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Unstable Pediatric Femur Fractures: Combined Intramedullary Flexible Nails and External Fixation

INTRODUCTION: The treatment of pediatric femur fractures continues to evolve. In the past, many of these fractures required prolonged hospitalization in traction. More recently, flexible elastic nails have gained popularity. However, length unstable and comminuted fractures can present some unique c...

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Detalles Bibliográficos
Autores principales: Anderson, Scott R, Nelson, Scott C, Morrison, Martin J
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Indian Orthopaedic Research Group 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5702700/
https://www.ncbi.nlm.nih.gov/pubmed/29181349
http://dx.doi.org/10.13107/jocr.2250-0685.838
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author Anderson, Scott R
Nelson, Scott C
Morrison, Martin J
author_facet Anderson, Scott R
Nelson, Scott C
Morrison, Martin J
author_sort Anderson, Scott R
collection PubMed
description INTRODUCTION: The treatment of pediatric femur fractures continues to evolve. In the past, many of these fractures required prolonged hospitalization in traction. More recently, flexible elastic nails have gained popularity. However, length unstable and comminuted fractures can present some unique challenges. To avoid common complications of elastic nailing in the setting of unstable fractures we describe a technique of augmenting this treatment with external fixation for cases requiring additional rotational or longitudinal stability. CASE REPORT: A series of two patients are described who underwent intramedullary flexible nails and external fixation for a closed unstable midshaft femur fracture: An 8-year-old male that sustained a left periprosthetic femur fracture after a fall on his scooter, and a 5-year-old female that sustained a right femur fracture after a fall from a wet decking. Both patients had their external fixator removed after 4 weeks and achieved radiographic and clinical fracture union at 8-week postoperatively. CONCLUSION: Treatment with elastic nails and external fixator for unstable pediatric femur fractures is a minimally invasive technique that safely provides fracture stability.
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spelling pubmed-57027002017-11-27 Unstable Pediatric Femur Fractures: Combined Intramedullary Flexible Nails and External Fixation Anderson, Scott R Nelson, Scott C Morrison, Martin J J Orthop Case Rep Case Report INTRODUCTION: The treatment of pediatric femur fractures continues to evolve. In the past, many of these fractures required prolonged hospitalization in traction. More recently, flexible elastic nails have gained popularity. However, length unstable and comminuted fractures can present some unique challenges. To avoid common complications of elastic nailing in the setting of unstable fractures we describe a technique of augmenting this treatment with external fixation for cases requiring additional rotational or longitudinal stability. CASE REPORT: A series of two patients are described who underwent intramedullary flexible nails and external fixation for a closed unstable midshaft femur fracture: An 8-year-old male that sustained a left periprosthetic femur fracture after a fall on his scooter, and a 5-year-old female that sustained a right femur fracture after a fall from a wet decking. Both patients had their external fixator removed after 4 weeks and achieved radiographic and clinical fracture union at 8-week postoperatively. CONCLUSION: Treatment with elastic nails and external fixator for unstable pediatric femur fractures is a minimally invasive technique that safely provides fracture stability. Indian Orthopaedic Research Group 2017 /pmc/articles/PMC5702700/ /pubmed/29181349 http://dx.doi.org/10.13107/jocr.2250-0685.838 Text en Copyright: © Indian Orthopaedic Research Group http://creativecommons.org/licenses/by-nc/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Anderson, Scott R
Nelson, Scott C
Morrison, Martin J
Unstable Pediatric Femur Fractures: Combined Intramedullary Flexible Nails and External Fixation
title Unstable Pediatric Femur Fractures: Combined Intramedullary Flexible Nails and External Fixation
title_full Unstable Pediatric Femur Fractures: Combined Intramedullary Flexible Nails and External Fixation
title_fullStr Unstable Pediatric Femur Fractures: Combined Intramedullary Flexible Nails and External Fixation
title_full_unstemmed Unstable Pediatric Femur Fractures: Combined Intramedullary Flexible Nails and External Fixation
title_short Unstable Pediatric Femur Fractures: Combined Intramedullary Flexible Nails and External Fixation
title_sort unstable pediatric femur fractures: combined intramedullary flexible nails and external fixation
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5702700/
https://www.ncbi.nlm.nih.gov/pubmed/29181349
http://dx.doi.org/10.13107/jocr.2250-0685.838
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