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OSTEOSYNTHESIS WITH INTRAMEDULLARY NAILS IN CHILDREN

Helio Jorge Alvachian Fernandes1, Eduardo Abdalla Saad2, Fernando Baldy Dos Reis3

  • 1Associate Professor; Head, Trauma and Emergency Service, Division of Traumatology, Department of Orthopedics and Traumatology, EPM/UNIFESP.

Revista Brasileira De Ortopedia
|March 23, 2016
PubMed

Insights

Flexible intramedullary nails offer a non-surgical option for pediatric femoral shaft and forearm fractures. However, clear guidelines for age and weight are lacking, and implant removal remains debated.

Area of Science:

  • Orthopedic surgery
  • Pediatric orthopedics
  • Biomaterials and implants

Background:

  • Flexible intramedullary nailing is an established technique for pediatric fractures.
  • Current literature lacks defined age and weight parameters for optimal use.
  • Non-surgical management is increasingly emphasized for pediatric fractures.

Purpose of the Study:

  • To review the literature on flexible intramedullary nail use in pediatric fractures.
  • To focus on femoral shaft and forearm fracture treatment.
  • To highlight the importance of non-surgical approaches and address current ambiguities.

Main Methods:

  • Comprehensive literature review.
  • Analysis of studies focusing on flexible intramedullary nailing in pediatric patients.
  • Synthesis of data regarding fracture types, patient demographics, and outcomes.

Main Results:

  • Flexible intramedullary nails are effective for pediatric femoral shaft and forearm fractures.
  • Significant variability exists in reported age and weight indications.
  • Implant removal is a controversial topic, with a trend towards retaining implants.

Conclusions:

  • Flexible intramedullary nailing is a viable non-surgical treatment for specific pediatric fractures.
  • Further research is needed to establish clear guidelines for patient selection.
  • The decision regarding implant removal should be individualized, with a tendency to avoid routine removal.

Keywords:
ChildFracture fixation, Intramedullary Fracture fixation, InternalFracture fixation/methodsInternal fixatorsOrthopedic fixation devicesStainless steelTitanium

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