RESUMO
Twenty-one skeletally immature patients between 11 and 16 years of age were treated operatively for a unilateral femoral shaft fracture. Eleven patients underwent fixation with flexible nails and 10 with rigid nails. The patients were studied retrospectively to determine the similarity of the groups. Each method of fixation was then compared to determine the technical ease and final outcome. Both methods gave excellent final radiographic alignment with minimal complications. Flexible nailing required much less operative time and less fluoroscopy time. Estimated cost of using Ender nails is much less than using Russell-Taylor interlocking nails.
Assuntos
Pinos Ortopédicos , Fraturas do Fêmur/cirurgia , Fixação Interna de Fraturas/instrumentação , Adolescente , Pinos Ortopédicos/economia , Criança , Feminino , Fraturas do Fêmur/diagnóstico por imagem , Fluoroscopia , Fixação Interna de Fraturas/economia , Fixação Interna de Fraturas/métodos , Consolidação da Fratura , Fraturas Fechadas/diagnóstico por imagem , Fraturas Fechadas/cirurgia , Fraturas Expostas/diagnóstico por imagem , Fraturas Expostas/cirurgia , Humanos , Masculino , Estudos Retrospectivos , Resultado do TratamentoRESUMO
A retrospective review of all Child Advocacy Committee records at Naval Regional Medical Center, Portsmouth, Virginia, was carried out in an attempt to characterize abuse in a military population. We found little difference between our 273 cases of documented abuse and previous reports from civilian institutions as far as patient age, death rate, types of injuries, and social factors involved. We attributed our low incidence of fractures (11%) to our active Child Advocacy Committee. Spiral fractures in children less than 3 years old were the most common orthopedic injury and we concluded that a high index of suspicion should be maintained in young children with spiral fractures.