Pitfalls and complications of elastic stable intramedullary nailing (ESIN) of femoral fractures in infancy

Der Unfallchirurg
A JubelK E Rehm

Abstract

The aim of this prospective study was to evaluate the intra- and postoperative problems as well as the complications of elastic stable intramedullary nailing (ESIN) of femur fractures in children. 47 consecutive children, mean age 6 years, were reviewed clinically and radiologically until hardware removal and after this annually. Mean time of follow up was 37 months. Intraoperatively one cortex perforation and one displacement of a third fragment occurred. Two correction operations were necessary: In one case due to an implant displacement and in another case due to an unacceptable loss of reduction. There were no infections, non union, implant breakage, refracture or disturbance of growth. ESIN is a safe procedure in femoral shaft fractures of children. Most of the problems and complications can be avoided by a careful consideration of the indication and a correct operation technique.

References

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Citations

May 12, 2011·Der Unfallchirurg·H-G Dietz, W Schlickewei
Nov 14, 2015·Injury·Nado BukvićFrane Bukvić
Mar 1, 2006·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Jonas AndermahrJuergen Koebke
Sep 20, 2011·Journal of Orthopaedic Surgery and Research·Martin M KaiserBenjamin J Kienast
Jun 3, 2010·The Journal of Bone and Joint Surgery. American Volume·Khaled Hamed Salem, Peter Keppler
Jan 21, 2011·Deutsches Ärzteblatt International·Ralf Kraus, Lucas Wessel

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