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Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado

2011, Number 4

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Rev Esp Med Quir 2011; 16 (4)

Titanium elastic nails in diaphyseal fractures of radio and ulna in children

Talavera VK, Escudero RD

Language: Spanish
References: 19
Page: 193-198
PDF size: 339.76 Kb.


ABSTRACT

Background: The titanium elastic nail for the treatment of the forearm fractures in children is an implant that offers a minimum invasion, damage decrease of muscles and periostium, maintenance of the hematoma, appropriate formation of bone callus, low infection risks, scars cosmetically acceptable, and decrease of hospital stay and the possibility of a new intervention for its extraction.
Objective: To analyze the outcome of the patients from 8 to 14 years with diagnosis of radio and ulna shaft fractures, that were treated surgically in the Traumatology and Orthopedic Hospital of Lomas Verdes with titanium elastic nails.
Patients and method: A retrospective study with pediatric patients treated from January 1st 2004 to August 1st 2006. The bone consolidation was evaluated with the Meller’s radiological classification. The range of motion of the wrist and elbow in flexion and extension, the range of rotation of the forearm and the pain during the physical activity were evaluated using the functional scale of Price.
Results: 12 patients were included, with an average age of 12 year-old, with a predominance in the masculine sex 3:1 and an average of 8 weeks to obtain bone consolidation. All the children returned to their previous level of functionality and physical activity having an excellent result in 75%, good in 25%, without regular or bad results.
Conclusions: The treatment with titanium elastic nails in the forearm fractures in children is a good surgical option. It requires the appropriate analysis of the patients and fracture type for the precise indication, as well as for the surgeon an appropriate knowledge of the technique and their complications.


REFERENCES

  1. Vittas D, Larsen E, Torp-Pedersen S. Angular remodeling of midshaft forearm fractures in children. Clin Orthop Relat Res 1991;(265):261-264.

  2. Vorlat P, De Boeck H. Bowing fractures of the forearm in children: a long-term followup. Clin Orthop Relat Res 2003;413:233-237.

  3. Schmittenbecher PP, Dietz HG, Linhart WE, Slongo T. Complications and problems in intramedullary nailing of children’s fractures. Eur J Trauma 2000;26(6):287-293.

  4. Slongo TF. Complications and failures of the ESIN technique. Injury 2005;36(Suppl 1):A78-A85.

  5. Ramírez JA, Berumen NE, Núñez JÁ, Vallejo J y col. Clavos centromedulares flexibles en el tratamiento de fracturas pediátricas. Rev Mex Ortop Ped 2004;6(1):6-17.

  6. Richter D, Ostermann PA, Ekkernkamp A, Muhr G, Hahn MP. Elastic intramedullary nailing: a minimally invasive concept in the treatment of unstable forearm fractures in children. J Pediatr Orthop 1998;18(4):457-461.

  7. Lieber J, Joeris A, Knorr P. ESIN in forearm fractures, clear indications, often used, but some avoidable complications. Eur J Trauma 2005;31:1.

  8. Rockwood y Wilkins. Fracturas en el niño. 5a ed. Madrid: Marbán, 2003.

  9. Peter VK, Garg NK, Bruce CE. Flexible intramedullary nailing in unstable forearm fractures in children. Br Orthopaedic Assoc 2003;85-B(Supp II):108.

  10. Peter V, Carter P, et al. Flexible intramedullary nailing in pediatric forearm fractures. J Bone Joint Surg 2004;86-B(Suppl. III):285.

  11. Vrsansky P, Bourdelat D, Al Faour A. Flexible stable intramedullary pinning technique in the treatment of pediatric fractures. J Pediatr Orthop 2000;20(1):23-27.

  12. Fernandez FF, Egenolf M, Carsten C, Holz F, et al. Unstable diaphyseal fractures of both bones of the forearm in children: plate fixation versus intramedullary nailing. Injury 2005;36(10):1210-1216.

  13. Van der Reis WL, Otsuka NY, Moroz P, Mah J. Intramedullary nailing versus plate fixation for unstable forearm fractures in children. J Pediatr Orthop 1998;18(1):9-13.

  14. Sponseller PD. OKU : orthopaedic knowledge update. Pediatrics 2. 1st ed. Rosemont: American Academy of Orthopaedic Surgenos, 2002.

  15. Burgos FJ, González Herranz P, Amaya Alarcón S. Lesiones traumáticas del niño. Madrid: Panamericana, 1995;379-394.

  16. Meller Y, Kestenbaum RS, Mozes M, Mozes G, et al. Mineral and endocrine metabolism during fracture healing in dogs. Clin Orthop Relat Res 1984;187:289-295.

  17. Price CT, Scott DS, Kurzner ME, Flynn JC. Malunited forearm fractures in children. J Pediatr Orthop 1990;10(6):705-712.

  18. Synthes SMP. Técnica Quirúrgica TEN. Instrumentos e implantes originales de la asociación para el estudio de la osteosíntesis-AO/ASIF.

  19. Schmittenbecher PP. State-of-the-art treatment of forearm shaft fractures. Injury 2005;36(Suppl 1):A25-34.




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