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Titanium elastic nailing in diaphyseal femoral fractures of children below six years of age

AIM: To report the clinical and radiographic results of titanium elastic nail (TEN) in diaphyseal femoral fractures of children below age of six years. METHODS: A retrospective analysis of 27 diaphyseal femoral fractures in children younger than six years treated with TEN between 2005 and 2015 was c...

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Autores principales: Donati, Fabrizio, Mazzitelli, Giuseppe, Lillo, Marco, Menghi, Amerigo, Conti, Carla, Valassina, Antonio, Marzetti, Emanuele, Maccauro, Giulio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5314145/
https://www.ncbi.nlm.nih.gov/pubmed/28251066
http://dx.doi.org/10.5312/wjo.v8.i2.156
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author Donati, Fabrizio
Mazzitelli, Giuseppe
Lillo, Marco
Menghi, Amerigo
Conti, Carla
Valassina, Antonio
Marzetti, Emanuele
Maccauro, Giulio
author_facet Donati, Fabrizio
Mazzitelli, Giuseppe
Lillo, Marco
Menghi, Amerigo
Conti, Carla
Valassina, Antonio
Marzetti, Emanuele
Maccauro, Giulio
author_sort Donati, Fabrizio
collection PubMed
description AIM: To report the clinical and radiographic results of titanium elastic nail (TEN) in diaphyseal femoral fractures of children below age of six years. METHODS: A retrospective analysis of 27 diaphyseal femoral fractures in children younger than six years treated with TEN between 2005 and 2015 was conducted. Patients were immobilized in a cast for 5 wk and the nails were removed from 6 to 12 wk after surgery. Twenty-four cases were clinically and radiographically re-evaluated using the Flynn’s scoring criteria, focusing on: Limb length discrepancy, rotational deformity, angulation, hip and knee range of motion (ROM), functional status, complications, and parent’s satisfaction. RESULTS: Sixteen males and eight females with a mean age of 3.2 years at the time of treatment were re-evaluated at an average follow-up of 58.9 mo. No cases of delayed union were observed. The mean limb lengthening was 0.3 cm. Four cases experienced limb lengthening greater than 1 cm and always minor than 2 cm. Twelve point five percent of the cases showed an angulation < 10°. Complete functional recovery (hip and knee ROM, ability to run and jump on the operated limb) occurred in 95.7% of cases. Complications included two cases of superficial infection of the TEN entry point, one case of refracture following a new trauma, and one TEN mobilization. According to the Flynn’s scoring criteria, excellent results were obtained in 79.2% of patients and satisfactory results in the remaining 20.8%, with an average parent’s satisfaction level of 9.1/10. CONCLUSION: TEN is as a safe, mini-invasive and surgeon-friendly technique and, considering specific inclusion criteria, it represents a useful and efficacy option for the treatment of diaphyseal femoral fractures even in patients younger than six years of age.
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spelling pubmed-53141452017-03-02 Titanium elastic nailing in diaphyseal femoral fractures of children below six years of age Donati, Fabrizio Mazzitelli, Giuseppe Lillo, Marco Menghi, Amerigo Conti, Carla Valassina, Antonio Marzetti, Emanuele Maccauro, Giulio World J Orthop Retrospective Study AIM: To report the clinical and radiographic results of titanium elastic nail (TEN) in diaphyseal femoral fractures of children below age of six years. METHODS: A retrospective analysis of 27 diaphyseal femoral fractures in children younger than six years treated with TEN between 2005 and 2015 was conducted. Patients were immobilized in a cast for 5 wk and the nails were removed from 6 to 12 wk after surgery. Twenty-four cases were clinically and radiographically re-evaluated using the Flynn’s scoring criteria, focusing on: Limb length discrepancy, rotational deformity, angulation, hip and knee range of motion (ROM), functional status, complications, and parent’s satisfaction. RESULTS: Sixteen males and eight females with a mean age of 3.2 years at the time of treatment were re-evaluated at an average follow-up of 58.9 mo. No cases of delayed union were observed. The mean limb lengthening was 0.3 cm. Four cases experienced limb lengthening greater than 1 cm and always minor than 2 cm. Twelve point five percent of the cases showed an angulation < 10°. Complete functional recovery (hip and knee ROM, ability to run and jump on the operated limb) occurred in 95.7% of cases. Complications included two cases of superficial infection of the TEN entry point, one case of refracture following a new trauma, and one TEN mobilization. According to the Flynn’s scoring criteria, excellent results were obtained in 79.2% of patients and satisfactory results in the remaining 20.8%, with an average parent’s satisfaction level of 9.1/10. CONCLUSION: TEN is as a safe, mini-invasive and surgeon-friendly technique and, considering specific inclusion criteria, it represents a useful and efficacy option for the treatment of diaphyseal femoral fractures even in patients younger than six years of age. Baishideng Publishing Group Inc 2017-02-18 /pmc/articles/PMC5314145/ /pubmed/28251066 http://dx.doi.org/10.5312/wjo.v8.i2.156 Text en ©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.
spellingShingle Retrospective Study
Donati, Fabrizio
Mazzitelli, Giuseppe
Lillo, Marco
Menghi, Amerigo
Conti, Carla
Valassina, Antonio
Marzetti, Emanuele
Maccauro, Giulio
Titanium elastic nailing in diaphyseal femoral fractures of children below six years of age
title Titanium elastic nailing in diaphyseal femoral fractures of children below six years of age
title_full Titanium elastic nailing in diaphyseal femoral fractures of children below six years of age
title_fullStr Titanium elastic nailing in diaphyseal femoral fractures of children below six years of age
title_full_unstemmed Titanium elastic nailing in diaphyseal femoral fractures of children below six years of age
title_short Titanium elastic nailing in diaphyseal femoral fractures of children below six years of age
title_sort titanium elastic nailing in diaphyseal femoral fractures of children below six years of age
topic Retrospective Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5314145/
https://www.ncbi.nlm.nih.gov/pubmed/28251066
http://dx.doi.org/10.5312/wjo.v8.i2.156
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