PMID: 9165440Apr 1, 1997Paper

Modern trends in internal fixation of femoral shaft fractures in children. A critical review

Journal of Pediatric Orthopedics. Part B
K D Parsch

Abstract

Elastic intramedullary (IM) devices, which avoid the physeal region like Nancy and Ender nails do, can be used in children younger than even 4 years without compromising the trochanter physis or risking an avascular necrosis. Intramedullary fixation of femoral shaft fractures leads to satisfactory results of alignment and union. Prerequisites for intramedullary closed nailing are a traction table, especially for older children and adolescents, and an image intensifer. Interlocking IM, Ender, and Nancy nails all have the equal advantage of early weight bearing and reduced hospitalization time compared with traction and cast management. Küntscher or interlocking nails should only be used in adolescents close to the end of growth to avoid growth arrest of the trochanterocervical physis. Küntscher nails and interlocking IM nails are both associated with the small but troublesome risk of avascular necrosis. Ender and Nancy nails, with retrograde or antegrade pinning, have a low complication rate and a short learning curve for surgeons. Overgrowth in late controls after IM rodding of shaft fractures is about the same as the other types of treatment with an average overgrowth of 7 mm. Short hospital stay for children with IM nails red...Continue Reading

Citations

Oct 27, 2006·Journal of Pediatric Orthopedics·Pierre LascombesPierre Journeau
Aug 12, 2005·Journal of Pediatric Orthopedics. Part B·Axel JubelKlaus E Rehm
Apr 7, 2007·Journal of Pediatric Orthopedics·Lea BopstNicolas Lutz
Sep 1, 2012·Revista Brasileira De Ortopedia·Jamil Faissal SoniCamila Deneka Arantes Souza
Jun 5, 2013·Journal of Children's Orthopaedics·Hanspeter HuberPierre Lascombes
May 16, 2012·Orthopaedics & Traumatology, Surgery & Research : OTSR·P LascombesP Journeau
Apr 17, 2014·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·A SalonenO Pajulo
Jun 27, 2003·Journal of Pediatric Orthopedics·H Mustafa OzdemirAbdurrahman Kutlu
Apr 13, 2007·Journal of Orthopaedic Surgery·Y H D LeeE H Lee

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Journal of Pediatric Orthopedics
Christine Ann HoRobert M Kay
Journal of Pediatric Orthopedics. Part B
Jacques GriffetM Baby
© 2021 Meta ULC. All rights reserved