Intramedullary nails for pediatric diaphyseal femur fractures in older, heavier children: early results

Purpose A common treatment for pediatric femur fractures is intramedullary nail (IMN) insertion. Elastic stable intramedullary nails (ESINs) are often used for these procedures in heavier patients, but the potential for complications and malunion is greater. We describe here a rigid IMN specifically...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Reynolds, Richard A. K. [verfasserIn] Legakis, Julie E. Thomas, Ronald Slongo, Theddy F. Hunter, James B. Clavert, Jean-Michel

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2012

Schlagwörter:	Pediatric femur fracture Intramedullary nailing Adolescent femoral nail Elastic stable intramedullary nail

Anmerkung:	© EPOS 2012

Übergeordnetes Werk:	Enthalten in: Journal of children's orthopaedics - London : Sage, 2007, 6(2012), 3 vom: 22. Mai, Seite 181-188
Übergeordnetes Werk:	volume:6 ; year:2012 ; number:3 ; day:22 ; month:05 ; pages:181-188

Links:	Volltext

DOI / URN:	10.1007/s11832-012-0404-4

Katalog-ID:	SPR022618961

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520			\|a Purpose A common treatment for pediatric femur fractures is intramedullary nail (IMN) insertion. Elastic stable intramedullary nails (ESINs) are often used for these procedures in heavier patients, but the potential for complications and malunion is greater. We describe here a rigid IMN specifically designed for adolescents, the adolescent lateral entry femoral nail (ALFN). The purpose of this study was to compare the recovery and complications for patients treated with ESINs to those treated with the ALFN. Methods Our study design was a retrospective cohort study. We performed a review of medical records of 22 children ages 10–17 requiring surgical fixation of a femur fracture for a 2½-year period. Patients selected for the study had traumatic diaphyseal femur fractures and were treated with ESINs without end-caps or ALFNs. Our analyses evaluated injury, surgical, and outcome information for all patients. Results Twenty-two patients were eligible for inclusion and were divided into two groups according to their treatment: the ESIN group with 7 patients and the ALFN group with 15 patients. We then performed a comparison of complications and recovery for these patients. The mean time to full weight-bearing was significantly less for the ALFN group (4.1 weeks; SD, 2.2), than the ESIN group (9.4 weeks; SD 3.9). There was no statistical difference in the incidence of major or minor complications. Conclusions Older, heavier pediatric patients treated for femur fracture with ALFNs had a shorter recovery time than similar patients treated with ESINs. However, the outcomes for both groups were satisfactory.
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allfields	10.1007/s11832-012-0404-4 doi (DE-627)SPR022618961 (SPR)s11832-012-0404-4-e DE-627 ger DE-627 rakwb eng Reynolds, Richard A. K. verfasserin aut Intramedullary nails for pediatric diaphyseal femur fractures in older, heavier children: early results 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © EPOS 2012 Purpose A common treatment for pediatric femur fractures is intramedullary nail (IMN) insertion. Elastic stable intramedullary nails (ESINs) are often used for these procedures in heavier patients, but the potential for complications and malunion is greater. We describe here a rigid IMN specifically designed for adolescents, the adolescent lateral entry femoral nail (ALFN). The purpose of this study was to compare the recovery and complications for patients treated with ESINs to those treated with the ALFN. Methods Our study design was a retrospective cohort study. We performed a review of medical records of 22 children ages 10–17 requiring surgical fixation of a femur fracture for a 2½-year period. Patients selected for the study had traumatic diaphyseal femur fractures and were treated with ESINs without end-caps or ALFNs. Our analyses evaluated injury, surgical, and outcome information for all patients. Results Twenty-two patients were eligible for inclusion and were divided into two groups according to their treatment: the ESIN group with 7 patients and the ALFN group with 15 patients. We then