Ridhinath Prasad Mandal, Xiang Yao Yu , Li Qing , Wu Di . Titanium Elastic Bone Nail in Treatment of 45 Cases of Children Unstable Double Radius and Ulna Fracture[J]. Journal of Kunming Medical University, 2017, 38(10): 90-94.
Citation: Ridhinath Prasad Mandal, Xiang Yao Yu , Li Qing , Wu Di . Titanium Elastic Bone Nail in Treatment of 45 Cases of Children Unstable Double Radius and Ulna Fracture[J]. Journal of Kunming Medical University, 2017, 38(10): 90-94.

Titanium Elastic Bone Nail in Treatment of 45 Cases of Children Unstable Double Radius and Ulna Fracture

Funds:

基金: 云南省卫生科技计划资助项目 (2016NS024);

  • Received Date: 2017-04-11
  • Objective To evaluate the clinical outcome and discuss the method of treatment both-bone forearm fracture in children (4 to 15 years old) with elastic intramedullary nail (EIN) . Methods We retrospectively analyzed the clinical result of forty-five cases to treat both-bone forearm fracture in children (4 to 15 years old) with elastic intramedullary nail from April, 2008 to June, 2014.Then we Discussed and analyzed the complication, surgery technique, limb function. Patients were followed up for more than 24 to 30 months after the surgery to continuously evaluate the limb function and fracture healing by physical examination and x-ray image.Results There were 38 children with excellent recovery, 7 good and no fair by followed up for 24 to 30 months, 9 cases with observed complication due by prominent nail ends, 3 patients slightly declined after the surgery, 1 patient was observed with ulna fracture delayed recovery during 3 to 8 months of fracture healing. Apposition rate in all cases was>50% in anterior-posterior view and the apposition rate>90% in lateral view. No fracture of ESIN, Nerve injuries, severe displacement were observed during this study. Conclusion The elastic intramedullary nail is a good method to treat children both-bone forearm fracture with lower surgery technique, minimall invasion, if less complications, does not interfere with growth, has good forearm function recovery.
  • loading
  • [1]
    [1]KHOSLA S, MELTON L J, 3RD, DEKUTOSKI M B, et al.Incidence of childhood distal forearm fractures over 30years:a population-based study[J].Jama, 2003, 290 (11) :1479-1485.
    [2]
    [2]JONES I E, WILLIAMS S M, DOW N, et al.How many children remain fracture-free during growth a longitudinal study of children and adolescents participating in the dunedin multidisciplinary health and development study[J].Osteoporosis international:A Journal Established as Result of Cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2002, 13 (12) :990-995.
    [3]
    [3]MILLER B S, TAYLOR B, WIDMANN R F, et al.Cast immobilization versus percutaneous pin fixation of displaced distal radius fractures in children:a prospective, randomized study[J].Journal of Pediatric Orthopedics, 2005, 25 (4) :490-494.
    [4]
    [4]LIGIER J N, METAIZEAU J P, PREVOT J, et al.Elastic stable intramedullary nailing of femoral shaft fractures in children[J].The Journal of Bone and Joint Surgery British Volume, 1988, 70 (1) :74-77.
