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2015, Number 1

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Ortho-tips 2015; 11 (1)

Osteosynthesis in pediatrics. When and why?

Juanto M, Fernández E, Ramacciotti A, Fernández M, Franzolini M, Mussolini E

Language: Spanish
References: 11
Page: 7-14
PDF size: 315.89 Kb.


ABSTRACT

The treatment of fractures in children's patients has been mostly orthopedic to mid 50's. Thereafter, and by multiple factors, among which we can mention the poor performance in some fractures in particular, the increase of osteosynthesis materials and the need for the rapid resettlement of patients to their usual activities; nowadays, more fractures are operated that should be. The most controversial fractures in osteosynthesis are those of the forearm, especially mideshaft; therefore, we present a review of the different variants of treatment, including those treated orthopedically. Both intramedullary nailing and plates with screws are used by most authors and, in our experience, either have advantages and complications, forcing us to choose one considering each particular case.


REFERENCES

  1. De Pablos J, González-Herranz P. Fracturas Infantiles: conceptos y principios. 2a edición. Pamplona/La Coruña: Editorial MBA; 2005.

  2. Echarri JJ, Mbombo W, Lumu R. Fractures de l’avant-bras chez l’enfant: experience et specifite dan un milier urbano-rural de Kinshasa (Congo). Médecine d’Afrique Noire. 2001; 48: 8-9.

  3. Barsaoui M, Ouadhour A, Ben-Slimane N, Sghairi K, Smida M, Ben-Ghachem M. Indications et complications de l’embrochage centro-médullaire dans les fractures diaphysaires de deux os de l’avant bras chez l’enfant. Tunusie Orthopédique-Année. 2009; 2 (2): 183-187.

  4. Sinikumpu JJ, Victorzon S, Antila E, Pokka T, Serlo W. Nonoperatively treated forearm shaft fractures in children show good long-term recovery. A population-based matched case-control study with mean 11 years of follow-up. Acta Orthopaedica. 2014; 85 (6): 620-625.

  5. Samora JB, Klingele KE, Beebe AC, Kean JR, Klamar J, Beran MC, et al. Is there still a place for cast wedging in pediatric forearm fractures? J Pediatr Orthop. 2014; 34 (3): 246-252.

  6. Franklin CC, Wren T, Ferkel E, Arkader A. Predictors of conversion from conservative to operative treatment of pediatric forearm fractures. J Pediatr Orthop B. 2014; 23 (2): 150-154.

  7. Beaty JH, Kasser JR. Rockwood-Wilkins. Fracturas en el niño. 5a edición. Marban, Madrid: Lippincott Williams & Wilkins; 2003.

  8. Memeo A, Verdoni F, De Bartolomeo O, Albisetti W, Pedretti L. A new way to treat forearm post-traumatic non-union in young patients with intramedullary nailing and platelet-rich plasma. Injury. 2014; 45 (2): 418-423.

  9. Patel A, Li L, Anand A. Systematic review: functional outcomes and complications of intramedullary nailing versus plate fixation for both-bone diaphyseal forearm fractures in children. Injury. 2014; 45 (8): 1135-1143.

  10. Makki D, Kheiran A, Gadiyar R, Ricketts D. Refractures following removal of plates and elastic nails from paediatric forearms. J Pediatr Orthop B. 2014; 23: 221-226.

  11. Vopat BG, Kane PM, Fitzgibbons PG, Got CJ, Katarincic JA. Complications associated with retained implants after plate fixation of the pediatric forearm. J Orthop Trauma. 2014; 28: 360-364.




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