Abstract
From June 1995 to August 2012, 18 children were treated surgically using elastic stable intramedullary nails for displaced closed fractures of the distal metaphysis of the tibia. The patients were followed radiographically and clinically on a regular basis until union was clinically and radiographically achieved. Thirteen boys and five girls with a mean age at trauma of 11 ± 2.9 years (range 6–15) were included in the study. Radiographically, all fractures healed without evidence of delayed union, re-fracture, hardware migration. All patients were pain free at last follow-up and all regained full, normal activities including sports.
Level of evidence IV.
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Domzalski M, Lipton GE, Lee D, Guille JT (2006) Fractures of the distal tibia metaphysis in children. Patterns of injury and results of treatment. J Pediatr Orthop 26:171–176
Hanlon CR, Estes WL (1954) Fractures in childhood a statistical analysis. Am J Surg 87:312–323
Beekman F, Sullivan JE (1941) Some observations on fractures of long bones in children. Am J Surg 51:722–738
Muller ME, Nazarian S, Koch P, Schatzker J (1990) The comprehensive classification of the fractures of long bones. Spriger, Berlin
Alonso JE, Horowitz M (1987) Use of the AO/ASIF external fixator in children. J Pediatr Orthop 7:594–600
Behrens F, Searls K (1986) External fixation of the tibia. Basic concepts and prospective evaluation. J Bone Joint Surg Br 68B:246–254
Métaizeau JP (1988) Ostéosynthèse chez l’enfant: embrochage centromédullaire élastique, stable edn. Sauramps Médical, Montpellier
Ligier JN, Métaizeau JP, Prévot J (1983) Closed flexible medullary nailing in pediatric traumatololgy. Chir Pediatr 24:383–385
Ecklund K, Jaramillo D (2002) Patterns of premature physeal arrest: MR imaging of 111 children. Am J Roentgenol 178:967–972
Chee Y, Agorastides I, Garg N, Bass A, Bruce C (2006) Treatment of severely displaced proximal humeral fractures in children with elastic stable intramedullary nailing. J Pediatr Orthop B 15:45–50
Fernandez FF, Eberhardt O, Langendörfer M, Wirth T (2008) Treatment of severely displaced proximal humeral fractures in children with retrograde elastic stable intramedullary nailing. Injury 39:1453–1459
Hutchinson PH, Bae DS, Waters PM (2011) Intramedullary nailing versus percutaneous pin fixation of pediatric proximal humerus fractures: a comparison of complications and early radiographic results. J Pediatr Orthop 31:617–622
Sessa S, Lascombes P, Prevot J, Gagneux E, Blanquart D (1990) Centro-medullary nailing in fractures of the upper end of the humerus in children and adolescents. Chir Pediatr 31:43–46
Karrholm J, Hansson LI, Stvensonn K (1982) Incidence of tibio-fibular shaft and ankle fractures in children. J Pediatr Orthop 2:386–396
Shannak AO (1988) Tibial fracture in children: follow-up study. J Pediatr Orthop 8:306–310
Hansen BA, Greiff J, Bergmann F (1976) Fractures of the tibia in children. Acta Orthop Scand 47:448–453
Mark GS, Rajan RA (2010) Elastic intramedullary nailing in unstable fractures of the paediatric tibial diaphysis: a systematic review. J Child Orthop 4:45–51
Hermans JJ, Beumer A, De Tong TA, Kleinrensink GJ (2010) Anatomy of the tibiofibular syndesmosis in adults: a pictorial essay with a multimodality approach. J Anat 217:633–645
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The authors declare that they have no conflict of interest and that none of the author received financial support for this study.
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Cravino, M., Canavese, F., De Rosa, V. et al. Outcome of displaced distal tibial metaphyseal fractures in children between 6 and 15 years of age treated by elastic stable intramedullary nails. Eur J Orthop Surg Traumatol 24, 1603–1608 (2014). https://doi.org/10.1007/s00590-013-1402-z
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DOI: https://doi.org/10.1007/s00590-013-1402-z