    [5]
    [5]FERNANDEZ F F, EGENOLF M, CARSTEN C, et al.Unstable diaphyseal fractures of both bones of the forearm in children:plate fixation versus intramedullary nailing[J].Injury, 2005, 36 (10) :1210-1216.
    [6]
    [6]ANDERSON L D, SISK D, TOOMS R E, et al.Compression-plate fixation in acute diaphyseal fractures of the radius and ulna[J].The Journal of Bone and Joint Surgery American Volume, 1975, 57 (3) :287-297.
    [7]
    [7]MCHENRY T P, PIERCE W A, LAIS R L, et al.Effect of displacement of ulna-shaft fractures on forearm rotation:a cadaveric model[J].American Journal of Orthopedics (Belle Mead, NJ) , 2002, 31 (7) :420-424.
    [8]
    [8]SARMIENTO A, EBRAMZADEH E, BRYS D, et al.Angular deformities and forearm function[J].Journal of OrThopaedicresearch:Official Publication of the Orthopaedic Research Society, 1992, 10 (1) :121-133.
    [9]
    [9]HANG J R, HUTCHINSON A F, HAU R C.Risk factors associated with loss of position after closed reduction of distal radial fractures in children[J].Journal of pediatric orthopedics, 2011, 31 (5) :501-506.
    [10]
    [10]LASCOMBES P, HUBER H, FAY R, et al.Flexible intramedullary nailing in children:nail to medullary canal diameters optimal ratio[J].Journal of Pediatric Orthopedics, 2013, 33 (4) :403-408.
    [11]
    [11]LASCOMBES P, PREVOT J, LIGIER J N, et al.Elastic stable intramedullary nailing in forearm shaft fractures in children:85 cases[J].Journal of Pediatric Orthopedics, 1990, 10 (2) :167-171.
    [12]
    [12]FLYNN J M, JONES K J, GARNER M R, et al.Eleven years experience in the operative management of pediatric forearm fractures[J].Journal of Pediatric Orthopedics, 2010, 30 (4) :313-319.
    [13]
    [13]FLYNN J M, HRESKO T, REYNOLDS R A, et al.Titanium elastic nails for pediatric femur fractures:a multicenter study of early results with analysis of complications[J].Journal of Pediatric Orthopedics, 2001, 21 (1) :4-8.
    [14]
    [14]TILL H, HUTTL B, KNORR P, et al.Elastic stable intramedullary nailing (ESIN) provides good long-term results in pediatric long-bone fractures[J].European journal of pediatric surgery:official journal of Austrian Association of Pediatric Surgery, 2000, 10 (5) :319-322.
    [15]
    [15]LU B, LIU P, WANG Y.Application of elastic intramedullary nail in the treatment of both ulna and radius fractures in children[J].Zhonghuayixuezazhi, 2014, 94 (24) :1882-1885.
    [16]
    [16]ZHANG X I N, LUO CONG, LI MING, et al.Comparison of the curative effect of elastic intramedullary nail and plate in the treatment of children with ulnar radius fractures[J].Chinese Journal of Traumatology, 20 (2) :139-142.
    [17]
    [17]SINIKUMPU J J, KERANEN J, HALTIA A M, et al.Anew mini-invasive technique in treating pediatric diaphyseal forearm fractures by bioabsorbable elastic stable intramedullary nailing:a pre liminary technical report[J].Scandinavian Journal of Surgery:SJS:Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society, 2013, 102 (4) :258-264.
  • Relative Articles

