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-Abstract
Background: Diaphyseal tibial shaft fractures are the second most common fracture in hospitalized
children resulting from both high and low energy trauma. Operative treatment requires implants that do
not violate open physes and have less complications rate than traditional treatment methods. Flexible
intramedullary nails had gained popularity for treatment of paediatric diaphyseal tibial shaft fractures.
Patients and Methods: 45 patients with diaphyseal tibial fracture were treated by flexible intramedullary
nails. There were 30 male and 15 females. The youngest patient in our study was 10 years old while the
oldest was 18 years old. Functional and radiological evaluations were done for all patients at the last
follow up. Results: Most common mechanism of injury was road traffic accident followed by falling from
height. 62.2 % of the cases had simple fracture (28 patient) while 26.7% of cases (12 patients) had type I
open fractures and 11.1 % of the cases (5 patients) had type II open fractures. All fractures achieved full
fracture union at a mean of 12 week with range from 10 to 18 week. Two cases suffered from nonunion
that treated later on by bone grafting. One patient had postoperative fracture angulation. Conclusion:
Flexible intramedullary nails can be used safely in adolescents with satisfactory results. It provides
acceptable fracture redction and rapid healing with an acceptable rate of complications and return to
unrestricted physical activity.
DOI
10.21608/ejor.2022.255095
Keywords
Pediatric tibial fracture, flexible intramedullary nail, Trauma, Lower Extremity
Authors
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Orthopaedics and Traumatology dept., Faculty of Medicine, Sohag Univ., Sohag, Egypt
Email
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-MiddleName
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Orthopaedics and Traumatology dept., Faculty of Medicine, Sohag Univ., Sohag, Egypt
Email
-City
-Orcid
-MiddleName
-Affiliation
Orthopaedics and Traumatology dept., Faculty of Medicine, Sohag Univ., Sohag, Egypt
City
-Orcid
-MiddleName
-Affiliation
Orthopaedics and Traumatology dept., Faculty of Medicine, Sohag Univ., Sohag, Egypt
Email
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https://ejor.journals.ekb.eg/article_255095.html
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https://ejor.journals.ekb.eg/service?article_code=255095
Type
Original articles: include clinical trials, interventional research, Basic researches and clinically relevant laboratory investigations
Publication Title
Egyptian Journal of Orthopedic Research
Publication Link
https://ejor.journals.ekb.eg/
MainTitle
FLEXIBLE INTRAMEDULLARY NAILS FOR FIXATION OF ADOLESCENT DIAPHYSEAL TIBIAL SHAFT FRACTURES