Titanium elastic nail in femur fractures as an alternative to spica cast in preschoolers
Purpose Titanium elastic nail (TEN) as an alternative to traction and spica cast in preschool children has not been widely studied for its safety and effectiveness. Methods A cohort of 59 children with 59 fractures (non-pathological; not involving condyles or cervicotrochanteric area) were retrospec...
Ausführliche Beschreibung
Autor*in: |
Assaghir, Yasser M. [verfasserIn] |
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E-Artikel |
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Sprache: |
Englisch |
Erschienen: |
2012 |
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Anmerkung: |
© EPOS 2012 |
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Übergeordnetes Werk: |
Enthalten in: Journal of children's orthopaedics - London : Sage, 2007, 6(2012), 6 vom: 26. Okt., Seite 505-511 |
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Übergeordnetes Werk: |
volume:6 ; year:2012 ; number:6 ; day:26 ; month:10 ; pages:505-511 |
Links: |
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DOI / URN: |
10.1007/s11832-012-0448-5 |
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Katalog-ID: |
SPR022619445 |
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520 | |a Purpose Titanium elastic nail (TEN) as an alternative to traction and spica cast in preschool children has not been widely studied for its safety and effectiveness. Methods A cohort of 59 children with 59 fractures (non-pathological; not involving condyles or cervicotrochanteric area) were retrospectively examined. Their mean age was 4.5 ± 0.9 years and their mean weight was 14.5 ± 3.7 kg. All but five were closed (21 transverse, 19 oblique and 19 spiral). Thirty-five were caused by motor vehicle accidents and 24 by falls. There were six upper third, 27 upper-middle junction, 14 middle third, seven lower-middle junction, and five lower third fractures. Results The mean follow-up was 41.8 ± 4.3 months, the mean hospital stay was 1.3 ± 0.87 days, and the mean time to nail removal was 20.3 ± 10.2 weeks. The mean time to union was 7.6 ± 1.5 weeks. Union was significantly correlated to age (p = 0.000) and fracture shape (p = 0.005), but not to the fracture level, nature, or mechanism. Shortening of ≥1.0 cm occurred in two cases (3.4 %), with an overall mean of 0.06 ± 0.21 cm. Shortening was significantly correlated to the fracture shape (p = 0.020), but not to the level. Overgrowth of ≥1 cm occurred in seven cases (11.9 %), with an overall mean of 0.22 ± 0.41 cm. Overgrowth was insignificantly correlated to the fracture level and shape. Frontal angulation of 5–9º occurred in six cases (10.2 %) and sagittal angulation of 3–7º occurred in seven cases (11.9 %). A rotational deformity of 10º occurred in two cases (3.4 %). Five cases had a painful nail end (8.5 %) and exteriorization with superficial infection occurred in two cases (3.4 %). Conclusion TEN is a dependable, safe, and cost-effective alternative to traction and cast in preschool children. | ||
650 | 4 | |a Femur fractures |7 (dpeaa)DE-He213 | |
650 | 4 | |a Titanium elastic nail |7 (dpeaa)DE-He213 | |
650 | 4 | |a Preschool children |7 (dpeaa)DE-He213 | |
650 | 4 | |a Elastic stable intramedullary nail |7 (dpeaa)DE-He213 | |
650 | 4 | |a Preschoolers |7 (dpeaa)DE-He213 | |