performed a comparison of complications and recovery for these patients. The mean time to full weight-bearing was significantly less for the ALFN group (4.1 weeks; SD, 2.2), than the ESIN group (9.4 weeks; SD 3.9). There was no statistical difference in the incidence of major or minor complications. Conclusions Older, heavier pediatric patients treated for femur fracture with ALFNs had a shorter recovery time than similar patients treated with ESINs. However, the outcomes for both groups were satisfactory. Pediatric femur fracture (dpeaa)DE-He213 Intramedullary nailing (dpeaa)DE-He213 Adolescent femoral nail (dpeaa)DE-He213 Elastic stable intramedullary nail (dpeaa)DE-He213 Legakis, Julie E. aut Thomas, Ronald aut Slongo, Theddy F. aut Hunter, James B. aut Clavert, Jean-Michel aut Enthalten in Journal of children's orthopaedics London : Sage, 2007 6(2012), 3 vom: 22. Mai, Seite 181-188 (DE-627)523858221 (DE-600)2268264-8 1863-2548 nnns volume:6 year:2012 number:3 day:22 month:05 pages:181-188 https://dx.doi.org/10.1007/s11832-012-0404-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2006 GBV_ILN_2010 GBV_ILN_2014 GBV_ILN_2018 GBV_ILN_2020 GBV_ILN_2057 GBV_ILN_2190 GBV_ILN_2707 GBV_ILN_2890 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 6 2012 3 22 05 181-188
spelling	10.1007/s11832-012-0404-4 doi (DE-627)SPR022618961 (SPR)s11832-012-0404-4-e DE-627 ger DE-627 rakwb eng Reynolds, Richard A. K. verfasserin aut Intramedullary nails for pediatric diaphyseal femur fractures in older, heavier children: early results 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © EPOS 2012 Purpose A common treatment for pediatric femur fractures is intramedullary nail (IMN) insertion. Elastic stable intramedullary nails (ESINs) are often used for these procedures in heavier patients, but the potential for complications and malunion is greater. We describe here a rigid IMN specifically designed for adolescents, the adolescent lateral entry femoral nail (ALFN). The purpose of this study was to compare the recovery and complications for patients treated with ESINs to those treated with the ALFN. Methods Our study design was a retrospective cohort study. We performed a review of medical records of 22 children ages 10–17 requiring surgical fixation of a femur fracture for a 2½-year period. Patients selected for the study had traumatic diaphyseal femur fractures and were treated with ESINs without end-caps or ALFNs. Our analyses evaluated injury, surgical, and outcome information for all patients. Results Twenty-two patients were eligible for inclusion and were divided into two groups according to their treatment: the ESIN group with 7 patients and the ALFN group with 15 patients. We then performed a comparison of complications and recovery for these patients. The mean time to full weight-bearing was significantly less for the ALFN group (4.1 weeks; SD, 2.2), than the ESIN group (9.4 weeks; SD 3.9). There was no statistical difference in the incidence of major or minor complications. Conclusions Older, heavier pediatric patients treated for femur fracture with ALFNs had a shorter recovery time than similar patients treated with ESINs. However, the outcomes for both groups were satisfactory. Pediatric femur fracture (dpeaa)DE-He213 Intramedullary nailing (dpeaa)DE-He213 Adolescent femoral nail (dpeaa)DE-He213 Elastic stable intramedullary nail (dpeaa)DE-He213 Legakis, Julie E. aut Thomas, Ronald aut Slongo, Theddy F. aut Hunter, James B. aut Clavert, Jean-Michel aut Enthalten in Journal of children's orthopaedics London : Sage, 2007 6(2012), 3 vom: 22. Mai, Seite 181-188 (DE-627)523858221 (DE-600)2268264-8 1863-2548 nnns volume:6 year:2012 number:3 day:22 month:05 pages:181-188 https://dx.doi.org/10.1007/s11832-012-0404-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2006 GBV_ILN_2010 GBV_ILN_2014 GBV_ILN_2018 GBV_ILN_2020 GBV_ILN_2057 GBV_ILN_2190 GBV_ILN_2707 GBV_ILN_2890 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 6 2012 3 22 05 181-188
