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Treatment of pediatric tibial shaft fractures with titanium elastic nails

استجدال كسور جدل الظنبوب بالأسياخ المستبطنة للنقي ( TENS )

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 Publication date 2014
and research's language is العربية
 Created by Shamra Editor




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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.

References used
Mallet JF. Les fractures de jambe chez l enfant.In:Clavert JM,Metaizeau JP,editore.les fractures des members chez l enfant. Monographie du GEOP. Montpellier. Sauramps medicale;1990
Chotel F, Bereard J, Parot R. Fractures de jambe. In Clavert JM,Karger C, Lascombes P, Ligier JN,Metaizeau JP.editors. Fractures de l enfant. Montpellier. Sauramps medicale;2002
Shannak AO. Tibial fractures in children. Follow-up study .J pediatr orthop 1988;8:306-10
Obrien T, Weisaman DS, Ronchetti P, et al., Flexible Titanuim nailing for the treatment of unstable pediatric tibial fractures. J pediatr orthop 2004;24:601-9
Srivastava AK,Mehlman Ct, Well EJ,Dott. Elastic stable intramedullary nailing of tibial shaft fractures in children. J pediatr orthop 2008;28:152-8
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