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10.1007/s11832-012-0448-5 doi (DE-627)SPR022619445 (SPR)s11832-012-0448-5-e DE-627 ger DE-627 rakwb eng Assaghir, Yasser M. verfasserin aut Titanium elastic nail in femur fractures as an alternative to spica cast in preschoolers 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © EPOS 2012 Purpose Titanium elastic nail (TEN) as an alternative to traction and spica cast in preschool children has not been widely studied for its safety and effectiveness. Methods A cohort of 59 children with 59 fractures (non-pathological; not involving condyles or cervicotrochanteric area) were retrospectively examined. Their mean age was 4.5 ± 0.9 years and their mean weight was 14.5 ± 3.7 kg. All but five were closed (21 transverse, 19 oblique and 19 spiral). Thirty-five were caused by motor vehicle accidents and 24 by falls. There were six upper third, 27 upper-middle junction, 14 middle third, seven lower-middle junction, and five lower third fractures. Results The mean follow-up was 41.8 ± 4.3 months, the mean hospital stay was 1.3 ± 0.87 days, and the mean time to nail removal was 20.3 ± 10.2 weeks. The mean time to union was 7.6 ± 1.5 weeks. Union was significantly correlated to age (p = 0.000) and fracture shape (p = 0.005), but not to the fracture level, nature, or mechanism. Shortening of ≥1.0 cm occurred in two cases (3.4 %), with an overall mean of 0.06 ± 0.21 cm. Shortening was significantly correlated to the fracture shape (p = 0.020), but not to the level. Overgrowth of ≥1 cm occurred in seven cases (11.9 %), with an overall mean of 0.22 ± 0.41 cm. Overgrowth was insignificantly correlated to the fracture level and shape. Frontal angulation of 5–9º occurred in six cases (10.2 %) and sagittal angulation of 3–7º occurred in seven cases (11.9 %). A rotational deformity of 10º occurred in two cases (3.4 %). Five cases had a painful nail end (8.5 %) and exteriorization with superficial infection occurred in two cases (3.4 %). Conclusion TEN is a dependable, safe, and cost-effective alternative to traction and cast in preschool children. Femur fractures (dpeaa)DE-He213 Titanium elastic nail (dpeaa)DE-He213 Preschool children (dpeaa)DE-He213 Elastic stable intramedullary nail (dpeaa)DE-He213 Preschoolers (dpeaa)DE-He213 Enthalten in Journal of children's orthopaedics London : Sage, 2007 6(2012), 6 vom: 26. Okt., Seite 505-511 (DE-627)523858221 (DE-600)2268264-8 1863-2548 nnns volume:6 year:2012 number:6 day:26 month:10 pages:505-511 https://dx.doi.org/10.1007/s11832-012-0448-5 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 6 26 10 505-511 |
spelling |
10.1007/s11832-012-0448-5 doi (DE-627)SPR022619445 (SPR)s11832-012-0448-5-e DE-627 ger DE-627 rakwb eng Assaghir, Yasser M. verfasserin aut Titanium elastic nail in femur fractures as an alternative to spica cast in preschoolers 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © EPOS 2012 Purpose Titanium elastic nail (TEN) as an alternative to traction and spica cast in preschool children has not been widely studied for its safety and effectiveness. Methods A cohort of 59 children with 59 fractures (non-pathological; not involving condyles or cervicotrochanteric area) were retrospectively examined. Their mean age was 4.5 ± 0.9 years and their mean weight was 14.5 ± 3.7 kg. All but five were closed (21 transverse, 19 oblique and 19 spiral). Thirty-five were caused by motor vehicle accidents and 24 by falls. There were six upper third, 27 upper-middle junction, 14 middle third, seven lower-middle junction, and five lower third fractures. Results The mean follow-up was 41.8 ± 4.3 months, the mean hospital stay was 1.3 ± 0.87 days, and the mean time to nail removal was 20.3 ± 10.2 weeks. The mean time to union was 7.6 ± 1.5 weeks. Union was significantly correlated to age (p = 0.000) and fracture shape (p = 0.005), but not to the fracture level, nature, or mechanism. Shortening of ≥1.0 cm occurred in two cases (3.4 %), with an overall mean of 0.06 ± 0.21 cm. Shortening was significantly correlated to the fracture shape (p = 0.020), but not to the level. Overgrowth of ≥1 cm occurred in seven cases (11.9 %), with an overall mean of 0.22 ± 0.41 cm. Overgrowth was insignificantly correlated to the fracture level and shape. Frontal angulation of 5–9º occurred in