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Elastic Stable Intramedullary Nailing for Fractures in Children - Specific Applications.

Cosma D, Vasilescu DE - Clujul Med (2014)

Bottom Line: Elastic stable intramedullary nailing (ESIN) is a new minimally invasive technique for the treatment of pediatric fractures.It approximates the physiological healing process of bone, without opening the fracture site.Also, the operative stress is minimal because of the minimally invasive nature of the procedure, and the volume of implants is small, offering a very good stability without plaster cast immobilization.

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatric Surgery and Orthopedics, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.

ABSTRACT
Elastic stable intramedullary nailing (ESIN) is a new minimally invasive technique for the treatment of pediatric fractures. It approximates the physiological healing process of bone, without opening the fracture site. Also, the operative stress is minimal because of the minimally invasive nature of the procedure, and the volume of implants is small, offering a very good stability without plaster cast immobilization.

No MeSH data available.


Related in: MedlinePlus

Elastic nailing in humeral fractures (retrograde technique)
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f4-cm8703p147: Elastic nailing in humeral fractures (retrograde technique)

Mentions: The nails are inserted using the retrograde method. The insertion points are found on the lateral margin of the supracondylar area, having a postero-lateral direction and proximal inclination (Figure 4). The entry points are prepared using a drill because the cortical bone in this area is very hard. The diameter of the nails varies between 2.5 and 3.5 mm, and they are bent identically. The nails are inserted by vertical manual pressure and rotating movements. If the fracture in the proximal metaphyseal area cannot be adequately reduced, the 1800 rotation of the nails facilitates this reduction. If, however, reduction is impossible, a Kirschner guide-wire is placed in the proximal fragment before open reduction. In the case of oblique diaphyseal fractures, it is important to avoid the nails leaving the medullary canal and migrating posteriorly into the radial nerve sulcus. After both nails have crossed the fracture site, they are impacted into the cancellous bone of the proximal metaphysis.


Elastic Stable Intramedullary Nailing for Fractures in Children - Specific Applications.

Cosma D, Vasilescu DE - Clujul Med (2014)

Elastic nailing in humeral fractures (retrograde technique)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4508591&req=5

f4-cm8703p147: Elastic nailing in humeral fractures (retrograde technique)
Mentions: The nails are inserted using the retrograde method. The insertion points are found on the lateral margin of the supracondylar area, having a postero-lateral direction and proximal inclination (Figure 4). The entry points are prepared using a drill because the cortical bone in this area is very hard. The diameter of the nails varies between 2.5 and 3.5 mm, and they are bent identically. The nails are inserted by vertical manual pressure and rotating movements. If the fracture in the proximal metaphyseal area cannot be adequately reduced, the 1800 rotation of the nails facilitates this reduction. If, however, reduction is impossible, a Kirschner guide-wire is placed in the proximal fragment before open reduction. In the case of oblique diaphyseal fractures, it is important to avoid the nails leaving the medullary canal and migrating posteriorly into the radial nerve sulcus. After both nails have crossed the fracture site, they are impacted into the cancellous bone of the proximal metaphysis.

Bottom Line: Elastic stable intramedullary nailing (ESIN) is a new minimally invasive technique for the treatment of pediatric fractures.It approximates the physiological healing process of bone, without opening the fracture site.Also, the operative stress is minimal because of the minimally invasive nature of the procedure, and the volume of implants is small, offering a very good stability without plaster cast immobilization.

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatric Surgery and Orthopedics, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.

ABSTRACT
Elastic stable intramedullary nailing (ESIN) is a new minimally invasive technique for the treatment of pediatric fractures. It approximates the physiological healing process of bone, without opening the fracture site. Also, the operative stress is minimal because of the minimally invasive nature of the procedure, and the volume of implants is small, offering a very good stability without plaster cast immobilization.

No MeSH data available.


Related in: MedlinePlus