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Revista Mexicana de Ortopedia Pediátrica

ISSN 2007-087X (Print)
Órgano Oficial de la Sociedad Mexicana de Ortopedia Pediátrica
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2010, Number 1

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Rev Mex Ortop Ped 2010; 12 (1)

Manejo de los clavos flexibles de titanio (TENS) en las fracturas diafisiarias en el paciente pediátrico

Meza VA, López DA, Isunza RA
Full text How to cite this article

Language: Spanish
References: 17
Page: 24-29
PDF size: 199.07 Kb.


Key words:

Flexible nail, diaphyseal fracture.

ABSTRACT

Objective: To report our experience in the surgical treatment of diaphyseal fractures with titanium elastic intramedullary nails. Material and methods: A retrospective review was performed of 44 patients with 45 fractures, followed until fracture consolidation. Results: Adequate healing was observed without angular or rotational deformity in all cases. There was only one complication: a wound dehiscence. Conclusion: Intramedullary nailing is ideal for the treatment of diaphyseal fractures in children as it provides the stability required for adequate healing. Level of evidence: III


REFERENCES

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  2. AO manual of fracture management elastic stable intramedullary nailing (ESIN) in children. Thieme AO publishing 2005.

  3. Hersovici D Jr et al. The use of Ender nails in femoral shaft fractures: what are the remaining indications? J Orthop Trauma 1992; 6(3): 314-317.

  4. Flynn JM et al. The operative management of pediatric fracture of the lower extremity. J Bone Joint Surg Am 2002; 84: 288-300.

  5. Flynn JM, Hrsko T et al. Titanium elastic nails for pediatric femur fractures; a multicenter study of early results with analysi of complications. J Pediatr Orthop 2001; 21(1): 4-8.

  6. Hunter JB. The principles of elastic stable intramedullary nailing in children. Injury 2005; 36 Sup 1: 20-23.

  7. Knorr P et al. The use of ESIN in humerus fractures: Shaft seldom, subcapital sometimes, supracondylar often. European Journal Trauma 2005; (1): 12-18.

  8. Ligier JN, Metaizeau JP et al. Closed flexible medullary nailing in pediatrics traumatology. Chir Pediatri 1983; 24(6): 383-5.

  9. Ligier JN, Metaizeau JP et al. Elastic stable intramedullary pinning of the long bone shaft fractures in children. Chir Ped 1988; 40(4): 209-212.

  10. Pankovitch AM. Flexible intramedullary nailing of bone long fractures: a review. J Orthop Trauma 1987; 1: 78-95.

  11. Ramírez JA y cols. Clavos endomedulares flexibles en el tratamiento de las fracturas pediátricas. Rev Mex Ortop Ped 2004; 6(1).

  12. Rockwood CA. Wilkins fractures in children Lippincott: Raven 4th ed. 1996.

  13. Rush LV. Dynamic intramedullary fracture fixation of the femur: reflections on the use of the round rod after thirty years. Clin Orthop 1968; 60: 7-21.

  14. Schmittenbecher P et al. Complications and problems in intramedullary nailing of children´s fractures. European Journal Trauma 2000; (6): 287-293.

  15. Shalamon J et al. Elastic stable intramedullary nailing (ESIN) in lower leg fracture. Complications and outcome. European Journal Trauma 2005; (1): 19-23.

  16. Theddy FS. The choice of treatment according to the type an location of the fracture and the age of the child. Injury 2005; 36 Sup 1: 12-19.

  17. Theddy FS. Complications and failures of the ESIN technique. Injury 2005; 36 Sup 1: 78-85.




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Rev Mex Ortop Ped. 2010;12