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August 31, 2020Journal of Institute of Medicine NepalOpen Access

Outcome of Elastic Stable Intramedullary Nail in Length Unstable Diaphyseal Femur Fractures in Children: A Case Series

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Key result

ESIN yields ~71% excellent functional outcomes for pediatric length-unstable femur fractures.

  • n=7

Why the study?

While elastic stable intramedullary nailing yields favourable results in length stable fractures, its use in length unstable diaphyseal femur fractures in children is debated.

Does elastic stable intramedullary nailing improve functional outcomes in children with length unstable diaphyseal femur fractures?

Design

Retrospective case series

Authors

PBPrawesh Singh BhandariNepal Medical College Teaching HospitalSUSuresh UpretyTribhuvan University

Discussion

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Implication

May support ESIN for length-unstable pediatric femur fractures; hypothesis-generating given case-report design.

Study Design

Type

Case Series (n=7)

Multicenter

No

Structured PICO

Does elastic stable intramedullary nailing improve functional outcomes in children with length unstable diaphyseal femur fractures?

P
Population
7 children (mean age 9.14 years) with length unstable diaphyseal femur fractures treated with elastic stable intramedullary nailing.
I
Intervention
Elastic stable intramedullary nailing (ESIN)
O
Outcome
Functional outcome (Flynn scoring) and fracture union duration

Elastic stable intramedullary nailing can be safely used with excellent or satisfactory functional outcomes in children with length unstable diaphyseal femur fractures.

Limitations

  • Small sample size
  • Retrospective study design
  • Lack of randomization and comparison group

Cite This Study

Bhandari et al. (2020) conducted a case series in Length unstable diaphyseal femur fractures (n=7). Elastic stable intramedullary nailing (ESIN) was evaluated on Functional outcome assessed using Flynn outcome scoring. Elastic stable intramedullary nailing for length unstable diaphyseal femur fractures in children resulted in 71.4% excellent and 28.6% satisfactory functional outcomes with a mean union time of 12 weeks.

synapsesocial.com/papers/6aaa014f3e26af5d367e5a64https://doi.org/10.3126/jiom.v42i2.37531
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The Most Frequent Traumatic Orthopaedic Injuries From a National Pediatric Inpatient Population2005 · 85 citations
  2. 2An epidemiological evaluation of pediatric long bone fractures — a retrospective cohort study of 2716 patients from two Swiss tertiary pediatric hospitals2014 · 145 citations
  3. 3The Most Frequent Traumatic Orthopaedic Injuries From a National Pediatric Inpatient Population2004 · 183 citations
  4. 4Elastic Stable Intramedullary Pinning of Long Bone Shaft Fractures in Children1985 · 108 citations
  5. 5Titanium Elastic Nails for Pediatric Femur Fractures: A Multicenter Study of Early Results with Analysis of Complications2001 · 462 citations