Elastic, stable intramedullary nailing of pertrochanteric femoral fractures in children (<6–8 years)

Kaiser, N.; Slongo, T. (2021). Elastic, stable intramedullary nailing of pertrochanteric femoral fractures in children (<6–8 years). Operative Orthopädie und Traumatologie, 33(1), pp. 46-54. Springer 10.1007/s00064-020-00696-2

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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.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Paediatric Surgery

UniBE Contributor:

Kaiser, Nadine and Slongo, Theddy

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0934-6694

Publisher:

Springer

Language:

German

Submitter:

Christoph Steffen

Date Deposited:

16 Feb 2021 12:12

Last Modified:

16 Feb 2021 12:21

Publisher DOI:

10.1007/s00064-020-00696-2

PubMed ID:

33501513

BORIS DOI:

10.48350/151747

URI:

https://boris.unibe.ch/id/eprint/151747

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