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Elastic stable intramedullary nailing (ESIN) in the treatment of both-bone forearm fractures in the child: about 87 cases.

Abstract This study aims to describe the complications of elastic stable intramedullary nailing (ESIN) in the treatment of both-bone forearm diaphyseal fractures in the child. Between January 2009 and December 2013, 87 children with both-bone forearm diaphyseal fractures were treated by elastic stable intramedullary nailing with Métaizeau nails. 76 boys and 11 girls, with an average age of 12 years, were enrolled in the study. Nailing was promptly performed in 50 cases and after secondary displacement during plaster-cast treatment in the other cases. Both bones were nailed in all cases. All patients underwent systematic plaster immobilization for a period of about one month. On average, nails were removed after about 6 months. Functional outcomes were studied over a mean follow-up period of 10 months. Complications were marked by 14 superficial infections (14 cases), osteitis associated with material (2 cases), refracture (3 cases), pseudarthrosis (3 cases), delayed fracture consolidation (2 cases) and proximal radioulnar synostosis (1 case). Although intramedullary nailing ideally is an osteosynthesis technique suitable for the treatment of fractures in children, it is more invasive than orthopaedic treatment.Indications for treatment should remain within well-established limits.
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Authors

Mayor MeshTerms
Keywords

Fracture

child

elastic stable intramedullary nailing

forearm

Journal Title the pan african medical journal
Publication Year Start




PMID- 28819489
OWN - NLM
STAT- In-Process
DA  - 20170818
LR  - 20170821
IS  - 1937-8688 (Electronic)
VI  - 27
DP  - 2017
TI  - [Elastic stable intramedullary nailing (ESIN) in the treatment of both-bone
      forearm fractures in the child: about 87 cases].
PG  - 68
LID - 10.11604/pamj.2017.27.68.11058 [doi]
AB  - This study aims to describe the complications of elastic stable intramedullary
      nailing (ESIN) in the treatment of both-bone forearm diaphyseal fractures in the 
      child. Between January 2009 and December 2013, 87 children with both-bone forearm
      diaphyseal fractures were treated by elastic stable intramedullary nailing with
      Metaizeau nails. 76 boys and 11 girls, with an average age of 12 years, were
      enrolled in the study. Nailing was promptly performed in 50 cases and after
      secondary displacement during plaster-cast treatment in the other cases. Both
      bones were nailed in all cases. All patients underwent systematic plaster
      immobilization for a period of about one month. On average, nails were removed
      after about 6 months. Functional outcomes were studied over a mean follow-up
      period of 10 months. Complications were marked by 14 superficial infections (14
      cases), osteitis associated with material (2 cases), refracture (3 cases),
      pseudarthrosis (3 cases), delayed fracture consolidation (2 cases) and proximal
      radioulnar synostosis (1 case). Although intramedullary nailing ideally is an
      osteosynthesis technique suitable for the treatment of fractures in children, it 
      is more invasive than orthopaedic treatment.Indications for treatment should
      remain within well-established limits.
FAU - Andaloussi, Saad
AU  - Andaloussi S
AD  - Service de Traumato-Orthopedie Pediatrique, CHU Hassan II, Fes, Maroc.
FAU - Amine Oukhouya, Mohamed
AU  - Amine Oukhouya M
AD  - Service de Traumato-Orthopedie Pediatrique, CHU Hassan II, Fes, Maroc.
FAU - Alaoui, Othmane
AU  - Alaoui O
AD  - Service de Traumato-Orthopedie Pediatrique, CHU Hassan II, Fes, Maroc.
FAU - Atarraf, Karima
AU  - Atarraf K
AD  - Service de Traumato-Orthopedie Pediatrique, CHU Hassan II, Fes, Maroc.
FAU - Chater, Lamiae
AU  - Chater L
AD  - Service de Traumato-Orthopedie Pediatrique, CHU Hassan II, Fes, Maroc.
FAU - Afifi, My Abderrahmane
AU  - Afifi MA
AD  - Service de Traumato-Orthopedie Pediatrique, CHU Hassan II, Fes, Maroc.
LA  - fre
PT  - English Abstract
PT  - Journal Article
TT  - Les complications de l'ECMES dans le traitement des fractures des 2 os de
      l'avant-bras chez l'enfant (a propos de 87 cas).
DEP - 20170530
PL  - Uganda
TA  - Pan Afr Med J
JT  - The Pan African medical journal
JID - 101517926
PMC - PMC5554682
OTO - NOTNLM
OT  - Fracture
OT  - child
OT  - elastic stable intramedullary nailing
OT  - forearm
EDAT- 2017/08/19 06:00
MHDA- 2017/08/19 06:00
CRDT- 2017/08/19 06:00
PHST- 2016/11/26 [received]
PHST- 2017/05/01 [accepted]
AID - 10.11604/pamj.2017.27.68.11058 [doi]
AID - PAMJ-27-68 [pii]
PST - epublish
SO  - Pan Afr Med J. 2017 May 30;27:68. doi: 10.11604/pamj.2017.27.68.11058.
      eCollection 2017.