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355019

Combined Elastic Stable Intramedullary Nail and External Fixation Versus Elastic Stable Intramedullary Nail Alone in the Management of Length-Unstable Pediatric Femoral Fractures

Article

Last updated: 04 Jan 2025

Subjects

-

Tags

Orthopedic Surgery.

Abstract

Background: Femoral shaft fractures account for approximately 1.6% of fractures in the pediatric population. However, the optimal treatment modality for length-unstable fractures is still controversial. Objectives: Our study aims to compare combined elastic stable intramedullary nail (ESIN) and external fixation (EF) versus ESIN alone in the management of length-unstable femur fractures in pediatric patients in terms of surgical, functional, and radiological outcomes. Patients and Methods: Forty patients (20 in each group) with length-unstable femur fractures. First group was managed by ESIN and EF, and the other group was managed by ESIN alone. Both groups were compared in terms of surgical, functional, and radiological outcomes. Results: The mean follow-up period was 8.4 ± 1.2 months in the ESIN group and 9.1 ± 1.6 months in the ESIN/EF group. Radiological outcomes, as measured by Beaty's criteria, have shown a statistically significant difference between groups. However, both groups has similar functional outcomes and rate of postoperative complications. Conclusion: This study has demonstrated superiority of ESIN/EF over ESIN alone in terms of radiological outcomes with no significant differences as regards functional outcomes and postoperative complications.

DOI

10.21608/svuijm.2022.164043.1412

Keywords

Length-unstable, Elastic stable intramedullary nail, External fixator

Authors

First Name

Elsayed

Last Name

Said

MiddleName

-

Affiliation

Orthopaedic Surgery Department, Faculty of Medicine, South Valley University, Qena, Egypt

Email

elsayed71@yahoo.com

City

-

Orcid

0000-0001-8299-9038

First Name

Hamdy

Last Name

Tammam

MiddleName

-

Affiliation

Orthopaedic Surgery Department, Faculty of Medicine, South Valley University, Qena, Egypt

Email

rhtammam79@gmail.com

City

Qena

Orcid

-

First Name

Alaa M.

Last Name

Mostafa

MiddleName

-

Affiliation

Orthopaedic Surgery Department, Faculty of Medicine, South Valley University, Qena, Egypt

Email

ostazdvc1977@gmail.com

City

Qena

Orcid

-

First Name

Ali Ahmed

Last Name

Sayed

MiddleName

-

Affiliation

Orthopaedic Surgery Department, Faculty of Medicine, South Valley University, Qena, Egypt

Email

ali_sayed@med.svu.edu.eg

City

-

Orcid

-

Volume

7

Article Issue

1

Related Issue

43681

Issue Date

2024-01-01

Receive Date

2022-09-19

Publish Date

2024-01-01

Page Start

876

Page End

889

Print ISSN

2735-427X

Online ISSN

2636-3402

Link

https://svuijm.journals.ekb.eg/article_355019.html

Detail API

https://svuijm.journals.ekb.eg/service?article_code=355019

Order

86

Type

Original research articles

Type Code

1,520

Publication Type

Journal

Publication Title

SVU-International Journal of Medical Sciences

Publication Link

https://svuijm.journals.ekb.eg/

MainTitle

Combined Elastic Stable Intramedullary Nail and External Fixation Versus Elastic Stable Intramedullary Nail Alone in the Management of Length-Unstable Pediatric Femoral Fractures

Details

Type

Article

Created At

27 Dec 2024