allfields_unstemmed	10.1007/s11832-012-0404-4 doi (DE-627)SPR022618961 (SPR)s11832-012-0404-4-e DE-627 ger DE-627 rakwb eng Reynolds, Richard A. K. verfasserin aut Intramedullary nails for pediatric diaphyseal femur fractures in older, heavier children: early results 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © EPOS 2012 Purpose A common treatment for pediatric femur fractures is intramedullary nail (IMN) insertion. Elastic stable intramedullary nails (ESINs) are often used for these procedures in heavier patients, but the potential for complications and malunion is greater. We describe here a rigid IMN specifically designed for adolescents, the adolescent lateral entry femoral nail (ALFN). The purpose of this study was to compare the recovery and complications for patients treated with ESINs to those treated with the ALFN. Methods Our study design was a retrospective cohort study. We performed a review of medical records of 22 children ages 10–17 requiring surgical fixation of a femur fracture for a 2½-year period. Patients selected for the study had traumatic diaphyseal femur fractures and were treated with ESINs without end-caps or ALFNs. Our analyses evaluated injury, surgical, and outcome information for all patients. Results Twenty-two patients were eligible for inclusion and were divided into two groups according to their treatment: the ESIN group with 7 patients and the ALFN group with 15 patients. We then performed a comparison of complications and recovery for these patients. The mean time to full weight-bearing was significantly less for the ALFN group (4.1 weeks; SD, 2.2), than the ESIN group (9.4 weeks; SD 3.9). There was no statistical difference in the incidence of major or minor complications. Conclusions Older, heavier pediatric patients treated for femur fracture with ALFNs had a shorter recovery time than similar patients treated with ESINs. However, the outcomes for both groups were satisfactory. Pediatric femur fracture (dpeaa)DE-He213 Intramedullary nailing (dpeaa)DE-He213 Adolescent femoral nail (dpeaa)DE-He213 Elastic stable intramedullary nail (dpeaa)DE-He213 Legakis, Julie E. aut Thomas, Ronald aut Slongo, Theddy F. aut Hunter, James B. aut Clavert, Jean-Michel aut Enthalten in Journal of children's orthopaedics London : Sage, 2007 6(2012), 3 vom: 22. Mai, Seite 181-188 (DE-627)523858221 (DE-600)2268264-8 1863-2548 nnns volume:6 year:2012 number:3 day:22 month:05 pages:181-188 https://dx.doi.org/10.1007/s11832-012-0404-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2006 GBV_ILN_2010 GBV_ILN_2014 GBV_ILN_2018 GBV_ILN_2020 GBV_ILN_2057 GBV_ILN_2190 GBV_ILN_2707 GBV_ILN_2890 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 6 2012 3 22 05 181-188
allfieldsGer	10.1007/s11832-012-0404-4 doi (DE-627)SPR022618961 (SPR)s11832-012-0404-4-e DE-627 ger DE-627 rakwb eng Reynolds, Richard A. K. verfasserin aut Intramedullary nails for pediatric diaphyseal femur fractures in older, heavier children: early results 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © EPOS 2012 Purpose A common treatment for pediatric femur fractures is intramedullary nail (IMN) insertion. Elastic stable intramedullary nails (ESINs) are often used for these procedures in heavier patients, but the potential for complications and malunion is greater. We describe here a rigid IMN specifically designed for adolescents, the adolescent lateral entry femoral nail (ALFN). The purpose of this study was to compare the recovery and complications for patients treated with ESINs to those treated with the ALFN. Methods Our study design was a retrospective cohort study. We performed a review of medical records of 22 children ages 10–17 requiring surgical fixation of a femur fracture for a 2½-year period. Patients selected for the study had traumatic diaphyseal femur fractures and were treated with ESINs without end-caps or ALFNs. Our analyses evaluated injury, surgical, and outcome information for all patients. Results Twenty-two patients were eligible for inclusion and were divided into two groups according to their treatment: the ESIN group with 7 patients and the ALFN group with 15 patients. We then performed a comparison of complications and recovery for these patients. The mean time to full weight-bearing was significantly less for the ALFN group (4.1 weeks; SD, 2.2), than the ESIN group (9.4 weeks; SD 3.9). There was no statistical difference in the incidence of major or minor complications. Conclusions Older, heavier pediatric patients treated for femur