Flexible intramedullary nailing of the children Çocuk femur cisim kiriklarinda esneyebilen intramedüller çivi uygulamasi
Ulusal Travma ve Acil Cerrahi Dergisi, cilt.13, sa.2, ss.115-121, 2007 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 13 Sayı: 2
- Basım Tarihi: 2007
- Dergi Adı: Ulusal Travma ve Acil Cerrahi Dergisi
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.115-121
- Anahtar Kelimeler: Biomechanics, Bone nails, Child, Fediatric femur diaphyseal fractures, Flexible nailing
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
BACKGROUND: Various methods are being used in the treatment of femur diaphysial fractures in children aged between 6 to 12 years. Titanium elastic nailing is one of the alternatives. We evaluated our experience in flexible intramedullary nailing. METHODS: We investigated 21 patients with femur diaphysial fractures who were with titanium elastic nailing. RESULTS: The mean age of the patients was 9.6±2.4 (range between 5.1-14.7 years) and all the fractures were at the diaphyisis. The fracture pattern was as following: 9 (42.9%) transverse, 7 (33.3%) oblique, 5 (23.8%) spiral. Fixations were performed with two nails which were implanted in retrograde manner. The average time of follow-up was 29±11.6 months (range; 9-48 month). The mean time to fracture union was 13±11.9 weeks (4-52). Implant removal was performed after a mean time of 7±2.2 months (range; 6-16 month). Patients's hip and knee range of motions were complete and clinically there were no angular or rotational deformity at postoperative one year. There were radiologically 11±1.7 (range; 10-15) degrees of varus valgus malalignment in 8 patients; these angles were reduced to 5±1.9 (range; 3-9) degrees at the follow of two years. CONCLUSION: The results of the flexible titanium nailing in femur diaphysial fractures of the children, aged between 6 to 12 years, suggest that this method may be a first choice therapy in this particular group of patients.