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Management of Length Unstable Femur Fractures in Children by Flexible Intramedullary Nails: A Systematic Review [Léčba délkově nestabilních zlomenin femuru u dětí fl exibilními nitrodřeňovými hřeby: systematický přehled]
V. Garg, A. K. S.. Gowda, A. Regmi, S. Barik, V. K. Maheshwari, V. Singh
Jazyk angličtina Země Česko
Typ dokumentu systematický přehled, časopisecké články
PubMed
38447564
DOI
10.55095/achot2024/006
Knihovny.cz E-zdroje
- MeSH
- dítě MeSH
- dolní končetina MeSH
- femur MeSH
- fraktury femuru * chirurgie MeSH
- interní fixátory MeSH
- intramedulární fixace fraktury * škodlivé účinky MeSH
- lidé MeSH
- Check Tag
- dítě MeSH
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- systematický přehled MeSH
PURPOSE OF THE STUDY: Surgical options for paediatric femoral fractures include fl exible intramedullary nailing (FIN), plating, and external fi xators. Length unstable fractures are usually spiral, long oblique, or comminuted and are often associated with > 2 cm of shortening. The purpose of this study was to see whether FIN is effective for managing unstable femur fractures in children. MATERIAL AND METHODS: An electronic literature search was performed up to 25 February 2022 in Cochrane Library, PubMed, and Embase databases using a combination of MeSH search terms and keywords related to the population (e.g., "child" AND "diaphyses" AND "femur"), and intervention (e.g., "nail" OR "ESIN"). The data extracted included the study details, Demographic data, surgical details, postoperative immobilization, complications, and outcome. RESULTS: Eight studies with a total sample size of 369 patients were reviewed. The mean operative time, blood loss, and length of stay in the hospital were 67.62±12.32 minutes, 33.82±16.82 ml, and 4.9±1.27 days, respectively. The results were excellent in 61.92% of the patients, satisfactory in 32.61%, and poor in 5.43%. 4.54% of patients had major complications requiring reoperation and 32.46% of patients had minor complications. the most common complication was nail prominence seen in 26.30% of patients. Locked Ender's nail was associated with the least reoperation, malunion, and LLD rate compared to other types of FIN. CONCLUSIONS: FIN along with a single walking spica cast is a good choice in all forms of paediatric femoral fracture patterns allowing proper alignment and rotation. Locked Ender's nail is safe and effective for managing unstable paediatric femur fracture. KEY WORDS: pediatric femur fracture, length unstable, fl exible intramedullary nailing, submuscular plating, Flynn criterion.
Department of Orthopaedics All India Institute of Medical Sciences Rishikesh India
Department of Orthopedics All India Institute of Medical Sciences Deoghar Jharkhand India
Department of Orthopedics All India Institute of Medical Sciences Rishikesh Uttarakhand India
Department of Orthopedics Chacha Nehru Bal chikitsalaya Geeta colony Delhi India
Léčba délkově nestabilních zlomenin femuru u dětí fl exibilními nitrodřeňovými hřeby: systematický přehled
Citace poskytuje Crossref.org
Literatura
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