fracture with ALFNs had a shorter recovery time than similar patients treated with ESINs. However, the outcomes for both groups were satisfactory. Pediatric femur fracture (dpeaa)DE-He213 Intramedullary nailing (dpeaa)DE-He213 Adolescent femoral nail (dpeaa)DE-He213 Elastic stable intramedullary nail (dpeaa)DE-He213 Legakis, Julie E. aut Thomas, Ronald aut Slongo, Theddy F. aut Hunter, James B. aut Clavert, Jean-Michel aut Enthalten in Journal of children's orthopaedics London : Sage, 2007 6(2012), 3 vom: 22. Mai, Seite 181-188 (DE-627)523858221 (DE-600)2268264-8 1863-2548 nnns volume:6 year:2012 number:3 day:22 month:05 pages:181-188 https://dx.doi.org/10.1007/s11832-012-0404-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2006 GBV_ILN_2010 GBV_ILN_2014 GBV_ILN_2018 GBV_ILN_2020 GBV_ILN_2057 GBV_ILN_2190 GBV_ILN_2707 GBV_ILN_2890 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 6 2012 3 22 05 181-188
allfieldsSound	10.1007/s11832-012-0404-4 doi (DE-627)SPR022618961 (SPR)s11832-012-0404-4-e DE-627 ger DE-627 rakwb eng Reynolds, Richard A. K. verfasserin aut Intramedullary nails for pediatric diaphyseal femur fractures in older, heavier children: early results 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © EPOS 2012 Purpose A common treatment for pediatric femur fractures is intramedullary nail (IMN) insertion. Elastic stable intramedullary nails (ESINs) are often used for these procedures in heavier patients, but the potential for complications and malunion is greater. We describe here a rigid IMN specifically designed for adolescents, the adolescent lateral entry femoral nail (ALFN). The purpose of this study was to compare the recovery and complications for patients treated with ESINs to those treated with the ALFN. Methods Our study design was a retrospective cohort study. We performed a review of medical records of 22 children ages 10–17 requiring surgical fixation of a femur fracture for a 2½-year period. Patients selected for the study had traumatic diaphyseal femur fractures and were treated with ESINs without end-caps or ALFNs. Our analyses evaluated injury, surgical, and outcome information for all patients. Results Twenty-two patients were eligible for inclusion and were divided into two groups according to their treatment: the ESIN group with 7 patients and the ALFN group with 15 patients. We then performed a comparison of complications and recovery for these patients. The mean time to full weight-bearing was significantly less for the ALFN group (4.1 weeks; SD, 2.2), than the ESIN group (9.4 weeks; SD 3.9). There was no statistical difference in the incidence of major or minor complications. Conclusions Older, heavier pediatric patients treated for femur fracture with ALFNs had a shorter recovery time than similar patients treated with ESINs. However, the outcomes for both groups were satisfactory. Pediatric femur fracture (dpeaa)DE-He213 Intramedullary nailing (dpeaa)DE-He213 Adolescent femoral nail (dpeaa)DE-He213 Elastic stable intramedullary nail (dpeaa)DE-He213 Legakis, Julie E. aut Thomas, Ronald aut Slongo, Theddy F. aut Hunter, James B. aut Clavert, Jean-Michel aut Enthalten in Journal of children's orthopaedics London : Sage, 2007 6(2012), 3 vom: 22. Mai, Seite 181-188 (DE-627)523858221 (DE-600)2268264-8 1863-2548 nnns volume:6 year:2012 number:3 day:22 month:05 pages:181-188 https://dx.doi.org/10.1007/s11832-012-0404-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2006 GBV_ILN_2010 GBV_ILN_2014 GBV_ILN_2018 GBV_ILN_2020 GBV_ILN_2057 GBV_ILN_2190 GBV_ILN_2707 GBV_ILN_2890 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 6 2012 3 22 05 181-188
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K.</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Intramedullary nails for pediatric diaphyseal femur fractures in older, heavier children: early results</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2012</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="500" ind1=" " ind2=" "><subfield code="a">© EPOS 2012</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Purpose A common treatment for pediatric femur fractures is intramedullary nail (IMN) insertion. 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author	Reynolds, Richard A. K.
