Elastic Stable Intramedullary Nailing and Temporary External Fixation for the Treatment of Unstable Femoral Shaft Fractures in Children Aged 5-11 Years Old: A Retrospective Study of 28 Cases
PurposeUnstable femoral shaft fractures (UFSFs) in children aged 5–11 years remain challenging due to their intrinsic instability. The aim of this study was to evaluate the clinical and radiographic outcomes of UFSF in children aged 5 to 11 years managed by the combined use of ESIN and temporary EF....
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Frontiers Media S.A.
2022-06-01
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| Series: | Frontiers in Pediatrics |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2022.914834/full |
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| author | Yunan Lu Federico Canavese Ran Lin Jinchen Chen Yibin Chen Yuling Huang Shunyou Chen Shunyou Chen |
| author_facet | Yunan Lu Federico Canavese Ran Lin Jinchen Chen Yibin Chen Yuling Huang Shunyou Chen Shunyou Chen |
| author_sort | Yunan Lu |
| collection | DOAJ |
| description | PurposeUnstable femoral shaft fractures (UFSFs) in children aged 5–11 years remain challenging due to their intrinsic instability. The aim of this study was to evaluate the clinical and radiographic outcomes of UFSF in children aged 5 to 11 years managed by the combined use of ESIN and temporary EF.MethodsChildren with UFSF (long oblique and comminuted) treated by ESIN and temporary EF were retrospectively reviewed. Sex, age at injury, side involved, type of fracture, presence or absence of associated lesions or neurovascular complications, type of treatment, time from trauma to surgery, duration of surgery, radiation exposure and length of postoperative immobilization were collected from the medical charts. Radiological and functional outcomes were evaluated according to Beaty's and Flynn's criteria, respectively.ResultsA total of 28 consecutive patients with closed or open (Gustilo type I or II) UFSF were reviewed (18 boys and 10 girls). The mean age at injury was 8.7 ± 1.6 years (range, 5–11); the average weight was 38.1 ± 7.6 kg (range, 26–55). The mean hospital stay was 3.7 ± 1.4 days (range, 2–7), and the mean time to EF and ESIN removal was 6.5 ± 1.1 weeks (range, 4–8) and 9.4 ± 1.6 months (range, 6–12), respectively. Twenty-seven out of 28 patients had excellent radiographic outcomes according to Beaty's criteria, and 24/28 had excellent functional outcomes according to Flynn's criteria. Overall, 4 complications (14.3%) were recorded. No statistically significant correlation was found between complication rates and sex, age, weight or fracture characteristics (P < 0.05).ConclusionsThe combined use of ESIN and temporary EF provides good clinical and radiological outcomes in children with UFSF aged between 5 and 11 years, with a reduced complication rate. |
| first_indexed | 2024-12-12T07:50:49Z |
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| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-12-12T07:50:49Z |
| publishDate | 2022-06-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-c6684c41514b4ed88f6a567026f7101d2022-12-22T00:32:27ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602022-06-011010.3389/fped.2022.914834914834Elastic Stable Intramedullary Nailing and Temporary External Fixation for the Treatment of Unstable Femoral Shaft Fractures in Children Aged 5-11 Years Old: A Retrospective Study of 28 CasesYunan Lu0Federico Canavese1Ran Lin2Jinchen Chen3Yibin Chen4Yuling Huang5Shunyou Chen6Shunyou Chen7Department of Pediatric Orthopedics, Fuzhou Second Hospital Affiliated to Xiamen University, The Third Clinical Medicine College of Fujian Medical University, Fuzhou, ChinaDepartment of Pediatric Orthopedic Surgery, Jeanne de Flandre Hospital, Lille University Centre, Lille, FranceDepartment of Pediatric Orthopedics, Fuzhou Second Hospital Affiliated to Xiamen University, The Third Clinical Medicine College of Fujian Medical University, Fuzhou, ChinaDepartment of Pediatric Orthopedics, Fuzhou Second Hospital Affiliated to Xiamen University, The Third Clinical Medicine College of Fujian Medical University, Fuzhou, ChinaDepartment of Pediatric Orthopedics, Fuzhou Second Hospital Affiliated to Xiamen University, The Third Clinical Medicine College of Fujian Medical University, Fuzhou, ChinaDepartment