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ISSN 2007-8560 (Print)
Órgano Oficial de Difusión Científica de la Federación Mexicana de Colegios de Ortopedia y Traumatología, A.C. (FEMECOT)

2015, Number 1

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Ortho-tips 2015; 11 (1)

Between 6 and 12 years, treatment of femoral fractures with flexible nails

Toledo-Infanson V

Language: Spanish
References: 18
Page: 34-41
PDF size: 353.70 Kb.


ABSTRACT

During recent decades the medullary nailing has been accepted as the go to treatment for diaphysiary long bone fractures; treatment which has been documented as far back as to the pre-columbine era. Nevertheless although there is significant evidence of satisfactory results for the treatment of adult patients, there has always been a controversy whether to apply this method on pediatric patients. During our evaluation we can justify its use when applied to patients within the adequate age range as well as with the recommended principles and techniques. Flexible nails are now considered the go to treatment for femur diaphysiary fractures for patients within the age range from 6 to 12 years old, due to its versatility and facility of application once the learning curve has been overcome. As it is a closed method it reduces the healing time as well as the hospital stay, which will subsequently spare resources; however, its inconvenience is that it is secluded to centers with fluoroscopy on the operating room. This technique is nevertheless not exempt to complications that tend to increase in frequency when the method indications are not followed adequately, a primary factor, as to all orthopaedic surgeries, the pre-op preparation and planning. The most common complications are incorrect alignment, premature closings in the physes whilst having done this procedure, and consolidation delays due to failure of the implants and insufficient instability. The most important benefit of the technique is to avoid prolonged incapacity in a mobility device that for a long period of time would restrict the patients’ mobility.


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