Titanium Elastic Nailing System, An Effective Way Of Pediatric Forearm Fracture Management

IF 0.2 Q4 EMERGENCY MEDICINE
S. Bhat, Surendra Kumar, L. Pathak, A. Upadhyay, S. Goel, Ritika Girdhar
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Abstract

Introduction- Pediatric both bone forearm fracture commonly encountered in orthopedic emergency, their treatment varies widely from simple sling and cast to operative fixation with nailing and plating with no definitive consensus on one treatment modality. Although most of cases are satisfactorily managed with conservative measure, current innovation in elastic nailing, instrumentation and poor compliance to cast and frequent revisits to check the adequacy of reduction makes treatment with elastic titanium nailing an excellent means of intervention in unstable both bones fractures in children.Materials methods- The study was conducted at Dept of orthopedics, SHKM Govt medical college Nuh , India, which included 30 patients, 18 male, 12 female with age from 6 to 15years, with mean age of 10 years. Twenty patients had middle third fractures, 6 proximal 1/3rd and 3 distal 1/3rd fractures. Closed reduction was done in 24 (80%) patients and 6(20%) patients needed open reduction at # site.The transverse fractures were seen in 17 patients, oblique fractures in 6 patients, communicated in 4patients and spiral fractures in 3 patients. Results- The functional Outcome as per Price et al Criteria (7) was Excellent in 28 patients, good in 2 patients. None of the patients showed poor function at the final follow up at 1 year. Discussion and conclusion- Tens allows micro motion at fracture site due to elasticity of nails elastic deformation within the medullary canal creates a bending moment within the long bone that is not rigid, but that is stable enough to reduce and fix the fracture, and favors callous formation and bone healing. The treatment of pediatric both bones fractures with TENS continue to be the unparallel success and reliable treatment method with predictable outcome and minimal complication. We certainly recommend this type of treatment in angulated and unstable forearm fractures in children.
钛弹性钉系统是小儿前臂骨折治疗的有效方法
前言:小儿前臂双骨骨折在骨科急诊中常见,其治疗方法多种多样,从简单的吊带和石膏到钉钉和钢板手术固定,对一种治疗方式尚无明确共识。尽管大多数病例采用保守措施都能得到满意的治疗,但目前弹性钉钉、器械的创新、对石膏的依从性差以及频繁复诊检查复位是否充分,使得弹性钛钉治疗成为儿童不稳定双侧骨折的一种极好的干预手段。材料方法:本研究在印度Nuh SHKM政府医学院骨科部进行,纳入30例患者,男18例,女12例,年龄6 ~ 15岁,平均年龄10岁。20例中三分之一骨折,6例近端三分之一骨折,3例远端三分之一骨折。24例(80%)患者进行闭合复位,6例(20%)患者需要在#部位切开复位。横骨折17例,斜骨折6例,相通骨折4例,螺旋骨折3例。结果-根据Price等人的标准(7),28例患者的功能预后为优,2例为良。在1年的最后随访中,没有患者出现功能不良。讨论和结论-由于钉子的弹性,Tens允许骨折部位的微运动,髓管内的弹性变形在长骨内产生弯曲力矩,这种弯曲力矩不是刚性的,但足够稳定,可以减少和固定骨折,并有利于骨痂的形成和骨愈合。应用TENS治疗小儿双侧骨折是一种无与伦比的成功可靠的治疗方法,其预后可预测,并发症少。我们当然推荐这种治疗儿童成角和不稳定的前臂骨折。
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来源期刊
Trauma monthly
Trauma monthly EMERGENCY MEDICINE-
CiteScore
0.60
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