KIRSCHNER WIRE VERSUS TITANIUM ELASTIC NAILS IN PEDIATRIC FEMORAL SHAFT FRACTURES

Content Provider	Scilit
Author	Isik, Cengiz Kurtulmus, Tuhan Saglam, Necdet Saka, Gursel Akpinar, Fuat Sarman, Hakan
Copyright Year	2015
Description	Objective: To evaluate the effectiveness of intramedullary fixation using the Kirschner-wire (K-wire) compared to the titanium elastic nail (TEN) in pediatric femoral shaft fractures. Methods: A sample of 42 pediatric patients with a mean age of 6.55±2.42 years (range 4-11 years) presenting femoral shaft fractures underwent intramedullary fixation using the K-wire or TEN. Results: There was no significant difference found between groups, of which 16 (38.1%) patients were treated with K-wire and 26 (61.9%) patients were treated with TEN in terms of union duration. Moreover, none of the patients showed nonunion or a delayed union. Conclusions: The use of adjusted K-wire instead of TEN in the intramedullary fixation of femoral shaft fractures in selected children may be an advantageous surgical option due to the lower cost, easy accessibility and no need for a second surgery for implant removal. Level of Evidence III, Retrospective Study.
Related Links	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4775477/pdf http://www.scielo.br/pdf/aob/v23n5/1413-7852-aob-23-05-00255.pdf
Ending Page	258
Page Count	4
Starting Page	255
ISSN	14137852
e-ISSN	18094406
DOI	10.1590/1413-785220152305145030
Journal	Acta Ortopedica Brasileira
Issue Number	5
Volume Number	23
Language	English
Publisher	FapUNIFESP (SciELO)
Publisher Date	2015-10-01
Access Restriction	Open
Subject Keyword	Acta Ortopedica Brasileira Child. Bone Nails. Femoral Fractures. Humeral Fractures. Fracture Fixation Intramedullary. Titanium.
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Rehabilitation Physical Therapy, Sports Therapy and Rehabilitation