2004, Number 1
Rev Mex Ortop Ped 2004; 6 (1)
Ramírez JA, Berumen NE, Núñez JA, Vallejo J, Campbell O, Carlos PJ, Aguirre MA
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ABSTRACTIntroduction: The use of intramedullary nailing fixation is a surgical procedure that is in between surgical and conservative. It has the advantage of been a percutaneous technique, that do not damages the growth cartilage, keeps intact the fracture hematoma, maintains stability in three plane and provides the opportunity of early weight bearing, giving an early rehabilitation and a low cost with a minimal rate of complications. Material and methods: All patients were treated with titanium Intramedullary flexible nailing. From November 2001 to March 2004 at Hospital Clinica del Parque. All the femur, tibia and fibula fractures were stabilized with two nails, and the forearm fractures were treated only with one nail, and guided by fluoroscopy. Results: 27 patients, aged from 2 to 17 years old. Fourteen femur fractures, 9 forearm fractures, 2 tibio fibular fractures and 2 humerus fractures. Three-day average hospital days with an average consolidation time of 12 weeks. One patient presented pseudoarthrosis. All kids obtained his previous functional capacities. Conclusions: Intramedullary flexible nailing is an excellent treatment for diaphyseal fractures in kids, with important advantages compared with other methods, with a minimal rate of complications and excellent results.