spellingShingle	Reynolds, Richard A. K. misc Pediatric femur fracture misc Intramedullary nailing misc Adolescent femoral nail misc Elastic stable intramedullary nail Intramedullary nails for pediatric diaphyseal femur fractures in older, heavier children: early results
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topic_title	Intramedullary nails for pediatric diaphyseal femur fractures in older, heavier children: early results Pediatric femur fracture (dpeaa)DE-He213 Intramedullary nailing (dpeaa)DE-He213 Adolescent femoral nail (dpeaa)DE-He213 Elastic stable intramedullary nail (dpeaa)DE-He213
topic	misc Pediatric femur fracture misc Intramedullary nailing misc Adolescent femoral nail misc Elastic stable intramedullary nail
topic_unstemmed	misc Pediatric femur fracture misc Intramedullary nailing misc Adolescent femoral nail misc Elastic stable intramedullary nail
topic_browse	misc Pediatric femur fracture misc Intramedullary nailing misc Adolescent femoral nail misc Elastic stable intramedullary nail
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title	Intramedullary nails for pediatric diaphyseal femur fractures in older, heavier children: early results
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title_full	Intramedullary nails for pediatric diaphyseal femur fractures in older, heavier children: early results
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title_sort	intramedullary nails for pediatric diaphyseal femur fractures in older, heavier children: early results
title_auth	Intramedullary nails for pediatric diaphyseal femur fractures in older, heavier children: early results
abstract	Purpose A common treatment for pediatric femur fractures is intramedullary nail (IMN) insertion. Elastic stable intramedullary nails (ESINs) are often used for these procedures in heavier patients, but the potential for complications and malunion is greater. We describe here a rigid IMN specifically designed for adolescents, the adolescent lateral entry femoral nail (ALFN). The purpose of this study was to compare the recovery and complications for patients treated with ESINs to those treated with the ALFN. Methods Our study design was a retrospective cohort study. We performed a review of medical records of 22 children ages 10–17 requiring surgical fixation of a femur fracture for a 2½-year period. Patients selected for the study had traumatic diaphyseal femur fractures and were treated with ESINs without end-caps or ALFNs. Our analyses evaluated injury, surgical, and outcome information for all patients. Results Twenty-two patients were eligible for inclusion and were divided into two groups according to their treatment: the ESIN group with 7 patients and the ALFN group with 15 patients. We then performed a comparison of complications and recovery for these patients. The mean time to full weight-bearing was significantly less for the ALFN group (4.1 weeks; SD, 2.2), than the ESIN group (9.4 weeks; SD 3.9). There was no statistical difference in the incidence of major or minor complications. Conclusions Older, heavier pediatric patients treated for femur fracture with ALFNs had a shorter recovery time than similar patients treated with ESINs. However, the outcomes for both groups were satisfactory. © EPOS 2012
abstractGer	Purpose A common treatment for pediatric femur fractures is intramedullary nail (IMN) insertion. Elastic stable intramedullary nails (ESINs) are often used for these procedures in heavier patients, but the potential for complications and malunion is greater. We describe here a rigid IMN specifically designed for adolescents, the adolescent lateral entry femoral nail (ALFN). The purpose of this study was to compare the recovery and complications for patients treated with ESINs to those treated with the ALFN. Methods Our study design was a retrospective cohort study. We performed a review of medical records of 22 children ages 10–17 requiring surgical fixation of a femur fracture for a 2½-year period. Patients selected for the study had traumatic diaphyseal femur fractures and were treated with ESINs without end-caps or ALFNs. Our analyses evaluated injury, surgical, and outcome information for all patients. Results Twenty-two patients