six cases (10.2 %) and sagittal angulation of 3–7º occurred in seven cases (11.9 %). A rotational deformity of 10º occurred in two cases (3.4 %). Five cases had a painful nail end (8.5 %) and exteriorization with superficial infection occurred in two cases (3.4 %). Conclusion TEN is a dependable, safe, and cost-effective alternative to traction and cast in preschool children. Femur fractures (dpeaa)DE-He213 Titanium elastic nail (dpeaa)DE-He213 Preschool children (dpeaa)DE-He213 Elastic stable intramedullary nail (dpeaa)DE-He213 Preschoolers (dpeaa)DE-He213 Enthalten in Journal of children's orthopaedics London : Sage, 2007 6(2012), 6 vom: 26. Okt., Seite 505-511 (DE-627)523858221 (DE-600)2268264-8 1863-2548 nnns volume:6 year:2012 number:6 day:26 month:10 pages:505-511 https://dx.doi.org/10.1007/s11832-012-0448-5 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 6 26 10 505-511 |
allfields_unstemmed |
10.1007/s11832-012-0448-5 doi (DE-627)SPR022619445 (SPR)s11832-012-0448-5-e DE-627 ger DE-627 rakwb eng Assaghir, Yasser M. verfasserin aut Titanium elastic nail in femur fractures as an alternative to spica cast in preschoolers 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © EPOS 2012 Purpose Titanium elastic nail (TEN) as an alternative to traction and spica cast in preschool children has not been widely studied for its safety and effectiveness. Methods A cohort of 59 children with 59 fractures (non-pathological; not involving condyles or cervicotrochanteric area) were retrospectively examined. Their mean age was 4.5 ± 0.9 years and their mean weight was 14.5 ± 3.7 kg. All but five were closed (21 transverse, 19 oblique and 19 spiral). Thirty-five were caused by motor vehicle accidents and 24 by falls. There were six upper third, 27 upper-middle junction, 14 middle third, seven lower-middle junction, and five lower third fractures. Results The mean follow-up was 41.8 ± 4.3 months, the mean hospital stay was 1.3 ± 0.87 days, and the mean time to nail removal was 20.3 ± 10.2 weeks. The mean time to union was 7.6 ± 1.5 weeks. Union was significantly correlated to age (p = 0.000) and fracture shape (p = 0.005), but not to the fracture level, nature, or mechanism. Shortening of ≥1.0 cm occurred in two cases (3.4 %), with an overall mean of 0.06 ± 0.21 cm. Shortening was significantly correlated to the fracture shape (p = 0.020), but not to the level. Overgrowth of ≥1 cm occurred in seven cases (11.9 %), with an overall mean of 0.22 ± 0.41 cm. Overgrowth was insignificantly correlated to the fracture level and shape. Frontal angulation of 5–9º occurred in six cases (10.2 %) and sagittal angulation of 3–7º occurred in seven cases (11.9 %). A rotational deformity of 10º occurred in two cases (3.4 %). Five cases had a painful nail end (8.5 %) and exteriorization with superficial infection occurred in two cases (3.4 %). Conclusion TEN is a dependable, safe, and cost-effective alternative to traction and cast in preschool children. Femur fractures (dpeaa)DE-He213 Titanium elastic nail (dpeaa)DE-He213 Preschool children (dpeaa)DE-He213 Elastic stable intramedullary nail (dpeaa)DE-He213 Preschoolers (dpeaa)DE-He213 Enthalten in Journal of children's orthopaedics London : Sage, 2007 6(2012), 6 vom: 26. Okt., Seite 505-511 (DE-627)523858221 (DE-600)2268264-8 1863-2548 nnns volume:6 year:2012 number:6 day:26 month:10 pages:505-511 https://dx.doi.org/10.1007/s11832-012-0448-5 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 6 26 10 505-511 |
allfieldsGer |
