Retrospective Evaluation of the Results of Elastic Intramedullary Nailing in Pediatric Femoral, Tibial, and Forearm Diaphyseal Fractures

Authors : Zekeriya Okan KARADUMAN

Pages : 226-232

Doi:10.19127/mbsjohs.646579

View : 25 | Download : 12

Publication Date : 2019-12-31

Article Type : Research Paper

Abstract :Objective: In this study, we aimed to evaluate the clinical and radiological outcomes of pediatric femur, tibia, and diaphyseal fractures treated with elastic intramedullary nails. Method: Overall 50 patients insert ignore into journalissuearticles values(34 male and 16 females; mean age: 7.7 years; range 5–14 years); diagnosed with femur, tibia, and forearm diaphyseal fractures were treated with titanium elastic nails insert ignore into journalissuearticles values(TEN);. Of these, 18 were femur, 16 were tibia, and 16 were forearm diaphyseal fractures. One femoral shaft fracture was fragmented, and one tibia fracture was an open fracture. Open reduction was performed in two patients, whereas closed reduction was performed in the other patients. Anteroposterior insert ignore into journalissuearticles values(AP); and Lateral radiographies were used in the follow-up of patients. The patients were evaluated according to the range of motion, ability to use extremities, hospitalization duration, union duration of the fractures, inequality that may occur in the extremities, and development of complications. Flynn scoring system was used for evaluating the cases. Results: Union of the fractures was achieved in an average of 6.9 insert ignore into journalissuearticles values(range: 4–11); weeks.A patient had a tibia fracture in the front-back plane AP with 5 varus angulation, 10 posterior angulation with a forearm fracture in the lateral plane, and 2.5 mm shortness was observed in an another forearm fracture. All patients, except one, had normal range of motion and could comfortably use the extremities. No nonunion, epiphysial growth arrest, and infection was observed in any patient. According to the Flynn criteria; perfect results were achieved in 34 patients and successful results were achieved in 16. Average union duration was 9.6 insert ignore into journalissuearticles values(range: 5–14); weeks, hospitalization duration was 3.5 insert ignore into journalissuearticles values(range: 3–6); days, and follow-up duration was 12.4 insert ignore into journalissuearticles values(range: 6–19); months. Conclusions: Titanium intramedullary elastic nail is a treatment method that can be successfully performed on pediatric femur, tibia, and forearm diaphyseal fractures.
Keywords : Titanium intramedullary elastic nail, pediatric femur diaphysis fracture, pediatric tibia diaphysis fracture, pediatric forearm diaphysis fracture, surgery