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Irish Child Health Database - Peer Reviewed Papers

Database Search

• Early experience with titanium elastic nails in a trauma unit

  Published in:

  Ir Med J, Vol: 96, Page: 213-4

  Publication Date:

  2003 Jul-Aug

  Aims & Objectives:

  This study examined early experience with titanium elastic nails in a trauma unit

  Abstract:

  The Titanium Elastic Nail (TEN) offers a number of potential advantages over traditional ways of treating long bone fractures particularly in the paediatric population. These advantages include earlier mobilisation and shorter hospital stay and less risk of loss of fracture position. These advantages are most apparent and significant when treating femoral fractures in children where the length of hospital stay is reduced from several weeks to a typical period of 5 to 8 days. We have reviewed our early experience of using these implants over the past 2 years. Patients were assessed clinically and radiologically. 13 patients were treated using the TEN during this period. There were 2 femoral fractures, 4 humeral fractures, 1 tibial and 6 forearm fractures treated using the Titanium Elastic Nail. All fractures united during the study period. However 1 humeral fracture required a secondary bone grafting and plating for delayed union and 1 fracture lost position during follow-up. Insertion point pain was a problem in 4 patients but this resolved after nail removal in all. There was 1 superficial wound infection which resolved with antibiotics and 1 superficial wound infection of an open fracture wound which resolved following nail removal and antibiotics. There were no cases of deep infection. There were no limb length discrepancy or rotational or angular malalignment problems. Biomechanical principles and technical aspects of this type of fixation are discussed.

  Authors:

  M. H. Shah; G. Heffernan; A. J. McGuinness

  Study Type:

  Study Papers » Case Series Study » Descriptive Studies - Without a comparision

  Categories:

  titanium elastic nails

  International Classification:

  Procedure - titanium elastic nails

  Keywords:

  • Adult
  • Bone Nails
  • Female
  • Femoral Fractures/ surgery
  • Fracture Fixation, Internal/ methods
  • Humans
  • Ireland
  • Male
  • Titanium
  • Trauma Centers

  
  

  Geography:

  Republic of Ireland (N/A)