10.1007/s11832-012-0448-5 doi (DE-627)SPR022619445 (SPR)s11832-012-0448-5-e DE-627 ger DE-627 rakwb eng Assaghir, Yasser M. verfasserin aut Titanium elastic nail in femur fractures as an alternative to spica cast in preschoolers 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © EPOS 2012 Purpose Titanium elastic nail (TEN) as an alternative to traction and spica cast in preschool children has not been widely studied for its safety and effectiveness. Methods A cohort of 59 children with 59 fractures (non-pathological; not involving condyles or cervicotrochanteric area) were retrospectively examined. Their mean age was 4.5 ± 0.9 years and their mean weight was 14.5 ± 3.7 kg. All but five were closed (21 transverse, 19 oblique and 19 spiral). Thirty-five were caused by motor vehicle accidents and 24 by falls. There were six upper third, 27 upper-middle junction, 14 middle third, seven lower-middle junction, and five lower third fractures. Results The mean follow-up was 41.8 ± 4.3 months, the mean hospital stay was 1.3 ± 0.87 days, and the mean time to nail removal was 20.3 ± 10.2 weeks. The mean time to union was 7.6 ± 1.5 weeks. Union was significantly correlated to age (p = 0.000) and fracture shape (p = 0.005), but not to the fracture level, nature, or mechanism. Shortening of ≥1.0 cm occurred in two cases (3.4 %), with an overall mean of 0.06 ± 0.21 cm. Shortening was significantly correlated to the fracture shape (p = 0.020), but not to the level. Overgrowth of ≥1 cm occurred in seven cases (11.9 %), with an overall mean of 0.22 ± 0.41 cm. Overgrowth was insignificantly correlated to the fracture level and shape. Frontal angulation of 5–9º occurred in six cases (10.2 %) and sagittal angulation of 3–7º occurred in seven cases (11.9 %). A rotational deformity of 10º occurred in two cases (3.4 %). Five cases had a painful nail end (8.5 %) and exteriorization with superficial infection occurred in two cases (3.4 %). Conclusion TEN is a dependable, safe, and cost-effective alternative to traction and cast in preschool children. Femur fractures (dpeaa)DE-He213 Titanium elastic nail (dpeaa)DE-He213 Preschool children (dpeaa)DE-He213 Elastic stable intramedullary nail (dpeaa)DE-He213 Preschoolers (dpeaa)DE-He213 Enthalten in Journal of children's orthopaedics London : Sage, 2007 6(2012), 6 vom: 26. Okt., Seite 505-511 (DE-627)523858221 (DE-600)2268264-8 1863-2548 nnns volume:6 year:2012 number:6 day:26 month:10 pages:505-511 https://dx.doi.org/10.1007/s11832-012-0448-5 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 6 26 10 505-511 |
allfieldsSound |
10.1007/s11832-012-0448-5 doi (DE-627)SPR022619445 (SPR)s11832-012-0448-5-e DE-627 ger DE-627 rakwb eng Assaghir, Yasser M. verfasserin aut Titanium elastic nail in femur fractures as an alternative to spica cast in preschoolers 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © EPOS 2012 Purpose Titanium elastic nail (TEN) as an alternative to traction and spica cast in preschool children has not been widely studied for its safety and effectiveness. Methods A cohort of 59 children with 59 fractures (non-pathological; not involving condyles or cervicotrochanteric area) were retrospectively examined. Their mean age was 4.5 ± 0.9 years and their mean weight was 14.5 ± 3.7 kg. All but five were closed (21 transverse, 19 oblique and 19 spiral). Thirty-five were caused by motor vehicle accidents and 24 by falls. There were six upper third, 27 upper-middle junction, 14 middle third, seven lower-middle junction, and five lower third fractures. Results The mean follow-up was 41.8 ± 4.3 months, the mean hospital stay was 1.3 ± 0.87 days, and the mean time to nail removal was 20.3 ± 10.2 weeks. The mean time to union was 7.6 ± 1.5 weeks. Union was significantly correlated to age (p = 0.000) and fracture shape (p = 0.005), but not to the fracture level, nature, or mechanism. Shortening of ≥1.0 cm occurred in two cases (3.4 %), with an overall mean of 0.06 ± 0.21 cm. Shortening was significantly correlated to the fracture shape (p = 0.020), but not to the level. Overgrowth of ≥1 cm occurred in seven cases (11.9 %), with an overall mean of 0.22 ± 0.41 