Araştırma Makalesi
BibTex RIS Kaynak Göster
Yıl 2019, Cilt: 5 Sayı: 3, 226 - 232, 31.12.2019
https://doi.org/10.19127/mbsjohs.646579

Öz

Kaynakça

  • Aktekin CN, Bicimoglu A. Intramedullary nailing in pediatric fractures. Totbid Dergisi 2007; 6(3-4): 102-8.
  • Aktekin CN, Ozturk AM, Altay M, Toprak A, Ozkurt B, Tabak AY. Flexible intramedullary nailing of children. Ulus Travma Acil Cerrahi Dergisi 2007; 13: 115-21.
  • Barry M, Paterson JM. A flexible intramedullary nail forfractures in children. J Bone JointSurgBr 2004; 86(7): 947-53.
  • Bilge O, Aksoy CM. Fractures of tibia in children Totbid dergisi 2008; 7(3-4): 121-6.
  • Debnath S, Debbarma S, Sarkar A. Titanium elastic nailing osteosynthesis for diaphyseal tibial fracture in pediatrıc age group-our experience. Indian J. Appl. Res 2017; 7: 52–53. Flynn JM, Hresko T, Reynolds RA, et al. Titanium elastic nails for pediatric femur fractures: A multicenter study of early results with analysis of complications. J Pediatr Orthop 2001; 21: 4–8.
  • Fuller DJ, McCullough CJ. Malunited fractures of the forearm in children. J Bone JointSurg (Br). 1982; 64: 364–7.
  • Gogi N, Khan SA, Varshney MK. Limb lenght discrepancy following titanium elastic nailing pediatric femoral shaft fractures. ActaOrthopBelg 2006; 72: 154-8.
  • Gordon JE, Gregush RV, Schoenecker PL, Dobbs MB, Luhmann SJ. Complications after titanium elastic nailing of pediatric tibial fractures J Pediatr Orthop 2007; 27(4): 442-6.
  • Govindasamy R, Gnanasundaram R, Kasirajan S, Ibrahim S, Melepuram JJ. ElasticStableIntramedullaryNailing of FemoralShaftFracture-Experience in 48 Children. Arch Bone JtSurg. 2018;6(1):39–46.
  • Heinrich SD, Drvaric D, Darr K, MacEwen GD. Stabilization of pediatric diaphyseal femur fractures with flexible intramedullary nails (a techniquepaper). J OrthopTrauma 1992; 6(4): 452-9.
  • Kc KM, Acharya P, Sigdel A. Titanium Elastic Nailing System (TENS) for Tibia Fractures in Children: Functional Outcomes and Complications. JNMA J Nepal Med Assoc. 2016; 55(204): 55-60.
  • Kubiak EN, Egol KA, Scher D, Wasserman B, Feldman D, Koval KJ. Operative treatment of tibialfractures in children: Are elastic stable intramedullary nails an improvement over external fixation? J Bone JointSurg Am 2005; 87(8): 1761-8.
  • Larsen E, Vittas D, Trop-Pedersen S. Remodeling of angulated distal forearm fractures in children. ClinOrthop 1988; 237: 190-5.
  • O’Brien T, Weisman D.S, Ronchetti P, Piller C.P, Maloney M. Flexible Titanium Nailing for the Treatment of the Unstable Pediatric Tibial Fracture. J. Pediatr. Orthop 2004; 24: 601–609.
  • Onta P.R, Thapa P, Sapkota K, Ranjeet N, Kishore A. Gupta, M. Outcome of diaphyseal fracture of tibia treated with flexible intramedullary nailing in pediatrics age group; A prospective study. Am. J. Public Health 2015; 3: 65–68.
  • Ozturkmen Y, Dogrul C, Balioglu MB, Karli M. Intramedullery stabilization of pediatric diaphyseal femurfractures with elastic Ender nails. Acta Orthop Traumatol Turc 2002; 36: 220-7.
  • Pennock A.T, Bastrom T.P, Upasani V.V. Elastic intramedullary nailing versus open reduction internal fixation of pediatric tibial shaft fractures. J. Pediatr. Orthop 2017; 37: 1.
  • Sankar W.N, Jones K.J, David Horn B, Wells L. Titanium elastic nails for pediatric tibial shaft fractures. J. Child. Orthop 2007; 1: 281–286.
  • Slongo TF. Complicationsandfailures of the ESIN technique. Injury 2005; 36: 78-85.
  • Uludag A, Tosun HB. Treatment of Unstable Pediatric Tibial Shaft Fractures with Titanium Elastic Nails. Medicina (Kaunas) 2019; 10: 55(6).
  • Vallamshetla VR, De Silva U, Bache CE, Gibbons PJ. Flexible intramedullary nails for unstable fractures of the tibia in children. An eight-year experience. J Bone Joint Surg Br. 2006; 88(4): 536-40.

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

Yıl 2019, Cilt: 5 Sayı: 3, 226 - 232, 31.12.2019
https://doi.org/10.19127/mbsjohs.646579

Öz

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 (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 (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 (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 (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 (range: 5–14) weeks, hospitalization duration was 3.5 (range:
3–6) days, and follow-up duration was 12.4 (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.

