this study were to assess the efficiency of our treatment protocols: intramedullary nail removal, medullary canal reaming and irrigation, followed by antibiotic-loaded calcium sulfate implantation with or without distraction osteogenesis, for the treatment of infection after intramedullary nailing. Methods From 2014 to 2017, a total of 19 patients with intramedullary infection were treated in our center, with means of intramedullary nail removal, distal diaphysis fenestration, medullary canal reaming and irrigation, antibiotic-loaded calcium sulfate implantation, followed by distraction osteogenesis in 9 cases to repair bone defect. The infection remission rate, infection recurrence rate and post-operative complications rate were assessed during the follow-up. Results All of patients gained satisfactory outcomes with an average follow-up of 38.1 (24 to 55months). 94.7% (18/19) patients achieved infection remission after surgical treatment. 5.3% (1/19) patient developed reinfection, but healed at the end of follow up with re-debridement. 9 patients with surgery-related bone defects received bone transport and successfully restored the length of involved limbs, with a mean transport duration of 10.7 months (range, 6.7 to 19.5months). Majority of patients achieved pain free and full weight bearing during the follow-up. Postoperative complications mainly included prolonged aseptic draining (36.8%, 7/19) and refracture (5.3%, 1/19), which were successfully managed by regular dressing and refixation. Conclusion Intramedullary nail removal, canal reaming and irrigation in associated with antibiotic-loaded calcium sulfate implantation (with or without distraction osteogenesis) were effective in the treatment of infection after intramedullary nailing.

scholarly journals Elastic stable intramedullary nailing for fractures in children – principles, indications, surgical technique

2014 ◽  
Vol 87 (2) ◽  
pp. 91-94 ◽  
Author(s):  
Dana Elena Vasilescu ◽  
Dan Cosma
Keyword(s):  
Surgical Technique ◽  
Minimally Invasive ◽  
Intramedullary Nailing ◽  
Elastic System ◽  
Fracture Site ◽  
Medullary Canal ◽  
Elastic Stable Intramedullary Nailing ◽  
Invasive Technique ◽  
Fractures In Children ◽  
Elastic Nails

Elastic stable intramedullary nailing (ESIN) is a minimally invasive technique. According to this technique, two elastic nails are introduced through the metaphysis into the medullary canal, are advanced through the fracture site and impacted into the opposite metaphysis. These nails are preformed in a C-shaped manner, which allows for their precise orientation and the creation of an elastic system that resists deformation.

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