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Related Experiment Videos

Early experience with titanium elastic nails in a trauma unit.

M H Shah1, G Heffernan, A J McGuinness

  • 1Cork University Hospital, Wilton, Cork, Ireland.

Irish Medical Journal
|October 2, 2003
PubMed
Summary

The Titanium Elastic Nail (TEN) provides effective treatment for pediatric long bone fractures, significantly reducing hospital stays. While generally successful, minor complications like insertion pain and superficial infections were noted.

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Area of Science:

  • Orthopedic surgery
  • Pediatric orthopedics
  • Biomaterials

Background:

  • Traditional treatments for pediatric long bone fractures often involve prolonged immobilization and hospitalization.
  • The Titanium Elastic Nail (TEN) presents a minimally invasive alternative with potential benefits for pediatric fracture management.

Purpose of the Study:

  • To evaluate the early clinical experience and outcomes of using Titanium Elastic Nails (TEN) for treating long bone fractures in children.
  • To assess the efficacy and safety of TEN fixation in a pediatric cohort.

Main Methods:

  • A retrospective review of 13 pediatric patients treated with TEN for various long bone fractures over two years.
  • Clinical and radiological assessments were performed to evaluate fracture union, alignment, and complications.

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Main Results:

  • All 13 fractures achieved union, with significant reductions in hospital stay, particularly for femoral fractures (5-8 days).
  • Minor complications included one case of delayed union requiring bone grafting, one instance of positional loss, insertion site pain in 4 patients, and two superficial wound infections.
  • No deep infections, limb length discrepancies, or rotational/angular malalignments were observed.

Conclusions:

  • Titanium Elastic Nails (TEN) demonstrate a favorable outcome for pediatric long bone fractures, offering advantages in reduced hospital stay and early mobilization.
  • While generally safe and effective, careful patient selection and monitoring are important to manage potential complications such as delayed union and insertion site issues.