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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...

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Development of a Novel Internal Fixation Model for Rat Radial Fractures: Fracture Healing Assessment and Dorsal Root Ganglion Isolation
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Closed reduction of radius refracture: A case report.

Mohammad Shahid1, Mildrid Yeo, John Graham Smibert

  • 1Department of Orthopaedics and Traumatology, Yeovil District Hospital, Yeovil BA214AT, England, United Kingdom.

International Journal of Surgery Case Reports
|November 19, 2011
PubMed
Summary

Pediatric refractures of the radius and ulna with flexible intramedullary nails require management guidelines. A novel non-invasive technique was proposed to reduce and maintain these fractures without complete nail removal.

Keywords:
Closed reductionIntramedullary nailsRadiusRefractureUlnar

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Area of Science:

  • Orthopedic surgery
  • Pediatric orthopedics

Background:

  • Refractures in pediatric patients with flexible intramedullary nails are a known complication.
  • Current literature lacks formal guidelines for managing these refractures.

Purpose of the Study:

  • To propose a new non-invasive method for managing pediatric radius and ulna refractures with in situ flexible intramedullary nails.

Main Methods:

  • A case report of a 10-year-old girl with a closed refracture of the radius at the same level as previous ulna and radius fractures.
  • Flexible intramedullary nails were in situ during the refracture event.

Main Results:

  • A novel non-invasive technique was developed to reduce and maintain the refracture.
  • The proposed method avoids complete removal of the existing flexible intramedullary nail.

Conclusions:

  • The new technique offers a non-invasive solution for pediatric refractures with in situ flexible nails.
  • The method preserves the mechanical strength of the nail by avoiding external lateral forces.