Antegrade Elastic Intramedullary Nailing Insertion Technique Results in Higher Incidence of Symptomatic Implants in Pediatric Ulnar Fractures
| Autor: | Andrew J Haus, Taylor R Johnson, Grant D. Hogue, Kush Shah, Abraham I Bankole |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Adolescent Radiography Bone Nails law.invention Intramedullary rod law Fracture fixation Medicine Humans Orthopedics and Sports Medicine Child Retrospective Studies integumentary system business.industry Incidence (epidemiology) Incidence Retrospective cohort study Ulna Fractures Surgery Fracture Fixation Intramedullary Ulnar fractures Implant Health information business Research Article |
| Zdroj: | JAAOS Global Research & Reviews |
| ISSN: | 2474-7661 |
| Popis: | Introduction: Retrograde and antegrade nailing techniques are the two options available to a surgeon when using elastic stable intramedullary nailing; however, the literature comparing these two nailing techniques is scarce. Thus, we conducted a retrospective review of all pediatric and adolescent ulnar fractures treated with elastic stable intramedullary nailing at our facility. We hypothesize that the clinical outcomes (implant and wound complications) and the time between surgery and radiographic union will be similar for both techniques. Methods: A retrospective chart review of pediatric ulnar fracture patients treated at our facility was performed. Demographic and health information associated with the injury were collected, and the clinical outcomes of the two techniques were compared. Results: A total of 53 patients with 54 fractures were included in this study. Antegrade nail insertion was used to treat 59.2% fractures. Radiographic union was achieved in all patients. Nail insertion technique was not associated with postoperative wound complications, time to radiographic union or implant removal, or significant deficits in upper extremity rotation (P > 0.05). Antegrade nailing resulted in a symptomatic implantation 3.97 times more frequently than compared with retrograde nailing (P = 0.036). Discussion: Antegrade nailing demonstrates a similar healing profile but higher implant complications compared with the retrograde nailing technique in pediatric ulnar fractures. |
| Databáze: | OpenAIRE |
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