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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Salem, Khaled Hamed Keppler, Peter |
| Description | Country affiliation: Egypt Author Affiliation: Salem KH ( Department of Orthopaedic Surgery, Cairo University, 11562 Cairo, Egypt. khaled_hamedsalem@hotmail.com) |
| Abstract | BACKGROUND: Elastic stable intramedullary nailing has become a popular treatment for pediatric long-bone fractures. However, early limb malalignment and length differences may occur in children with femoral fractures who are managed with this procedure. METHODS: We prospectively followed sixty-eight children (mean age, 5.6 years) who were managed with elastic stable intramedullary nailing for the treatment of a unilateral femoral shaft fracture in order to evaluate early angular or rotational malalignment or limb-length discrepancy. The average body weight was 21 kg (range, 10 to 45 kg). There were fifty-seven AO/ASIF Type-A fractures and eleven Type-B fractures. Malalignment was assessed with use of radiographs, computed tomography, or navigated ultrasound examination after four to seven months to evaluate the short-term result of fixation and to eliminate changes caused by later bone remodeling. RESULTS: The mean femoral length difference was 0.5 mm of femoral lengthening. Only eleven patients (16%) had a limb-length discrepancy of >10 mm. Mechanical axial deviation of >5 degrees occurred in one patient. However, the mean femoral rotational angle difference was 14.5 degrees . Thirty-two children (47%) had > or =15 degrees of torsional malalignment. CONCLUSIONS: Elastic stable intramedullary nailing can provide satisfactory results in terms of limb length and axial alignment, but a high rate of early torsional malalignment may be seen. |
| File Format | HTM / HTML |
| ISSN | 00219355 |
| Issue Number | 6 |
| Volume Number | 92 |
| e-ISSN | 15351386 |
| Journal | The Journal of Bone and Joint Surgery-American Volume |
| Language | English |
| Publisher | Lippincott Williams & Wilkins |
| Publisher Date | 2010-06-01 |
| Publisher Place | United States |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Orthopedic surgery Femoral Fractures Femur Fracture Fixation, Intramedullary Adverse Effects Biomechanical Phenomena Bone Nails Child Child, Preschool Female Surgery Fracture Healing Humans Infant Leg Length Inequality Male Prognosis Prospective Studies Radiography Journal Article |
| Content Type | Text |
| Resource Type | Article |
| Subject | Orthopedics and Sports Medicine Surgery Sports Science |
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