Our Ender Nailing Applications in Pediatric Tibial Shaft Fractures
Journal Title: Journal of Clinical and Analytical Medicine - Year 2012, Vol 3, Issue 3
Abstract
Aim: Although tibial shaft fractures in children are mostly treated conservatively. Surgical treatment should be considered in patients in school age with the tibial shaft fracture or with multiple long-bone fracture or who have organ injury. The patients treated their tibia shaft fractures with Ender nail are presented in this article. Material ans Method: Two tibia Ender nails been 3.5 mm in appropriate length were performed under general anesthesia to the 13 fractures of 12 patients, all of whom were children and 9 out of whom were men. Long-leg splint was used for 2 weeks after the surgery. The patients were allowed to go to school after 10 days. Patients were evaluated according to Flynn criteria in terms of the clinical outcome and infection with their follow-up X-rays and examination and the type of the fracture, duration of the union, shortening-length difference, rotation, limitation of the joint motion, refracture. Results: The mean age of the patients was 8,6 years (4-15). The type of the fracture was Winquist type 2 and 3 in all of the patients. The mean duration of the follow-up was 20 months (14-40). Two of the existing-open fractures were type 1 and one of them was type 2 in three patients. In the difference of the length and shortening in treated tibias in patients was an average of 7 mm (2-21), the difference of the rotation was 4 degrees (2-8), and the angulation of varus-valgus was an average of 5 degrees (2-10). None of the patients developed refractures. A perfect result in 5 fractures, a good result in 7 fractures and a bad result in 1 fracture were taken according to the criteria of Flynn. Discussion: Ender nail should first be considered in the surgical treatment of the tibial shaft fractures in children over the age 4 because of the early return to school, low of the refracture risk after the detection and the price advantage.
Authors and Affiliations
Albert Çakar , Mehmet Fethi Ceylan , Savaş Güner , Mehmet Ata Gökalp, Ali Doğan
Keywords
Related Articles
- EP ID EP155945
- DOI : 10.4328/JCAM.767
- Views 103
- Downloads 0
Multidisciplinary Evaluation of Noncardiac Chest Pain
Aim: We aimed the report the reasons, clinical evaluation, and treatment options of noncardiac chest pain. Material and Method: A total 40 noncardiac chest pain patients had been evaluated and treated. They were applie...
Soliter Böbrekte Unutulmuş Üreteral Stentli Olguda Travma Sonrası Retroperitoneal Hematom
Üreteral stentler üroloji pratiğinde sık kullanılmaktadırlar. Unutulan üreteral stentlere bağlı olarak şiddetli enkrustasyonlar, büyük taş oluşumu, tekrarlayan üriner sistem enfeksiyonları, hematüri ve böbrek fonksiyon...
Posttravmatik Kifoz
Omurganın normal sınırlarının dışında olan sagittal deformitesine kifoz denir. Torasik omurgada 50-60 dereceden fazla kifoz genellikle anormal kabul edilir. Omurganın patolojik durumlarda en sık görülen deformitesidir....
α-Bloker Monoterapisi ile α-Bloker+M3 Selektif Antimuskarinik Kombine Tedavisinin Karşılaştırılması
Amaç: Benign prostat hiperplazisi ve eşlik eden aşırı aktif mesane semptomları olan erkek hastalarda alfa-blokör monoterapisi (doksazosin) ile alfa-blokör+M3 selektif antimuskarinik (doksazosin +darifenasin) kombinasyo...
Our Tyroid Surgery Clinic Experience
Aim Surgical treatment of thyroid gland diseases is performed by many centers. In this study, we obtained from patients who underwent thyroid surgery results were compared with literature data. Material and Methods...