Journal ArticleDOI
Titanium elastic nails for pediatric femur fractures: a multicenter study of early results with analysis of complications.
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TLDR
As indications, implantation technique, and aftercare are refined, TENs may prove to be the ideal implant to stabilize many pediatric femur fractures, avoiding the prolonged immobilization and complications of traction and spica casting.Abstract:
Titanium elastic nailing is used instead of traction and casting in many European centers, but limited availability has prevented widespread use in North America. Before a planned general release in America, titanium elastic nails (TENs) were trialed at several major pediatric trauma centers. This multicenter study is a critical analysis of early results and complications of the initial experience. Overall, TENs allowed rapid mobilization with few complications. The results were excellent or satisfactory in 57 of the 58 cases. No child lost rotational alignment in the postoperative period. Irritation of the soft tissue near the knee by the nail tip occurred in four patients, leading to a deeper infection in two cases. As indications, implantation technique, and aftercare are refined, TENs may prove to be the ideal implant to stabilize many pediatric femur fractures, avoiding the prolonged immobilization and complications of traction and spica casting.read more
Citations
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Journal ArticleDOI
Titanium elastic nailing of fractures of the femur in children. Predictors of complications and poor outcome.
L. A. Moroz,Franck Launay,Mininder S. Kocher,Peter O. Newton,S. L. Frick,Paul D. Sponseller,John M. Flynn +6 more
TL;DR: Between 1996 and 2003 six institutions in the United States and France contributed a consecutive series of 234 fractures of the femur in 229 children which were treated by titanium elastic nailing, of which the outcome was excellent in 150, satisfactory in 57, and poor in 23.
Journal ArticleDOI
Complications of elastic stable intramedullary nail fixation of pediatric femoral fractures, and how to avoid them.
TL;DR: Surgeons should advance nail ends to lie against the supracondylar flare of the femur to avoid symptoms at the insertion site and should avoid implanting nails of two different diameters.
Journal ArticleDOI
Comparison of titanium elastic nails with traction and a spica cast to treat femoral fractures in children.
John M. Flynn,Lael M Luedtke,Theodore J. Ganley,Judy Dawson,Richard S. Davidson,John P. Dormans,Malcolm L. Ecker,John R. Gregg,B. David Horn,Denis S. Drummond +9 more
TL;DR: The results of this prospective study support the recent empiric observations and published results of retrospective series indicating that a child in whom a femoral fracture is treated with titanium elastic nails achieves recovery milestones significantly faster than a child treated with traction and a spica cast.
Journal ArticleDOI
Management of pediatric femoral shaft fractures.
John M. Flynn,Richard M. Schwend +1 more
TL;DR: Femoral shaft fractures are the most common major pediatric injuries managed by the orthopaedic surgeon and management is influenced by associated injuries or multiple trauma, fracture personality, age, family issues, and cost.
Journal ArticleDOI
Complications of titanium elastic nails for pediatric femoral shaft fractures.
TL;DR: Fracture angulation and outcome were associated with the patient's weight and size of the nails implanted, and technical pitfalls exist with this implant can be minimized by leaving less than 2.5 cm of nail out of the femur and by using the largest nail sizes possible.
References
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Journal ArticleDOI
Elastic stable intramedullary nailing of femoral shaft fractures in children
TL;DR: Compared with conservative treatment, ESIN obviates the need for prolonged bed rest and is thus particularly advantageous for treating children, and early weight-bearing is possible and is recommended.
Journal ArticleDOI
Interlocking intramedullary nailing of femoral-shaft fractures in adolescents: preliminary results and complications.
TL;DR: Intramedullary nailing is a reasonable alternative for the treatment of isolated femoral-shaft fractures in older adolescents and in younger adolescents with multiple trauma.
Journal ArticleDOI
The operative stabilization of pediatric diaphyseal femur fractures with flexible intramedullary nails: a prospective analysis.
TL;DR: The results obtained using flexible intramedullary nails for the stabilization of select pediatric diaphyseal femur fractures are comparable to nonoperative methods of treatment, but with less disruption to family life and a shorter hospitalization.
Journal ArticleDOI
External fixation of femur fractures in children.
TL;DR: Most patients returned to school by 4 weeks, and all had full knee motion 6 weeks after fixator removal, and only six (38%) had overgrowth from 2 to 10 mm (average 5.8 mm).
Journal ArticleDOI
Internal fixation versus traction and casting of adolescent femoral shaft fractures.
TL;DR: Adolescent femoral shaft fractures can be operatively treated with excellent results and a decreased complication rate, which results in shorter hospitalization and has psychological, social, educational, and economic advantages over conservative treatment.