Displaced tibia shaft fractures in children treated by elastic stable intramedullary nailing: results and complications in children weighing 50 kg (110 lb) or more

  • Lorenza Marengo
  • Matteo Paonessa
  • Antonio Andreacchio
  • Alain Dimeglio
  • Alberto Potenza
  • Federico CanaveseEmail author


The main objective of this study was to retrospectively evaluate the clinical and radiographic outcomes of displaced tibia shaft fractures in children weighing 50 kg (110 lb) or more treated by elastic stable intramedullary nailing (ESIN). Translation, sagittal and coronal angulations were assessed on plain radiographs in all the patients. Twenty-six out of 106 patients met the inclusion criteria. The average patient age at the time of injury was 13.5 ± 1.3 years (range 11.3–16.1). The mean patient weight was 57 ± 8 kg (range 50–80). This study demonstrates that the use of ESIN for displaced tibia shaft fractures in children and adolescents weighing 50 kg (110 lb) or more, or older than 13 years of age, is not contraindicated. In contrast to data in femoral shaft fractures, we did not find poorer outcomes in older or heavier patients. No correlation between nail size/medullary canal diameter ratio and outcome was observed.


Tibia shaft fracture Heavier children Adolescent Elastic stable intramedullary nailing Complications 


Compliance with ethical standards

Conflict of interest

All authors have no conflict of interests.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed consent

No patients were involved. This is a retrospective study of patient’s data, and an IRB approval was obtained.


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Copyright information

© Springer-Verlag France 2015

Authors and Affiliations

  • Lorenza Marengo
    • 1
  • Matteo Paonessa
    • 2
  • Antonio Andreacchio
    • 2
  • Alain Dimeglio
    • 3
  • Alberto Potenza
    • 2
  • Federico Canavese
    • 1
    Email author
  1. 1.Pediatric Surgery DepartmentUniversity Hospital EstaingClermont-FerrandFrance
  2. 2.Pediatric Orthopedic Surgery DepartmentRegina Margherita Children’s HospitalTurinItaly
  3. 3.Faculty of MedicineUniversity of MontpellierMontpellierFrance

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