cm. Overgrowth was insignificantly correlated to the fracture level and shape. Frontal angulation of 5–9º occurred in six cases (10.2 %) and sagittal angulation of 3–7º occurred in seven cases (11.9 %). A rotational deformity of 10º occurred in two cases (3.4 %). Five cases had a painful nail end (8.5 %) and exteriorization with superficial infection occurred in two cases (3.4 %). Conclusion TEN is a dependable, safe, and cost-effective alternative to traction and cast in preschool children. Femur fractures (dpeaa)DE-He213 Titanium elastic nail (dpeaa)DE-He213 Preschool children (dpeaa)DE-He213 Elastic stable intramedullary nail (dpeaa)DE-He213 Preschoolers (dpeaa)DE-He213 Enthalten in Journal of children's orthopaedics London : Sage, 2007 6(2012), 6 vom: 26. Okt., Seite 505-511 (DE-627)523858221 (DE-600)2268264-8 1863-2548 nnns volume:6 year:2012 number:6 day:26 month:10 pages:505-511 https://dx.doi.org/10.1007/s11832-012-0448-5 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 6 26 10 505-511 |
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Assaghir, Yasser M. |
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Assaghir, Yasser M. misc Femur fractures misc Titanium elastic nail misc Preschool children misc Elastic stable intramedullary nail misc Preschoolers Titanium elastic nail in femur fractures as an alternative to spica cast in preschoolers |
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Titanium elastic nail in femur fractures as an alternative to spica cast in preschoolers Femur fractures (dpeaa)DE-He213 Titanium elastic nail (dpeaa)DE-He213 Preschool children (dpeaa)DE-He213 Elastic stable intramedullary nail (dpeaa)DE-He213 Preschoolers (dpeaa)DE-He213 |
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titanium elastic nail in femur fractures as an alternative to spica cast in preschoolers |
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Titanium elastic nail in femur fractures as an alternative to spica cast in preschoolers |
abstract |
Purpose Titanium elastic nail (TEN) as an alternative to traction and spica cast in preschool children has not been widely studied for its safety and effectiveness. Methods A cohort of 59 children with 59 fractures (non-pathological; not involving condyles or cervicotrochanteric area) were retrospectively examined. Their mean age was 4.5 ± 0.9 years and their mean weight was 14.5 ± 3.7 kg. All but five were closed (21 transverse, 19 oblique and 19 spiral). Thirty-five were caused by motor vehicle accidents and 24 by falls. There were six upper third, 27 upper-middle junction, 14 middle third, seven lower-middle junction, and five lower third fractures. Results The mean follow-up was 41.8 ± 4.3 months, the mean hospital stay was 1.3 ± 0.87 days, and the mean time to nail removal was 20.3 ± 10.2 weeks. The mean time to union was 7.6 ± 1.5 weeks. Union was significantly correlated to age (p = 0.000) and fracture shape (p = 0.005), but not to the fracture level, nature, or mechanism. Shortening of ≥1.0 cm occurred in two cases (3.4 %), with an overall mean of 0.06 ± 0.21 cm. Shortening was significantly correlated to the fracture shape (p = 0.020), but not to the level. Overgrowth of ≥1 cm occurred in seven cases (11.9 %), with an overall mean of 0.22 ± 0.41 cm. Overgrowth was insignificantly correlated to the fracture level and shape. Frontal angulation of 5–9º occurred in six cases (10.2 %) and sagittal angulation of 3–7º occurred in seven cases (11.9 %). A rotational deformity of 10º occurred in two cases (3.4 %). Five cases had a painful nail end (8.5 %) and exteriorization with superficial infection occurred in two cases (3.4 %). Conclusion TEN is a dependable, safe, and cost-effective alternative to traction and cast in preschool children. © EPOS 2012 |
abstractGer |
