Objective: To investigate the functional and radiographic outcomes of pre-bent elastic stable intramedullary nail in treatment of distal radial shaft fractures in children.
Methods: From January 2006 to December 2008, 18 children with distal radial shaft fracture were treated by close reduction and internal fixation with a pre-bent elastic stable intramedullary nail. The age range was from 5 years to 15 years, with an average of 9 years and 8 months. The minimum follow-up was 12 months.
Results: All fractures maintained good alignment postoperatively, and 94.4% (17/18) of the patients regained a full range of rotation of the forearm. One patient has limitation of rotation to less than 10°, this had improved by final follow-up. Complications included soft tissue irritation at the site of nail insertion in one patient and transient scar hypersensitivity in another.
Conclusion: Fixation with a pre-bent elastic stable intramedullary nail is an effective, safe and convenient method for treating distal radial shaft fractures in children.
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http://dx.doi.org/10.1111/j.1757-7861.2010.00092.x | DOI Listing |
JBJS Essent Surg Tech
November 2024
Pediatric Hand, Nerve and Microsurgery, Barcelona Children's Hospital, HM Hospitales, Barcelona, Spain.
Background: Radial neck fractures account for 1% of all pediatric fractures and 5% to 10% of pediatric elbow fractures. The mechanism of injury is typically a fall with the elbow in hyperextension and the forearm in supination. A valgus force compresses the radial head against the capitellum, causing a radial neck fracture.
View Article and Find Full Text PDFOrthop Surg
December 2023
Research Institute of Orthopaedics, The Affiliated JiangNan Hospital of Zhejiang Chinese Medical University, Hangzhou, China.
Objective: Although mini-plate fixation is an attractive treatment option for distal radius metaphyseal diaphysis junction (DRMDJ) fractures in children, the benefits of minimally invasive fixation (MIF) with pre-bent elastic stable intramedullary nails (MIF) remain underexplored. Therefore, this study aimed to evaluate the clinical efficacy of MIF administration in children with DRMDJ fractures.
Methods: This retrospective study enrolled 40 patients with DRMDJ fractures who underwent MIF or mini-plate fixation from January 2016 to January 2021.
Geriatr Orthop Surg Rehabil
June 2021
Department of Orthopaedic Surgery, Kyung Hee University Hospital, Dongdaemun-gu, Seoul, Republic of Korea.
Most metatarsal neck fractures can be successfully treated non-operatively in a cast boot. Displaced metatarsal neck fractures tend to be less stable and have a propensity for the distal fragment to angulate, secondary to the strong flexor tendons, which often forces the distal fracture fragment in a plantar direction and leads to relative metatarsal shortening. Most literature is focussed on antegrade fixation of metatarsal neck fractures using pre-bent K wires or thin elastic nails.
View Article and Find Full Text PDFOrthod Craniofac Res
November 2019
Postgraduate Orthodontic Program, Arizona School of Dentistry & Oral Health, A.T. Still University, Mesa, Ariz.
Objectives: To clarify the mechanics of tooth movement in mesialization of the whole mandibular dentition when changing the force angulation.
Setting: A finite element method was used to simulate long-term movements of the whole mandibular dentition.
Material And Methods: Tooth movement was simulated by accumulating the initial displacement, which was produced by elastic deformation of the periodontal ligament.
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