Fixation of adolescent diaphyseal tibial fractures with flexible intramedullary nailing | ||
| Sohag Medical Journal | ||
| Article 18, Volume 21, Issue 1, January 2017, Pages 191-194 PDF (58.23 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/smj.2017.40563 | ||
| Authors | ||
| Mohamed Esam Ahmed; Ashraf Ahmed; abdelrahman_khalifa@med.sohag.edu.eg abdelrahman_khalifa@med.sohag.edu.eg | ||
| Department of Orthopedics Faculty of Medicine Sohag Sohag University | ||
| Abstract | ||
| to evaluate the results of fixation of diaphysealtibial fractures with flexible intramedullary nail in adolescent.Methods: 20 patients complaining of diaphyseal fracture tibia were managed by flexible intramedullary nail in our department between Jule 2015 to April 2016 .Mean age of patients is 14 years old ranging between (10 – 17) years old .They are fourteen males and six females. Twelve cases were simple fractures and eight cases were compound fractures.Results : All patients of our study were followed up in our outpatient clinic with mean time of follow up was 36 weeks .All fractures achieved full union at a mean of 12.7 weeks with range from 10 to 18 weeks .Only one case suffered from nonunion and it was followed up. One patient had postoperative fracture angulation that was less than 5 degrees in the coronal and sagittal planes and postoperative valgus angulation of about 5 degrees. Conclusion:The use of elastic intramedullary nails in treatment of diaphyseal tibial whether simple fractures or open fractures (Gustillo and Anderson Type 1 and Type 2) in adolescents provide satisfactory results for the patient and his family and for surgeon. | ||
| Keywords | ||
| diaphysealfracture; tibia; Adolescent; flexible nails | ||
|
Supplementary Files
|
||
| References | ||
|
Flynn JM, Skaggs D, Sponseller PD, Ganley TJ, Kay RM, Leitch KK. The operative management of pediatric fractures of the lower extremity. J Bone Joint Surg Am. 2002;84(12):2288-300.
2. Shannak AO. Tibial fractures in children: follow-up study. Journal of Pediatric Orthopaedics. 1988;8(3):306-10.
3. Thompson GH, Wilber JH, Marcus RE. Internal Fixation of Fractures in Children and Adolescents. Clinical orthopaedics and related research. 1984;188:10-20.
4. Bar-On E, Sagiv S, Porat S. External fixation or flexible intramedullary nailing for femoral shaft fractures in children. J Bone Joint Surg Br. 1997;79(6):975-8.
5. Barry M, Paterson J. Flexible intramedullary nails for fractures in children. JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME-. 2004;86:947-53.
6. Flynn JM, Hresko T, Reynolds RA, Blasier RD, Davidson R, Kasser J. Titanium elastic nails for pediatric femur fractures: a multicenter study of early results with analysis of complications. Journal of Pediatric Orthopaedics. 2001;21(1):4-8.
7. Kenawey M, Hosny H. Evidence-Based Treatment for Paediatric Diaphyseal Femoral Fractures. Paediatric Orthopaedics: Springer; 2017. p. 91-106.
8. Heo J, Oh C-W, Park K-H, Kim J-W, Kim H-J, Lee J-C, et al. Elastic nailing of tibia shaft fractures in young children up to 10 years of age. Injury. 2016;47(4):832-6.
9. Griffet J, Leroux J, Boudjouraf N, Abou-Daher A, el Hayek T. Elastic stable intramedullary nailing of tibial shaft fractures in children. Journal of children's orthopaedics. 2011;5(4):297-304.
10. Santili C, de Oliveira Gomes CM, Akkari M, Waisberg G, dos Reis Braga S, Junior WL, et al. Fraturas da diáfise da tíbia em crianças. Acta Ortopédica Brasileira. 2010;18(1):44-8.
11. Shen K, Cai H, Wang Z, Xu Y. Elastic stable intramedullary nailing for severely displaced distal tibial fractures in children. Medicine. 2016;95(39):e4980.
12. Ligier J, Metaizeau JP, Prévot J, Lascombes P. Elastic stable intramedullary nailing of femoral shaft fractures in children. Bone & Joint Journal. 1988;70(1):74-7.
13. Vallamshetla V, De Silva U, Bache C, Gibbons P. Flexible intramedullary nails for unstable fractures of the tibia in children. Bone & Joint Journal. 2006;88(4):536-40.
14. Firica A, Popescu R, Scarlet M, Dimitriu M, Jonescu V. Lostéosynthèse stable élastique, nouveau concept biomécanique. Etude expérimentale. Rev Chir Orthop. 1981;67(Suppl 2):82-91.
15. Kubiak EN, Egol KA, Scher D, Wasserman B, Feldman D, Koval KJ. Operative treatment of tibial fractures in children: are elastic stable intramedullary nails an improvement over external fixation? J Bone Joint Surg Am. 2005;87(8):1761-8.
16. Srivastava AK, Mehlman CT, Wall EJ, Do TT. Elastic stable intramedullary nailing of tibial shaft fractures in children. Journal of Pediatric Orthopaedics. 2008;28(2):152-8.
17. Sankar WN, Jones KJ, Horn BD, Wells L. Titanium elastic nails for pediatric tibial shaft fractures. Journal of children's orthopaedics. 2007;1(5):281-6.
18. Gordon JE, Gregush RV, Schoenecker PL, Dobbs MB, Luhmann SJ. Complications after titanium elastic nailing of pediatric tibial fractures. Journal of Pediatric Orthopaedics. 2007;27(4):442-6.
19. Lascombes P, Haumont T, Journeau P. Use and abuse of f
2006;26(6):827-34.
| ||
|
Statistics Article View: 260 PDF Download: 268 |
||
