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Complications of Elastic Stable Intramedullary Nailing for treating paediatric long bone fractures
Aamer Nisar1, Abhijit Bhosale1, Sanjeev S Madan2
1Specialist Registrar, Sheffield Children's Hospital, Western Bank, Sheffield, United Kingdom.
Insights
Elastic Stable Intramedullary Nailing (ESIN) is effective for pediatric long bone fractures, with most complications being minor and no long-term issues reported. This review analyzed 164 fractures in 160 children.
Area of Science:
- Pediatric Orthopedics
- Surgical Complications
- Bone Fracture Treatment
Background:
- Long bone fractures are common in children.
- Elastic Stable Intramedullary Nailing (ESIN) is a surgical technique used for fracture fixation.
- Understanding ESIN-related complications is crucial for pediatric orthopedic care.
Purpose of the Study:
- To report and analyze complications associated with Elastic Stable Intramedullary Nailing (ESIN) in pediatric long bone fractures.
- To evaluate the incidence and nature of complications in a cohort of young patients treated with ESIN.
- To assess the long-term outcomes and sequelae following ESIN treatment for pediatric fractures.
Main Methods:
- Retrospective review of 164 long bone fractures in 160 patients under 16 years old.
- Inclusion of fractures of the radius/ulna, humerus, femur, and tibia.
- Exclusion of all pathological fractures from the analysis.
Main Results:
- A total of 54 patients (34%) experienced complications.
- The most frequent complication was minor irritation from prominent nail ends.
- No significant long-term sequelae were observed in the study cohort.
Conclusions:
- ESIN is a viable treatment for pediatric long bone fractures with a low rate of serious complications.
- Minor complications, such as nail end irritation, are the most common adverse events.
- ESIN treatment demonstrates favorable long-term outcomes in children with long bone fractures.
Abstract:
This study reports the complications observed in children with long bone fractures treated using Elastic Stable Intramedullary Nailing (ESIN). One hundred and sixty-four (n = 164) fractures in 160 patients under the age of 16 years formed the basis of our review. This included 108 boys and 52 girls with the median age of 11 years and median follow up of 7.5 months. The analysis included fractures of the radius/ulna, humerus, femur and tibia. All pathological fractures were excluded. In this series 54 patients (34%) had complications however majority of these were minor complications with irritation due to prominent nail ends being the commonest complication. No long-term sequelae were encountered in our patients.
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