Giuseppe Rollo1, Pasquale Guida2, Michele Bisaccia3, Paolo Pichierri1, Marco Filipponi1, Riccardo Maria Lanzetti4,5, Auro Caraffa3, Alessandro Stasi1, Valentina Russi6, Domenico Lupariello7, Luigi Meccariello1. 1. Department of Orthopedics and Traumatology, Vito Fazzi Hospital, Lecce, Italy. 2. Department of Orthopedics and Traumatology, Pediatric Hospital Santobono Pausilipon, Naples, Italy. 3. Division of Orthopedics and Trauma Surgery, S. Maria della Misericordia Hospital Perugia, University of Perugia, Perugia, Italy. 4. Division of Orthopedics and Trauma Surgery, S. Maria della Misericordia Hospital Perugia, University of Perugia, Perugia, Italy. riccarolanzetti@gmail.com. 5. U.O.C. Orthopedics and Traumatology Department, SM Misericordia Hospital, University of Perugia, Perugia, Italy. riccarolanzetti@gmail.com. 6. Orthopaedics and Traumatology Department, University of Palermo, Palermo, Italy. 7. University of Rome La Sapienza, Rome, Italy.
Abstract
INTRODUCTION: Over the last 20 years, the incidence of pediatric diaphyseal femoral fractures was increased, due to changes in the children's daily activities. The healing times are different according to the chosen treatment and to other factors such as age, type of fracture, involvement of the soft tissues, and concomitance with other injuries. MATERIALS AND METHODS: From 2000 to 2015, 38 pediatric patients with diaphyseal femoral fractures were surgically treated and enrolled in the study. The average age of the patients was between 3 and 15 years. Twenty-two patients were treated with endomedullary titanium nails (TEN) and the other 16 with external axial fixators. Comparing the two groups, radiographic images were taken to assess the fracture reduction and consolidation. RESULTS: The average follow-up was 14 months. The average time needed to remove the TEN nails was 5 months; while 2.5 months was the time to remove the external fixator. At the final follow-up, there were no differences between two groups in term of significant rotation defects, angulation, growth, and/or nonunion. CONCLUSIONS: This study showed that TENS and external fixation have similar results in term of fracture healing and complication, even if patients treated with TENS are more satisfied.
INTRODUCTION: Over the last 20 years, the incidence of pediatric diaphyseal femoral fractures was increased, due to changes in the children's daily activities. The healing times are different according to the chosen treatment and to other factors such as age, type of fracture, involvement of the soft tissues, and concomitance with other injuries. MATERIALS AND METHODS: From 2000 to 2015, 38 pediatric patients with diaphyseal femoral fractures were surgically treated and enrolled in the study. The average age of the patients was between 3 and 15 years. Twenty-two patients were treated with endomedullary titanium nails (TEN) and the other 16 with external axial fixators. Comparing the two groups, radiographic images were taken to assess the fracture reduction and consolidation. RESULTS: The average follow-up was 14 months. The average time needed to remove the TEN nails was 5 months; while 2.5 months was the time to remove the external fixator. At the final follow-up, there were no differences between two groups in term of significant rotation defects, angulation, growth, and/or nonunion. CONCLUSIONS: This study showed that TENS and external fixation have similar results in term of fracture healing and complication, even if patients treated with TENS are more satisfied.
Entities:
Keywords:
External fixator; Femoral fractures; Pediatric fractures; TEN
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