Elastic stable intramedullary nailing for treatment of pediatric forearm fractures: A 15-year single centre retrospective study of 173 cases
| Autor: | Marko Gulin, Miro Jukić, Zenon Pogorelić, Ana Nevešćanin Biliškov, Dubravko Furlan |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
Reoperation medicine.medical_specialty Radiography Bone Nails Skin infection law.invention Intramedullary rod 03 medical and health sciences Postoperative Complications 0302 clinical medicine Titanium nails Forearm Fracture Children Elastic stable intramedullary nailing lcsh:Orthopedic surgery law Fracture fixation medicine Humans Orthopedics and Sports Medicine Child Ulnar nerve Retrospective Studies 030222 orthopedics business.industry Forearm Injuries Retrospective cohort study 030229 sport sciences General Medicine medicine.disease Fracture Fixation Intramedullary Surgery Pseudarthrosis lcsh:RD701-811 Treatment Outcome medicine.anatomical_structure Etiology Female business Research Article |
| Zdroj: | Acta Orthopaedica et Traumatologica Turcica, Vol 54, Iss 4, Pp 378-384 (2020) Acta Orthop Traumatol Turc |
| Popis: | Objective The aim of this study was to analyze the outcomes and complications in children treated with elastic stable intramedullary nailing (ESIN) for forearm fracture. Methods The study included 173 patients (126 men and 47 women; median age: 11 years (range: 3-17 years) treated with ESIN for forearm fracture between May 2002 and May 2018. Immobilization was not performed after the surgery. The median follow-up was 68 months (range: 3-161 months). The etiology, healing time, and complications were recorded. Results All patients achieved complete radiographic healing at a median of 6.8 weeks (range: 4-11 weeks). The most common injuries were sport related (n=65) and by falling from standing height (n=57), followed by injuries from bicycle riding, motorbike accidents, road traffic accidents, and fights. Fifteen (8.76%) postoperative complications were recorded: eight entry-site skin irritations, two cases of skin infection, two refractures, and one case each of nail migration, injury of ulnar nerve, and pseudoarthrosis. All complications, except cases of refractures and pseudoarthrosis, were treated conservatively, with no long-term consequences for the patients. Patients with refractures and pseudoarthrosis were reoperated, and complete function of the extremities was fully restored. Conclusion ESIN for treatment of forearm fractures in children shows good functional and cosmetic results. This is a minimally invasive, cast-free, simple, and reproducible technique, with a low complication rate. Owing to these excellent objective and subjective results, surgical stabilization of the forearm fracture using ESIN is recommended in children and adolescents. Level of evidence Level IV, Therapeutic study. |
| Databáze: | OpenAIRE |
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