    [1] Yilin DAI, Yunfen TIAN. Application and Research Progress of Drugs in Intestinal Preparation before Colonoscopy in Children. Journal of Kunming Medical University, 2024, 45(10): 155-159.  doi: 10.12259/j.issn.2095-610X.S20241024
    [2] Ji WANG, Songtao BIN, Li TAN. Study on the Efficacy of Acetylcysteine in Severe Pneumonia in Children under Electronic Bronchoscopy. Journal of Kunming Medical University, 2024, 45(6): 113-119.  doi: 10.12259/j.issn.2095-610X.S20240615
    [3] Wei HU, Jinnan LI, Wei YANG, Li SU, Zhuo YU, Zhisong CHEN. Interventional Treatment of Muscular Ventricular Septal Defect in Children. Journal of Kunming Medical University, 2024, 45(3): 48-53.  doi: 10.12259/j.issn.2095-610X.S20240307
    [4] Jihua CUI, Shujin LI, Yu SONG, Yanfei YANG, Yanhui SUN, Jingjing SUN, Yu LING. The Predictive Value of Temperament in Children with Attention Deficit Hyperactivity Disorder. Journal of Kunming Medical University, 2023, 44(5): 125-131.  doi: 10.12259/j.issn.2095-610X.S20230518
    [5] Xingzhu LIU, Yanfei YANG, Xing ZHANG, Liping GE, Feng WANG, Yuqin WU. Analysis of Lipid Metabolism Levels and Related Factors in Children with Kawasaki Disease in Different Courses. Journal of Kunming Medical University, 2023, 44(2): 113-119.  doi: 10.12259/j.issn.2095-610X.S20230211
    [6] Haifeng MA, Kuiming JIANG. Value of 3.0T Magnetic Resonance Cholangiopancreatography in Diagnosing Pancreaticobiliary Maljunction in Children. Journal of Kunming Medical University, 2022, 43(10): 110-114.  doi: 10.12259/j.issn.2095-610X.S20221014
    [7] Ying ZHANG, Hong GAO, Cuixiang ZHANG, Zeying CHEN, Hongqun ZOU, Liqiong LI, Jupin YANG, Yuexin HU. Helicobacter Pylori Infection in Children and its Correlation with Iron Deficiency Anemia. Journal of Kunming Medical University, 2022, 43(4): 103-106.  doi: 10.12259/j.issn.2095-610X.S20220418
    [8] Xian BAI, Yao CUI, Qing ZHOU, Xiaoli LI, Yuexiao LI, Juan LIU, Shinan ZHANG. Salivary Microbial Profiles of Dental Caries among Lisu Preschool Children in Yunnan Province. Journal of Kunming Medical University, 2022, 43(3): 86-93.  doi: 10.12259/j.issn.2095-610X.S20220301
    [9] Jian-ming SUN, Qin SU, Kun-xiang WANG, Chun-yan ZHAO, Yuan LI, Quan-hong LI, Ming PU. Clinical Study of HIMSS Stage 6 Technology in Preventing Medication Errors in Children. Journal of Kunming Medical University, 2021, 42(4): 142-145.  doi: 10.12259/j.issn.2095-610X.S20210427
    [10] Song-tao BIN, Cheng-qing WU, Li TAN, Rui HAO, Ming LI, Xia ZHANG. Etiology,Diagnosis and Treatment of 84 Children with Central Airway Stenosis. Journal of Kunming Medical University, 2021, 42(12): 123-128.  doi: 10.12259/j.issn.2095-610X.S20211231
    [11] Yan GAO, Xiang-lei TONG, Hao-ran TANG, Li WU. Analysis of Serum Fat-soluble Vitamin Levels in Infants and Children in Anning City. Journal of Kunming Medical University, 2021, 42(4): 44-48.  doi: 10.12259/j.issn.2095-610X.S20210408
    [12] Jin-yan ZU, Fan LOU, Cheng MING, guo LI, Ying-qin GAO, Jing MA. Assessment of Nasal Resistance Measurement in the Diagnosis and Treatment of OSA in Children. Journal of Kunming Medical University, 2021, 42(12): 101-105.  doi: 10.12259/j.issn.2095-610X.S20211227
    [13] Song-tao BIN, Ming LI, Li TAN, Cheng-qing WU, Ji WANG, Xiao-qin HU. Clinical Analysis of 46 Children with Necrotizing Pneumonia. Journal of Kunming Medical University, 2021, 42(1): 124-129.  doi: 10.12259/j.issn.2095-610X.S20210102
    [14] Qiu Wei , Chen Ying , Hu Xiu , Zhao Hong Yu . Analysis on Current Situation and Influencing Factors of Lead Poisoning in Children and Adolescents in Certain Region of Yunnan. Journal of Kunming Medical University, 2016, 37(11): 18-22.
    [15] Dai Mei . Risk Factors for Asthma in Children in Kunming City, China. Journal of Kunming Medical University,
    [16] Yang Shao Ling . . Journal of Kunming Medical University,
    [17] Bai Zhi Yao . . Journal of Kunming Medical University,
    [18] Sheng Xiao Cui . . Journal of Kunming Medical University,
    [19] He Li Yun . . Journal of Kunming Medical University,
    [20] . . Journal of Kunming Medical University,
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Article Metrics

    Article views (2402) PDF downloads(31) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return