Analysis on complications of elastic nail treating children's long bone fractures / 中国骨伤
China Journal of Orthopaedics and Traumatology
; (12): 98-100, 2009.
Article
in Zh
| WPRIM
| ID: wpr-231485
Responsible library:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To analyze the reasons on complications of treatment with elastic nail in children's long bone fracture.</p><p><b>METHODS</b>Sixty-six cases (75 parts of long bone fratures) were treated by elastic nail including 49 male and 17 female. The age ranged from 3 to 17 years, mean 7.8 years. There were 35 femur fractures (2 cases were hibateral), 20 tibia and fibula fractures (12 cases were tibia fractures), 8 radial fractures (1 case was ulna fracture) and 3 humerus fractures. The cases included 4 open fractures and 62 closed fractures. All cases were fresh fractures, no multi-segmental fractures. Three cases associated with brain and chest injuries. These cases were treated by open or closed reduction and internal fixaion with elastic nail. A cast or brace had been used after operation for a month. Following-up included the function of the joint,the bottom of the nail and the callus. Complications were timely recorded.</p><p><b>RESULTS</b>All the patients were followed-up for 12 to 29 months, averaged 17 months. The cases occurrenced compilications including 2 cases of nonunion, 2 of new fracture, 1 of displacment, 4 of joint dysfunction, 3 of irritation of the bottom of the nail and 1 malunion.</p><p><b>CONCLUSION</b>Strict indication, well design,canonical operation is a good way to avoid compliacations. At the same time,early treatment can reduce the sequela.</p>
Full text:
1
Index:
WPRIM
Main subject:
Postoperative Complications
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General Surgery
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Therapeutics
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Wounds and Injuries
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Bone Nails
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Follow-Up Studies
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Fractures, Bone
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Fracture Fixation, Intramedullary
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Fractures, Closed
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Fractures, Open
Type of study:
Observational_studies
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Prognostic_studies
Limits:
Adolescent
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Child
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Child, preschool
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Female
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Humans
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Male
Language:
Zh
Journal:
China Journal of Orthopaedics and Traumatology
Year:
2009
Type:
Article