Antonio RCE, Mora RFG, Mejía RLC, Espíndola CJA, Hernández MS

Language: Spanish
References: 11
Page: 71-75
PDF size: 367.92 Kb.

ABSTRACT

Objective: To report the results of the management of femoral shaft fractures in pediatric patients treated with flexible intramedullary titanium nails.
Patients and methods: A retrospective, observational and descriptive study was conducted from April 2007 to March 2011 at the Pediatric Orthopaedic Service of Regional Hospital General Ignacio Zaragoza, ISSSTE. In 18 patients, of 6 to 13 years of age, male and female, 19 femoral shaft fractures were treated by closed reduction and placement of two flexible intramedullary titanium nails. Patients were maintained on radiographic control at 2, 4, 6, 12 and 24 postoperative weeks.
Results: Clinical and radiographic consolidation of the 19 fractures were observed at six postoperative weeks, although there were some complications, namely two patients exhibited a nail on the outside, at the place of installation, and one of the two patients had decreased mobility in the knee joint, however, this mobility was recovered satisfactorily with physical medicine and rehabilitation. There was not infection or material fatigue in any case.
Conclusion: Surgical treatment with intramedullary flexible titanium nails is well tolerated and accepted by children with femoral shaft fractures. This treatment provides early mobility of the limb and promotes progressive partial support and the early entry into their activities, so it is the treatment of choice of these fractures.

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