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Peds tib fx comp synd

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By David Bennett Pediatric Orthopaedic Surgeon in the United States
Christine M Goodbody, Rushyuan J Lee, John M Flynn, Wudbhav N Sankar
BACKGROUND: Elastic nailing is a common method of fixation for tibial shaft fractures in skeletally immature individuals. Poor outcomes of titanium elastic nails for femoral shaft fractures have been associated with increasing patient age and weight, especially patients weighing >50 kg. Our objective is to determine if there is an upper weight or age limit to the safe and effective use of titanium elastic nails for tibial shaft fractures in the pediatric population. METHODS: This is a retrospective cohort study of patients who underwent stabilization of a tibial shaft fracture with titanium elastic nails at a large tertiary-care pediatric trauma center...
July 2016: Journal of Pediatric Orthopedics
Sang-Hee Lee, Jae-Young Hong, Ji-Hoon Bae, Jong Woong Park, Jung-Ho Park
This study assessed the factors related to leg length discrepancy after flexible intramedullary nailing in pediatric patients. A retrospective analysis was conducted of 27 patients with flexible intramedullary nail fixation. Twenty-three patients showed lengthening of the injured limb, and 23 showed lengthening of the injured femur or tibia, with 11 patients having a resultant leg length discrepancy greater than 10 mm. Age at the time of injury was the only factor that was significantly related to leg length discrepancy...
May 2015: Journal of Pediatric Orthopedics. Part B
Benjamin J Shore, Michael P Glotzbecker, David Zurakowski, Estee Gelbard, Daniel J Hedequist, Travis H Matheney
OBJECTIVES: To identify the incidence of acute compartment syndrome (ACS) in children and teenagers with tibial shaft fractures and report associated risk factors. DESIGN: Retrospective Case Control. SETTING: Level 1 pediatric trauma hospital. PATIENTS/PARTICIPANTS: Two hundred sixteen tibial shaft fractures in 212 patients (160 males and 52 females; median age, 13 years) over a 5-year period were reviewed. INTERVENTION: One hundred thirty-two (61%) fractures were treated with closed reduction and casting, 36 with external fixation, 27 with locked intramedullary nails, and 21 with flexible intramedullary nails...
November 2013: Journal of Orthopaedic Trauma
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