Quadruple ESIN (Elastic Stable Intramedullary Nailing): Modified Treatment in Pediatric Distal Tibial Fractures
| Autor: | Corinna Hirzinger, Jan Bauer, Roman Metzger |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
musculoskeletal diseases
Male medicine.medical_specialty Adolescent Treatment outcome Child Health Services Bone healing Bone Nails Child health services law.invention Intramedullary rod 03 medical and health sciences 0302 clinical medicine law Chart review Fracture fixation medicine Humans Orthopedics and Sports Medicine 030212 general & internal medicine Prospective Studies Range of Motion Articular skin and connective tissue diseases Child Retrospective Studies Fracture Healing 030222 orthopedics integumentary system business.industry General Medicine musculoskeletal system Surgery Fracture Fixation Intramedullary body regions Tibial Fractures Treatment Outcome Pediatrics Perinatology and Child Health Female Range of motion business |
| Zdroj: | Journal of pediatric orthopedics. 37(2) |
| ISSN: | 1539-2570 |
| Popis: | Nailing of the tibial shaft with 2 Prevot nails is the gold standard for tibial shaft fractures in children. This technical report aims to show a simple way to stabilize pediatric distal tibial fractures without changing of the operation method.A retrospective chart review of all distal tibial fractures treated with the modified elastic stable intramedullary nailing (ESIN) method during a 6-year period was conducted. The modified ESIN technique hardly differs from the classic method, other than the addition of 2 other Prevot nails inserted using the same entry point.Eight children were treated with the modified ESIN. The mean operation duration was 57 minutes (range, 33 to 88 min). In all cases 2 to 4 mm titanium nails were used. None of our patients required a postoperative cast.Within an average of 14.5 days all of the patients could fully bear their weight (2 to 30 d) and full range of motion was reached.The modified ESIN technique achieves good results regarding stability and early weight-bearing. Therefore, this technique could be applied in unstable distal tibial fractures. Nevertheless, a prospective and biomechanical study is needed to verify our experience.Level IV-therapeutic studies. |
| Databáze: | OpenAIRE |
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