We assessed the risk for refractures following removal of elastic nails and plates from paediatric forearms. Out of 82 children who had 112 plates removed, seven patients (8.5%) had refractures when removals were within 12 months of implantation. Those aged 12 years or older were at risk. Out of 24 patients who had 38 nails removed, four patients (16.7%) had refractures and the risk was high when nails were removed within 6 months of insertion. Children aged 9 years or older were at risk. We do not recommend removal of forearm plates within 12 months and nails within 6 months of implantation.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1097/BPB.0000000000000041 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Femoral intramedullary nail extraction using the kissing nail technique when primary measures fail.
OTA Int
March 2025
Department of Orthopedic Surgery, Detroit Medical Center, Detroit, MI.
Introduction: Intramedullary femoral nails (IMFNs) need to be removed for subsequent joint replacement, refracture, nonunion, or infection. The tools used to extract newer IMFNs may not be suited for removal of older implants, especially if broken. The purpose of this study was to describe a novel technique in femoral nail extraction when primary measures fail and a report on 6 cases where it was used.
View Article and Find Full Text PDFRemoval of Forearm Plate Leads to a Higher Risk of Refracture-A Systematic Review and Meta-Analysis.
Orthop Surg
December 2024
Department of Orthopaedics and Traumatology, Beijing Jishuitan Hospital, Capital Medical University, Beijing, China.
Objective: Plate fixation is the preferred method for treating forearm shaft fractures. However, it remains controversial regarding the necessity of implant removal after bone union. This review aims to assess refracture risk after plate removal.
View Article and Find Full Text PDFFemoral shaft fractures in preschool children: external fixation and elastic intramedullary nail treatments in clinical practice.
J Pediatr Orthop B
December 2024
Department of Orthopaedics, Beijing Children's Hospital, Capital Medical University.
Surgical intervention in preschoolers with femoral shaft fractures has increased due to the evolving lifestyle. This study aimed to analyze and compare the efficacy of elastic intramedullary nailing and external fixation in treating femoral shaft fractures in children aged 2-5. Ninety-nine pediatric patients were categorized into the external fixator (EF) and the elastic intramedullary nail (ESIN) group based on surgical techniques.
View Article and Find Full Text PDFA good index surgery for congenital pseudarthrosis of the tibia minimizes complications following surgery.
Bone Jt Open
November 2024
Pediatric Orthopedics, Children's Hospital of Fudan University, Shanghai, China.
Aims: Congenital pseudarthrosis of the tibia (CPT) has traditionally been a difficult condition to treat, with high complication rates, including nonunion, refractures, malalignment, and leg length discrepancy. Surgical approaches to treatment of CPT include intramedullary rodding, external fixation, combined intramedullary rodding and external fixation, vascularized fibular graft, and most recently cross-union. The current study aims to compare the outcomes and complication rates of cross-union versus other surgical approaches as an index surgery for the management of CPT.
View Article and Find Full Text PDFApplication of Ortho-Bridge System after Femoral Bone Transport.
Acta Chir Orthop Traumatol Cech
November 2024
Department of Traumatic Orthopedics, The First Affiliated Hospital of Shenzhen University, Guangdong, China.
Article Synopsis
- The bone transport technique involves a method called distraction-osteogenesis to repair bone defects using an external fixator.
- * The study evaluates the clinical outcomes of the Ortho-Bridge System for internal fixation in 4 patients who underwent femoral bone transport between October 2020 and October 2022.
- * Results indicate that the Ortho-Bridge System is beneficial when traditional fixation methods, like locking plates and intramedullary nails, are not suitable due to changes in bone anatomy after the procedure.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!