Purpose Titanium elastic nail (TEN) as an alternative to traction and spica cast in preschool children has not been widely studied for its safety and effectiveness. Methods A cohort of 59 children with 59 fractures (non-pathological; not involving condyles or cervicotrochanteric area) were retrospectively examined. Their mean age was 4.5 ± 0.9 years and their mean weight was 14.5 ± 3.7 kg. All but five were closed (21 transverse, 19 oblique and 19 spiral). Thirty-five were caused by motor vehicle accidents and 24 by falls. There were six upper third, 27 upper-middle junction, 14 middle third, seven lower-middle junction, and five lower third fractures. Results The mean follow-up was 41.8 ± 4.3 months, the mean hospital stay was 1.3 ± 0.87 days, and the mean time to nail removal was 20.3 ± 10.2 weeks. The mean time to union was 7.6 ± 1.5 weeks. Union was significantly correlated to age (p = 0.000) and fracture shape (p = 0.005), but not to the fracture level, nature, or mechanism. Shortening of ≥1.0 cm occurred in two cases (3.4 %), with an overall mean of 0.06 ± 0.21 cm. Shortening was significantly correlated to the fracture shape (p = 0.020), but not to the level. Overgrowth of ≥1 cm occurred in seven cases (11.9 %), with an overall mean of 0.22 ± 0.41 cm. Overgrowth was insignificantly correlated to the fracture level and shape. Frontal angulation of 5–9º occurred in six cases (10.2 %) and sagittal angulation of 3–7º occurred in seven cases (11.9 %). A rotational deformity of 10º occurred in two cases (3.4 %). Five cases had a painful nail end (8.5 %) and exteriorization with superficial infection occurred in two cases (3.4 %). Conclusion TEN is a dependable, safe, and cost-effective alternative to traction and cast in preschool children. © EPOS 2012 |
abstract_unstemmed |
Purpose Titanium elastic nail (TEN) as an alternative to traction and spica cast in preschool children has not been widely studied for its safety and effectiveness. Methods A cohort of 59 children with 59 fractures (non-pathological; not involving condyles or cervicotrochanteric area) were retrospectively examined. Their mean age was 4.5 ± 0.9 years and their mean weight was 14.5 ± 3.7 kg. All but five were closed (21 transverse, 19 oblique and 19 spiral). Thirty-five were caused by motor vehicle accidents and 24 by falls. There were six upper third, 27 upper-middle junction, 14 middle third, seven lower-middle junction, and five lower third fractures. Results The mean follow-up was 41.8 ± 4.3 months, the mean hospital stay was 1.3 ± 0.87 days, and the mean time to nail removal was 20.3 ± 10.2 weeks. The mean time to union was 7.6 ± 1.5 weeks. Union was significantly correlated to age (p = 0.000) and fracture shape (p = 0.005), but not to the fracture level, nature, or mechanism. Shortening of ≥1.0 cm occurred in two cases (3.4 %), with an overall mean of 0.06 ± 0.21 cm. Shortening was significantly correlated to the fracture shape (p = 0.020), but not to the level. Overgrowth of ≥1 cm occurred in seven cases (11.9 %), with an overall mean of 0.22 ± 0.41 cm. Overgrowth was insignificantly correlated to the fracture level and shape. Frontal angulation of 5–9º occurred in six cases (10.2 %) and sagittal angulation of 3–7º occurred in seven cases (11.9 %). A rotational deformity of 10º occurred in two cases (3.4 %). Five cases had a painful nail end (8.5 %) and exteriorization with superficial infection occurred in two cases (3.4 %). Conclusion TEN is a dependable, safe, and cost-effective alternative to traction and cast in preschool children. © EPOS 2012 |
collection_details |
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title_short |
Titanium elastic nail in femur fractures as an alternative to spica cast in preschoolers |
url |
https://dx.doi.org/10.1007/s11832-012-0448-5 |
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