Elastic, stable intramedullary nailing of pertrochanteric femoral fractures in children (<6–8 years)
Elastisch-stabile intramedulläre Nagelung pertrochantärer Femurfrakturen im Kleinkindesalter (<6 bis 8 Jahre)
Publisher DOI
PubMed ID
33501513
Abstract
Objective: Minimally invasive, sufficiently stable for movement and partial weight bearing, osteosythesis of pertrochanteric femoral fractures in children < 6-8 years using elastic, stable intramedullary nailing (ESIN).
Indications: Proximal, pertrochanteric femoral fractures Delbet type IV in children < 6 years.
Contraindications: Comminuted fractures, femoral neck fractures.
Surgical technique: By inserting three elastic titanium nails (TEN), prebent in the proximal third, retrograde into the femur, a stable 3‑point support stabilizes the proximal fragment. For further improvement of stability, EndCaps can be used.
Postoperative management: Partial weight bearing (sole-contact) for 4-5 weeks. X‑ray controls immediately after surgery and after 4-5 weeks. No sports for 3 months.
Results: In our patient population we have good experience with this technique for very rare pertrochanteric fractures in children younger than 6-8 years. With minimally invasive access, exercise-stable administration can be achieved without a pelvic leg cast.
Indications: Proximal, pertrochanteric femoral fractures Delbet type IV in children < 6 years.
Contraindications: Comminuted fractures, femoral neck fractures.
Surgical technique: By inserting three elastic titanium nails (TEN), prebent in the proximal third, retrograde into the femur, a stable 3‑point support stabilizes the proximal fragment. For further improvement of stability, EndCaps can be used.
Postoperative management: Partial weight bearing (sole-contact) for 4-5 weeks. X‑ray controls immediately after surgery and after 4-5 weeks. No sports for 3 months.
Results: In our patient population we have good experience with this technique for very rare pertrochanteric fractures in children younger than 6-8 years. With minimally invasive access, exercise-stable administration can be achieved without a pelvic leg cast.
Date Issued
2021-01-26
Publication Type
Article
Subject(s)
Language(s)
de
Additional Credits
Journal
Operative Orthopädie und Traumatologie
Publisher
Springer
ISSN
0934-6694