| Malunion following flexible intramedullary nails for tibial and femoral fractures in adolescents. | |
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MedLine Citation:
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PMID: 22132035 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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PURPOSE: Flexible intramedullary nails (FIN) are increasingly used in the management of paediatric tibial and femoral fractures. Concerns have recently been raised regarding the use of FIN in older children. The aim of this study was to determine how effective FIN is in treating tibial and femoral fractures in adolescents. METHODS: Patients aged 11 years or older undergoing FIN for tibial and femoral fractures between 2003 and 2009 were identified. Radiographs and case notes were reviewed to identify complications. RESULTS: Thirty-five consecutive adolescent patients underwent FIN for tibial (n = 21) and femoral fractures (n = 15), with a mean age of 12.9 years. The mean radiographic follow up was 29 weeks. Sixty percent (60%, n = 9) and 38% (n = 9) of femoral and tibial fractures, respectively, malunited. Fracture severity was associated with increased malunion for both tibial and femoral fractures (P = 0.046 and P = 0.044, respectively). Two femoral fractures took longer than 20 weeks to unite and seven tibial fractures took longer than 16 weeks to unite. CONCLUSION: The higher than expected rates of malunion and delayed union in this study suggest that other treatments should be considered when treating adolescents with unstable tibial or femoral fractures. |
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Authors:
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D E Deakin; H Winter; P Jain; C E Bache |
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Publication Detail:
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Type: Journal Article Date: 2010-11-04 |
Journal Detail:
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Title: Journal of children's orthopaedics Volume: 4 ISSN: 1863-2548 ISO Abbreviation: J Child Orthop Publication Date: 2010 Dec |
Date Detail:
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Created Date: 2011-12-01 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101313582 Medline TA: J Child Orthop Country: Germany |
Other Details:
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Languages: eng Pagination: 571-7 Citation Subset: - |
Affiliation:
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Department of Trauma and Orthopaedics, Birmingham Children's Hospital, Steelhouse Lane, Birmingham, B4 6NH United Kingdom. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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