The Locked Flexible Intramedullary Humerus Nail in Pediatric Femur and Tibia Shaft Fractures
Autor: | Edward J. Harvey, Gregory K. Berry, R Reindl, Thierry E. Benaroch, Jean Ouellet, P Bienkowski |
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Rok vydání: | 2004 |
Předmět: |
Humeral Fractures
medicine.medical_specialty Adolescent Bone Nails law.invention Intramedullary rod Fixation (surgical) law Fracture fixation medicine Humans Orthopedic Procedures Orthopedics and Sports Medicine Humerus Femur Tibia Child integumentary system business.industry General Medicine Femoral fracture medicine.disease Fracture Fixation Intramedullary Surgery Tibial Fractures Treatment Outcome medicine.anatomical_structure Pediatrics Perinatology and Child Health Nail (anatomy) Feasibility Studies business |
Zdroj: | Journal of Pediatric Orthopaedics. :634-637 |
ISSN: | 0271-6798 |
DOI: | 10.1097/00004694-200411000-00007 |
Popis: | There are several options for the treatment of long bone fractures in skeletally immature patients. Surgeon experience, type of fracture, and the possibility of damage to the physeal area dictate individual fracture management patterns. Notably, nail devices have not gained popularity in this patient group. Intramedullary locking nails have become the standard of care in adult patients due to decreased morbidity and mortality. A novel nail has been developed for humeral shaft fractures that uses a lateral starting position to avoid damage to the rotator cuff in humeral fracture fixation. This is possible because of the nail's transient flexibility during insertion. This study illustrates that it is feasible to insert this type of nail through multiple entry portals for both tibial and femoral fracture fixation, without damaging the physeal blood supply or growth areas. |
Databáze: | OpenAIRE |
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