of Pediatric Orthopedics, Fuzhou Second Hospital Affiliated to Xiamen University, The Third Clinical Medicine College of Fujian Medical University, Fuzhou, ChinaDepartment of Pediatric Orthopedics, Fuzhou Second Hospital Affiliated to Xiamen University, The Third Clinical Medicine College of Fujian Medical University, Fuzhou, ChinaFujian Provincial Clinical Medical Research Center for First Aid and Rehabilitation in Orthopedic Trauma, Fuzhou, ChinaPurposeUnstable femoral shaft fractures (UFSFs) in children aged 5–11 years remain challenging due to their intrinsic instability. The aim of this study was to evaluate the clinical and radiographic outcomes of UFSF in children aged 5 to 11 years managed by the combined use of ESIN and temporary EF.MethodsChildren with UFSF (long oblique and comminuted) treated by ESIN and temporary EF were retrospectively reviewed. Sex, age at injury, side involved, type of fracture, presence or absence of associated lesions or neurovascular complications, type of treatment, time from trauma to surgery, duration of surgery, radiation exposure and length of postoperative immobilization were collected from the medical charts. Radiological and functional outcomes were evaluated according to Beaty's and Flynn's criteria, respectively.ResultsA total of 28 consecutive patients with closed or open (Gustilo type I or II) UFSF were reviewed (18 boys and 10 girls). The mean age at injury was 8.7 ± 1.6 years (range, 5–11); the average weight was 38.1 ± 7.6 kg (range, 26–55). The mean hospital stay was 3.7 ± 1.4 days (range, 2–7), and the mean time to EF and ESIN removal was 6.5 ± 1.1 weeks (range, 4–8) and 9.4 ± 1.6 months (range, 6–12), respectively. Twenty-seven out of 28 patients had excellent radiographic outcomes according to Beaty's criteria, and 24/28 had excellent functional outcomes according to Flynn's criteria. Overall, 4 complications (14.3%) were recorded. No statistically significant correlation was found between complication rates and sex, age, weight or fracture characteristics (P < 0.05).ConclusionsThe combined use of ESIN and temporary EF provides good clinical and radiological outcomes in children with UFSF aged between 5 and 11 years, with a reduced complication rate.https://www.frontiersin.org/articles/10.3389/fped.2022.914834/fullelastic stable intramedullary nailingexternal fixatorpediatric femoral shaft fracturediaphysisunstable |
| spellingShingle | Yunan Lu Federico Canavese Ran Lin Jinchen Chen Yibin Chen Yuling Huang Shunyou Chen Shunyou Chen Elastic Stable Intramedullary Nailing and Temporary External Fixation for the Treatment of Unstable Femoral Shaft Fractures in Children Aged 5-11 Years Old: A Retrospective Study of 28 Cases Frontiers in Pediatrics elastic stable intramedullary nailing external fixator pediatric femoral shaft fracture diaphysis unstable |
| title | Elastic Stable Intramedullary Nailing and Temporary External Fixation for the Treatment of Unstable Femoral Shaft Fractures in Children Aged 5-11 Years Old: A Retrospective Study of 28 Cases |
| title_full | Elastic Stable Intramedullary Nailing and Temporary External Fixation for the Treatment of Unstable Femoral Shaft Fractures in Children Aged 5-11 Years Old: A Retrospective Study of 28 Cases |
| title_fullStr | Elastic Stable Intramedullary Nailing and Temporary External Fixation for the Treatment of Unstable Femoral Shaft Fractures in Children Aged 5-11 Years Old: A Retrospective Study of 28 Cases |
| title_full_unstemmed | Elastic Stable Intramedullary Nailing and Temporary External Fixation for the Treatment of Unstable Femoral Shaft Fractures in Children Aged 5-11 Years Old: A Retrospective Study of 28 Cases |
| title_short | Elastic Stable Intramedullary Nailing and Temporary External Fixation for the Treatment of Unstable Femoral Shaft Fractures in Children Aged 5-11 Years Old: A Retrospective Study of 28 Cases |
| title_sort | elastic stable intramedullary nailing and temporary external fixation for the treatment of unstable femoral shaft fractures in children aged 5 11 years old a retrospective study of 28 cases |
| topic | elastic stable intramedullary nailing external fixator pediatric femoral shaft fracture diaphysis unstable |
| url | https://www.frontiersin.org/articles/10.3389/fped.2022.914834/full |
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