Kaynakça

  • Aktekin CN, Bicimoglu A. Intramedullary nailing in pediatric fractures. Totbid Dergisi 2007; 6(3-4): 102-8.
  • Aktekin CN, Ozturk AM, Altay M, Toprak A, Ozkurt B, Tabak AY. Flexible intramedullary nailing of children. Ulus Travma Acil Cerrahi Dergisi 2007; 13: 115-21.
  • Barry M, Paterson JM. A flexible intramedullary nail forfractures in children. J Bone JointSurgBr 2004; 86(7): 947-53.
  • Bilge O, Aksoy CM. Fractures of tibia in children Totbid dergisi 2008; 7(3-4): 121-6.
  • Debnath S, Debbarma S, Sarkar A. Titanium elastic nailing osteosynthesis for diaphyseal tibial fracture in pediatrıc age group-our experience. Indian J. Appl. Res 2017; 7: 52–53. Flynn JM, Hresko T, Reynolds RA, et al. Titanium elastic nails for pediatric femur fractures: A multicenter study of early results with analysis of complications. J Pediatr Orthop 2001; 21: 4–8.
  • Fuller DJ, McCullough CJ. Malunited fractures of the forearm in children. J Bone JointSurg (Br). 1982; 64: 364–7.
  • Gogi N, Khan SA, Varshney MK. Limb lenght discrepancy following titanium elastic nailing pediatric femoral shaft fractures. ActaOrthopBelg 2006; 72: 154-8.
  • Gordon JE, Gregush RV, Schoenecker PL, Dobbs MB, Luhmann SJ. Complications after titanium elastic nailing of pediatric tibial fractures J Pediatr Orthop 2007; 27(4): 442-6.
  • Govindasamy R, Gnanasundaram R, Kasirajan S, Ibrahim S, Melepuram JJ. ElasticStableIntramedullaryNailing of FemoralShaftFracture-Experience in 48 Children. Arch Bone JtSurg. 2018;6(1):39–46.
  • Heinrich SD, Drvaric D, Darr K, MacEwen GD. Stabilization of pediatric diaphyseal femur fractures with flexible intramedullary nails (a techniquepaper). J OrthopTrauma 1992; 6(4): 452-9.
  • Kc KM, Acharya P, Sigdel A. Titanium Elastic Nailing System (TENS) for Tibia Fractures in Children: Functional Outcomes and Complications. JNMA J Nepal Med Assoc. 2016; 55(204): 55-60.
  • Kubiak EN, Egol KA, Scher D, Wasserman B, Feldman D, Koval KJ. Operative treatment of tibialfractures in children: Are elastic stable intramedullary nails an improvement over external fixation? J Bone JointSurg Am 2005; 87(8): 1761-8.
  • Larsen E, Vittas D, Trop-Pedersen S. Remodeling of angulated distal forearm fractures in children. ClinOrthop 1988; 237: 190-5.
  • O’Brien T, Weisman D.S, Ronchetti P, Piller C.P, Maloney M. Flexible Titanium Nailing for the Treatment of the Unstable Pediatric Tibial Fracture. J. Pediatr. Orthop 2004; 24: 601–609.
  • Onta P.R, Thapa P, Sapkota K, Ranjeet N, Kishore A. Gupta, M. Outcome of diaphyseal fracture of tibia treated with flexible intramedullary nailing in pediatrics age group; A prospective study. Am. J. Public Health 2015; 3: 65–68.
  • Ozturkmen Y, Dogrul C, Balioglu MB, Karli M. Intramedullery stabilization of pediatric diaphyseal femurfractures with elastic Ender nails. Acta Orthop Traumatol Turc 2002; 36: 220-7.
  • Pennock A.T, Bastrom T.P, Upasani V.V. Elastic intramedullary nailing versus open reduction internal fixation of pediatric tibial shaft fractures. J. Pediatr. Orthop 2017; 37: 1.
  • Sankar W.N, Jones K.J, David Horn B, Wells L. Titanium elastic nails for pediatric tibial shaft fractures. J. Child. Orthop 2007; 1: 281–286.
  • Slongo TF. Complicationsandfailures of the ESIN technique. Injury 2005; 36: 78-85.
  • Uludag A, Tosun HB. Treatment of Unstable Pediatric Tibial Shaft Fractures with Titanium Elastic Nails. Medicina (Kaunas) 2019; 10: 55(6).
  • Vallamshetla VR, De Silva U, Bache CE, Gibbons PJ. Flexible intramedullary nails for unstable fractures of the tibia in children. An eight-year experience. J Bone Joint Surg Br. 2006; 88(4): 536-40.
Toplam 21 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Araştırma Makaleleri
Yazarlar

Zekeriya Okan Karaduman 0000-0002-6719-3666

Yayımlanma Tarihi 31 Aralık 2019
Yayımlandığı Sayı Yıl 2019 Cilt: 5 Sayı: 3

Kaynak Göster

Vancouver Karaduman ZO. Retrospective Evaluation of the Results of Elastic Intramedullary Nailing in Pediatric Femoral, Tibial, and Forearm Diaphyseal Fractures. Mid Blac Sea J Health Sci. 2019;5(3):226-32.

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