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[Elastic stable intramedullary nailing (ESIN) in pediatric forearm shaft fractures: intraoperative image intensifier
R Kraus1, T Pavlidis, G Szalay
1Trauma Surgery, University Hospital Giessen and Marburg, Location Giessen. ralf.kraus@chiru.med.uni-giessen.de
Aim:
Elastic stable intramedullary nailing (ESIN)is the therapy of choice in pediatric forearm shaft fractures. It requires increased intraoperative image intensifier times and radiation load.
Method:
We performed a retrospective analysis of 78 operative procedures from a five-year period. In 16 cases the image intensifier times of the distinct steps of the operation were investigated prospectively.
Results:
Average duration of the surgical procedure was 36.9 (18-144) minutes. Average radiation time was 59.5 (8-222) seconds. In educational operations, the duration of surgery was significantly longer than in procedures performed by experienced surgeons, but radiation times only were increased tendentially. In those procedures investigated prospectively, 53.1% of the image intensifier time was used for fracture passage.
Conclusion:
In ESIN of forearm shaft fractures,intraoperative image intensifier times of less than 2 minutes can be expected. Low intraoperative radiation times are a mark of quality. They serve for radiation protection of the patients, surgeons and OT staff.
