Flexible Intramedullary Nails for Femur Fractures in Pediatric Patients Heavier Than 100 Pounds
| Autor: | Robert L. Wimberly, Sheena R. Black, James S. Shaha, Anthony I. Riccio, Steven H. Shaha, J. Matthew Cage |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Population Bone Nails law.invention Intramedullary rod 03 medical and health sciences 0302 clinical medicine law 030225 pediatrics Fracture fixation Humans Medicine Orthopedics and Sports Medicine Femur Malunion Child education Retrospective Studies Fracture Healing 030222 orthopedics education.field_of_study business.industry Body Weight 030208 emergency & critical care medicine General Medicine Anatomy Stainless Steel medicine.disease Sagittal plane Fracture Fixation Intramedullary Surgery Radiography Treatment Outcome medicine.anatomical_structure Coronal plane Pediatrics Perinatology and Child Health Female Diaphyses business Femoral Fractures Pediatric trauma |
| Zdroj: | Journal of Pediatric Orthopaedics. 38:88-93 |
| ISSN: | 0271-6798 |
| DOI: | 10.1097/bpo.0000000000000775 |
| Popis: | BACKGROUND Flexible intramedullary nailing (FIMN) of femoral shaft fractures in children >100 pounds remains controversial. The purpose of this study is to assess the relationship between patient weight and alignment at radiographic union following Ender's FIMN of pediatric femoral shaft fractures. METHODS An IRB approved, retrospective review of all patients who sustained a femoral shaft fracture treated by retrograde, stainless-steel Ender's FIMN was performed at a level 1 pediatric trauma center from 2005 to 2012. Preoperative radiographs were analyzed to determine fracture pattern, location, and isthmic canal diameter. Patient weight was measured on presentation to the emergency room. Radiographs at bony union were reviewed to measure shortening, coronal angulation, and sagittal angulation. RESULTS A total of 261 children underwent Ender's FIMN for femoral shaft fractures during the study period. There were 24 patients who weighed ≥100 lbs and 237 patients who weighed |
| Databáze: | OpenAIRE |
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