Closed reduction and percutaneous pin fixation is considered
standard management for displaced supracondylar fractures of the
humerus in children. However, controversy exists regarding whether
to use pins from the lateral side or medial and latera
l side of the
elbow for fixation .
We performed this research to know the results of two ways of
treatment and to compare : 1- the risk of iatrogenic ulnar nerve
injury caused by pin fixation . 2- quality of fracture reduction in
terms of radiographic outcomes . 3- compare function of the elbow
and other surgical complications caused by pin fixation between two
ways.
Management of tibiodiaphysial fractures in the age group of 5-15 years is
controversial ,there has been a resurgence world wide for operative fixation in general and
TENS(titanium elastic nailing system) in particular. We performed a retrospective
review
of pediatric tibial fractures treated by TENS. The data was collected from cases operated
between 2010 and 2014 at Al Assad university hospital ,Lattakia. We had treated 34
children (boys and girls) with TENS for tibial shaft fractures. Average load of age was 11
years(range 5-15 years).All fractures were radiographically united at a mean of 7,5 weeks
(range 5-10) weeks.The nails were removed mean of 22 weeks (range 6-31 weeks)
postoperatively. At follow up we had found leg length discrepancy of 1 cm in one child
and 10 degrees of internal rotational deformity in another. No angular deformity had
occured.Titanium elastic nailing seems to be a safe and effective method for treatment of
tibial shaft fractures in childreen between 5 and 15 years of age.
