Cargando…

Atypical use of pediatric flexible nails in the treatment of diaphyseal fractures in adults

BACKGROUND AND AIM OF THE WORK: Elastic intramedullary nails are commonly used for the treatment of diaphyseal fractures in adolescents and children. The major advantages are the minimally invasive nature of the technique, the short operation time, and the preservation of the growth plate and perios...

Descripción completa

Detalles Bibliográficos
Autores principales: Alessio, Pedrazzini, Paolo, Bastia, Nicola, Bertoni, Bianca, Pedrabissi, Henry, Claudel Yewo Simo, Vanni, Medina, Francesco, Ceccarelli, Francesco, Pogliacomi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Mattioli 1885 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6776213/
https://www.ncbi.nlm.nih.gov/pubmed/31125010
http://dx.doi.org/10.23750/abm.v90i2.8284
_version_ 1783456386138505216
author Alessio, Pedrazzini
Paolo, Bastia
Nicola, Bertoni
Bianca, Pedrabissi
Henry, Claudel Yewo Simo
Vanni, Medina
Francesco, Ceccarelli
Francesco, Pogliacomi
author_facet Alessio, Pedrazzini
Paolo, Bastia
Nicola, Bertoni
Bianca, Pedrabissi
Henry, Claudel Yewo Simo
Vanni, Medina
Francesco, Ceccarelli
Francesco, Pogliacomi
author_sort Alessio, Pedrazzini
collection PubMed
description BACKGROUND AND AIM OF THE WORK: Elastic intramedullary nails are commonly used for the treatment of diaphyseal fractures in adolescents and children. The major advantages are the minimally invasive nature of the technique, the short operation time, and the preservation of the growth plate and periosteum thus allowing bone healing within a closed and intact biological environment. Elastic nails are rarely applied to the adult fractures. METHODS: Five selected adult patients affected by diaphyseal fractures were treated using paediatric flexible nails T2 Kids (Stryker®, Mahwah, NJ, USA) as consequence of their poor clinical conditions, high risk of neurovascular injuries and skin/soft tissues problems. All patients were monthly clinically and radiographically evaluated after surgery until fracture healing. RESULTS: Radiological and clinical outcomes were satisfying. All fractures healed after a mean period of 3 months. No losses of reduction as well as mobilization/breakage of implant were observed. Conclusions: Use of pediatric elastic nails is a valid surgical option in treatment of diaphyseal fractures in selected adult patients who request fast and minimally invasive surgery as consequence of precarious clinical or soft tissues conditions. (www.actabiomedica.it)
format Online
Article
Text
id pubmed-6776213
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher Mattioli 1885
record_format MEDLINE/PubMed
spelling pubmed-67762132019-11-25 Atypical use of pediatric flexible nails in the treatment of diaphyseal fractures in adults Alessio, Pedrazzini Paolo, Bastia Nicola, Bertoni Bianca, Pedrabissi Henry, Claudel Yewo Simo Vanni, Medina Francesco, Ceccarelli Francesco, Pogliacomi Acta Biomed Original Article BACKGROUND AND AIM OF THE WORK: Elastic intramedullary nails are commonly used for the treatment of diaphyseal fractures in adolescents and children. The major advantages are the minimally invasive nature of the technique, the short operation time, and the preservation of the growth plate and periosteum thus allowing bone healing within a closed and intact biological environment. Elastic nails are rarely applied to the adult fractures. METHODS: Five selected adult patients affected by diaphyseal fractures were treated using paediatric flexible nails T2 Kids (Stryker®, Mahwah, NJ, USA) as consequence of their poor clinical conditions, high risk of neurovascular injuries and skin/soft tissues problems. All patients were monthly clinically and radiographically evaluated after surgery until fracture healing. RESULTS: Radiological and clinical outcomes were satisfying. All fractures healed after a mean period of 3 months. No losses of reduction as well as mobilization/breakage of implant were observed. Conclusions: Use of pediatric elastic nails is a valid surgical option in treatment of diaphyseal fractures in selected adult patients who request fast and minimally invasive surgery as consequence of precarious clinical or soft tissues conditions. (www.actabiomedica.it) Mattioli 1885 2019 2019-12-09 /pmc/articles/PMC6776213/ /pubmed/31125010 http://dx.doi.org/10.23750/abm.v90i2.8284 Text en Copyright: © 2019 ACTA BIO MEDICA SOCIETY OF MEDICINE AND NATURAL SCIENCES OF PARMA http://creativecommons.org/licenses/by-nc-sa/4.0 This work is licensed under a Creative Commons Attribution 4.0 International License
spellingShingle Original Article
Alessio, Pedrazzini
Paolo, Bastia
Nicola, Bertoni
Bianca, Pedrabissi
Henry, Claudel Yewo Simo
Vanni, Medina
Francesco, Ceccarelli
Francesco, Pogliacomi
Atypical use of pediatric flexible nails in the treatment of diaphyseal fractures in adults
title Atypical use of pediatric flexible nails in the treatment of diaphyseal fractures in adults
title_full Atypical use of pediatric flexible nails in the treatment of diaphyseal fractures in adults
title_fullStr Atypical use of pediatric flexible nails in the treatment of diaphyseal fractures in adults
title_full_unstemmed Atypical use of pediatric flexible nails in the treatment of diaphyseal fractures in adults
title_short Atypical use of pediatric flexible nails in the treatment of diaphyseal fractures in adults
title_sort atypical use of pediatric flexible nails in the treatment of diaphyseal fractures in adults
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6776213/
https://www.ncbi.nlm.nih.gov/pubmed/31125010
http://dx.doi.org/10.23750/abm.v90i2.8284
work_keys_str_mv AT alessiopedrazzini atypicaluseofpediatricflexiblenailsinthetreatmentofdiaphysealfracturesinadults
AT paolobastia atypicaluseofpediatricflexiblenailsinthetreatmentofdiaphysealfracturesinadults
AT nicolabertoni atypicaluseofpediatricflexiblenailsinthetreatmentofdiaphysealfracturesinadults
AT biancapedrabissi atypicaluseofpediatricflexiblenailsinthetreatmentofdiaphysealfracturesinadults
AT henryclaudelyewosimo atypicaluseofpediatricflexiblenailsinthetreatmentofdiaphysealfracturesinadults
AT vannimedina atypicaluseofpediatricflexiblenailsinthetreatmentofdiaphysealfracturesinadults
AT francescoceccarelli atypicaluseofpediatricflexiblenailsinthetreatmentofdiaphysealfracturesinadults
AT francescopogliacomi atypicaluseofpediatricflexiblenailsinthetreatmentofdiaphysealfracturesinadults