Flexible intramedullary nailing in paediatric femoral fractures. A report of 73 cases
<p>Abstract</p> <p>Background</p> <p>Flexible intramedullary nailing has emerged as an accepted procedure for paediatric femoral fractures. Present indications include all patients with femoral shaft fractures and open physis. Despite its excellent reported results, ort...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2011-12-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Online Access: | http://www.josr-online.com/content/6/1/64 |
| _version_ | 1817992434119868416 |
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| author | Lohiya Ramprakash Bachhal Vikas Khan Usman Kumar Deepak Vijayvargiya Vishwapriya Sankhala Sohan S Bhargava Rakesh Jindal Nipun |
| author_facet | Lohiya Ramprakash Bachhal Vikas Khan Usman Kumar Deepak Vijayvargiya Vishwapriya Sankhala Sohan S Bhargava Rakesh Jindal Nipun |
| author_sort | Lohiya Ramprakash |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Flexible intramedullary nailing has emerged as an accepted procedure for paediatric femoral fractures. Present indications include all patients with femoral shaft fractures and open physis. Despite its excellent reported results, orthopaedic surgeons remain divided in opinion regarding its usefulness and the best material used for nails. We thus undertook a retrospective study of paediatric femoral fractures treated with titanium or stainless steel flexible nails at our institute with a minimum of 5 years follow up.</p> <p>Material and methods</p> <p>We included 73 femoral shaft fractures in 69 patients treated with retrograde flexible intramedullary nailing with a minimum follow up of 5 years. Final limb length discrepancy and any angular or rotational deformities were determined.</p> <p>Results</p> <p>Mean age at final follow up was 15.5 years (10-21 years). Mean follow up was 7.16 years (5.0-8.6 years). Titanium and stainless steel nails were used in 43 and 30 cases respectively. There were 51 midshaft, 17 proximal, and 5 distal fractures.</p> <p>All fractures united at an average of 11 weeks but asymptomatic malalignment and LLD were seen in 19% and 58% fractures respectively. LLD ranged from -3 cm to 1.5 cm. Other complications included superficial infection(2), proximal migration of nail(3), irritation at nail insertion site(5) and penetration of femoral neck with nail tip(1). There were 59 excellent, 10 satisfactory and 4 poor results.</p> <p>Conclusion</p> <p>Flexible intramedullary nailing is reliable and safe for treating paediatric femoral shaft fractures. It is relatively free of serious complications despite asymptomatic malalignment and LLD in significant percentage of fractures.</p> |
| first_indexed | 2024-04-14T01:26:15Z |
| format | Article |
| id | doaj.art-6d7cc926fd8e4d638c06c202cf091983 |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-14T01:26:15Z |
| publishDate | 2011-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-6d7cc926fd8e4d638c06c202cf0919832022-12-22T02:20:26ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2011-12-01616410.1186/1749-799X-6-64Flexible intramedullary nailing in paediatric femoral fractures. A report of 73 casesLohiya RamprakashBachhal VikasKhan UsmanKumar DeepakVijayvargiya VishwapriyaSankhala Sohan SBhargava RakeshJindal Nipun<p>Abstract</p> <p>Background</p> <p>Flexible intramedullary nailing has emerged as an accepted procedure for paediatric femoral fractures. Present indications include all patients with femoral shaft fractures and open physis. Despite its excellent reported results, orthopaedic surgeons remain divided in opinion regarding its usefulness and the best material used for nails. We thus undertook a retrospective study of paediatric femoral fractures treated with titanium or stainless steel flexible nails at our institute with a minimum of 5 years follow up.</p> <p>Material and methods</p> <p>We included 73 femoral shaft fractures in 69 patients treated with retrograde flexible intramedullary nailing with a minimum follow up of 5 years. Final limb length discrepancy and any angular or rotational deformities were determined.</p> <p>Results</p> <p>Mean age at final follow up was 15.5 years (10-21 years). Mean follow up was 7.16 years (5.0-8.6 years). Titanium and stainless steel nails were used in 43 and 30 cases respectively. There were 51 midshaft, 17 proximal, and 5 distal fractures.</p> <p>All fractures united at an average of 11 weeks but asymptomatic malalignment and LLD were seen in 19% and 58% fractures respectively. LLD ranged from -3 cm to 1.5 cm. Other complications included superficial infection(2), proximal migration of nail(3), irritation at nail insertion site(5) and penetration of femoral neck with nail tip(1). There were 59 excellent, 10 satisfactory and 4 poor results.</p> <p>Conclusion</p> <p>Flexible intramedullary nailing is reliable and safe for treating paediatric femoral shaft fractures. It is relatively free of serious complications despite asymptomatic malalignment and LLD in significant percentage of fractures.</p>http://www.josr-online.com/content/6/1/64 |
| spellingShingle | Lohiya Ramprakash Bachhal Vikas Khan Usman Kumar Deepak Vijayvargiya Vishwapriya Sankhala Sohan S Bhargava Rakesh Jindal Nipun Flexible intramedullary nailing in paediatric femoral fractures. A report of 73 cases Journal of Orthopaedic Surgery and Research |
| title | Flexible intramedullary nailing in paediatric femoral fractures. A report of 73 cases |
| title_full | Flexible intramedullary nailing in paediatric femoral fractures. A report of 73 cases |
| title_fullStr | Flexible intramedullary nailing in paediatric femoral fractures. A report of 73 cases |
| title_full_unstemmed | Flexible intramedullary nailing in paediatric femoral fractures. A report of 73 cases |
| title_short | Flexible intramedullary nailing in paediatric femoral fractures. A report of 73 cases |
| title_sort | flexible intramedullary nailing in paediatric femoral fractures a report of 73 cases |
| url | http://www.josr-online.com/content/6/1/64 |
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