Use of flexible intramedullary nail fixation in treating femur fractures in children.

Michael Khazzam, Channing Tassone, Xue C. Liu, Roger Lyon, Brian Freeto, Jeffery Schwab, John Thometz

Research output: Contribution to journalArticle

31 Citations (Scopus)

Abstract

We evaluated use of flexible intramedullary nails in the surgical treatment of femoral shaft fractures in 135 children (138 fractures). Mean age was 9.7 years (range, 2-17 years). Mean follow-up was 15.6 months (range, 6.6-53.5 months). Seventy-two patients were treated with stainless-steel (Ender) nails and 66 with titanium elastic nails. There were 73 midshaft fractures, 48 proximal-third fractures, and 17 distal-third fractures. Fracture patterns were transverse (66), oblique (42), spiral (24), and comminuted (6). There were 16 complications--3 refractures, 2 delayed unions, 3 varus or valgus malalignments, 5 nail-tip irritations, 2 broken interlocking screws (found incidentally on radiographs), and 1 asymptomatic proximal nail migration--for a complication rate of 11.7%. These results demonstrate that use of flexible intramedullary nails in the treatment of femoral shaft fractures in children is successful regardless of patient age, fracture location, or fracture pattern.

Original languageEnglish (US)
JournalAmerican journal of orthopedics (Belle Mead, N.J.)
Volume38
Issue number3
StatePublished - Mar 2009

Fingerprint

Nails
Femur
Femoral Fractures
Stainless Steel
Titanium
Therapeutics

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Use of flexible intramedullary nail fixation in treating femur fractures in children. / Khazzam, Michael; Tassone, Channing; Liu, Xue C.; Lyon, Roger; Freeto, Brian; Schwab, Jeffery; Thometz, John.

In: American journal of orthopedics (Belle Mead, N.J.), Vol. 38, No. 3, 03.2009.

Research output: Contribution to journalArticle

Khazzam, Michael ; Tassone, Channing ; Liu, Xue C. ; Lyon, Roger ; Freeto, Brian ; Schwab, Jeffery ; Thometz, John. / Use of flexible intramedullary nail fixation in treating femur fractures in children. In: American journal of orthopedics (Belle Mead, N.J.). 2009 ; Vol. 38, No. 3.
@article{a62361a8043b479ba4e9827d04b1dd08,
title = "Use of flexible intramedullary nail fixation in treating femur fractures in children.",
abstract = "We evaluated use of flexible intramedullary nails in the surgical treatment of femoral shaft fractures in 135 children (138 fractures). Mean age was 9.7 years (range, 2-17 years). Mean follow-up was 15.6 months (range, 6.6-53.5 months). Seventy-two patients were treated with stainless-steel (Ender) nails and 66 with titanium elastic nails. There were 73 midshaft fractures, 48 proximal-third fractures, and 17 distal-third fractures. Fracture patterns were transverse (66), oblique (42), spiral (24), and comminuted (6). There were 16 complications--3 refractures, 2 delayed unions, 3 varus or valgus malalignments, 5 nail-tip irritations, 2 broken interlocking screws (found incidentally on radiographs), and 1 asymptomatic proximal nail migration--for a complication rate of 11.7{\%}. These results demonstrate that use of flexible intramedullary nails in the treatment of femoral shaft fractures in children is successful regardless of patient age, fracture location, or fracture pattern.",
author = "Michael Khazzam and Channing Tassone and Liu, {Xue C.} and Roger Lyon and Brian Freeto and Jeffery Schwab and John Thometz",
year = "2009",
month = "3",
language = "English (US)",
volume = "38",
journal = "American Journal of Orthopedics",
issn = "1078-4519",
publisher = "Quadrant Healthcom Inc.",
number = "3",

}

TY - JOUR

T1 - Use of flexible intramedullary nail fixation in treating femur fractures in children.

AU - Khazzam, Michael

AU - Tassone, Channing

AU - Liu, Xue C.

AU - Lyon, Roger

AU - Freeto, Brian

AU - Schwab, Jeffery

AU - Thometz, John

PY - 2009/3

Y1 - 2009/3

N2 - We evaluated use of flexible intramedullary nails in the surgical treatment of femoral shaft fractures in 135 children (138 fractures). Mean age was 9.7 years (range, 2-17 years). Mean follow-up was 15.6 months (range, 6.6-53.5 months). Seventy-two patients were treated with stainless-steel (Ender) nails and 66 with titanium elastic nails. There were 73 midshaft fractures, 48 proximal-third fractures, and 17 distal-third fractures. Fracture patterns were transverse (66), oblique (42), spiral (24), and comminuted (6). There were 16 complications--3 refractures, 2 delayed unions, 3 varus or valgus malalignments, 5 nail-tip irritations, 2 broken interlocking screws (found incidentally on radiographs), and 1 asymptomatic proximal nail migration--for a complication rate of 11.7%. These results demonstrate that use of flexible intramedullary nails in the treatment of femoral shaft fractures in children is successful regardless of patient age, fracture location, or fracture pattern.

AB - We evaluated use of flexible intramedullary nails in the surgical treatment of femoral shaft fractures in 135 children (138 fractures). Mean age was 9.7 years (range, 2-17 years). Mean follow-up was 15.6 months (range, 6.6-53.5 months). Seventy-two patients were treated with stainless-steel (Ender) nails and 66 with titanium elastic nails. There were 73 midshaft fractures, 48 proximal-third fractures, and 17 distal-third fractures. Fracture patterns were transverse (66), oblique (42), spiral (24), and comminuted (6). There were 16 complications--3 refractures, 2 delayed unions, 3 varus or valgus malalignments, 5 nail-tip irritations, 2 broken interlocking screws (found incidentally on radiographs), and 1 asymptomatic proximal nail migration--for a complication rate of 11.7%. These results demonstrate that use of flexible intramedullary nails in the treatment of femoral shaft fractures in children is successful regardless of patient age, fracture location, or fracture pattern.

UR - http://www.scopus.com/inward/record.url?scp=66549113659&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=66549113659&partnerID=8YFLogxK

M3 - Article

VL - 38

JO - American Journal of Orthopedics

JF - American Journal of Orthopedics

SN - 1078-4519

IS - 3

ER -