were eligible for inclusion and were divided into two groups according to their treatment: the ESIN group with 7 patients and the ALFN group with 15 patients. We then performed a comparison of complications and recovery for these patients. The mean time to full weight-bearing was significantly less for the ALFN group (4.1 weeks; SD, 2.2), than the ESIN group (9.4 weeks; SD 3.9). There was no statistical difference in the incidence of major or minor complications. Conclusions Older, heavier pediatric patients treated for femur fracture with ALFNs had a shorter recovery time than similar patients treated with ESINs. However, the outcomes for both groups were satisfactory. © EPOS 2012
abstract_unstemmed	Purpose A common treatment for pediatric femur fractures is intramedullary nail (IMN) insertion. Elastic stable intramedullary nails (ESINs) are often used for these procedures in heavier patients, but the potential for complications and malunion is greater. We describe here a rigid IMN specifically designed for adolescents, the adolescent lateral entry femoral nail (ALFN). The purpose of this study was to compare the recovery and complications for patients treated with ESINs to those treated with the ALFN. Methods Our study design was a retrospective cohort study. We performed a review of medical records of 22 children ages 10–17 requiring surgical fixation of a femur fracture for a 2½-year period. Patients selected for the study had traumatic diaphyseal femur fractures and were treated with ESINs without end-caps or ALFNs. Our analyses evaluated injury, surgical, and outcome information for all patients. Results Twenty-two patients were eligible for inclusion and were divided into two groups according to their treatment: the ESIN group with 7 patients and the ALFN group with 15 patients. We then performed a comparison of complications and recovery for these patients. The mean time to full weight-bearing was significantly less for the ALFN group (4.1 weeks; SD, 2.2), than the ESIN group (9.4 weeks; SD 3.9). There was no statistical difference in the incidence of major or minor complications. Conclusions Older, heavier pediatric patients treated for femur fracture with ALFNs had a shorter recovery time than similar patients treated with ESINs. However, the outcomes for both groups were satisfactory. © EPOS 2012
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title_short	Intramedullary nails for pediatric diaphyseal femur fractures in older, heavier children: early results
url	https://dx.doi.org/10.1007/s11832-012-0404-4
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author2	Legakis, Julie E. Thomas, Ronald Slongo, Theddy F. Hunter, James B. Clavert, Jean-Michel
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up_date	2024-07-03T14:04:00.161Z
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K.</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Intramedullary nails for pediatric diaphyseal femur fractures in older, heavier children: early results</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2012</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="500" ind1=" " ind2=" "><subfield code="a">© EPOS 2012</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Purpose A common treatment for pediatric femur fractures is intramedullary nail (IMN) insertion. 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Results Twenty-two patients were eligible for inclusion and were divided into two groups according to their treatment: the ESIN group with 7 patients and the ALFN group with 15 patients. We then performed a comparison of complications and recovery for these patients. The mean time to full weight-bearing was significantly less for the ALFN group (4.1 weeks; SD, 2.2), than the ESIN group (9.4 weeks; SD 3.9). There was no statistical difference in the incidence of major or minor complications. Conclusions Older, heavier pediatric patients treated for femur fracture with ALFNs had a shorter recovery time than similar patients treated with ESINs. 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Intramedullary nails for pediatric diaphyseal femur fractures in older, heavier children: early results

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