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Implantology of Paediatric Upper Limb Fractures

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  • First Online:
Handbook of Orthopaedic Trauma Implantology

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Abstract

In this chapter, the authors provide the actual possibility to fix the upper limb fractures by hardware. Although Kirschner wires still have a crucial role in the management of upper limb paediatric fracture, elastic stable intramedullary nails, plate, screws, and many others fixation methods have gained popularity among surgeons over the last 30 years. In the early 1980s, the elastic stable intramedullary nailing (ESIN) technique, also called the flexible intramedullary nailing (FIN) method, Métaizeau technique, or Nancy technique, has become a universal way of treating paediatric fractures. Initially, it was used in the treatment of diaphyseal fractures in both lower and upper extremity. Over the decades, ESIN indications expanded to include metaphyseal fractures such as humeral neck fractures and radial neck fractures. Métaizeau found that the flexible nail could be used itself as a reduction tool. The elastic stable intramedullary nailing (ESIN) offers the advantages to use the nail as reduction tool and gives a more stable fixation compared to wires. For these reasons, ESIN has become a universal technique of treating paediatric upper limb fractures.

Since the beginning to nowadays, several new implants were developed to improve the bone fracture in childhood.

In this chapter, the authors present for each district of the upper limb the different possibilities available to fix the fracture according to age, type, and potential complication.

This chapter aims to provide an overview of the different implants used in the surgical treatment of paediatric upper limb fractures and the main indications for fixation.

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Author information

Authors and Affiliations

  1. Pediatric Orthopedic Surgery Department, Children’s Hospital “Vittore Buzzi”, Milan, Italy

    Antonio Andreacchio

  2. Regina Margherita, Children’s Hospital, Turin, Italy

    Flavia Alberghina

  3. Department of Pediatric Orthopedic Surgery, Lille University Center, Jeanne de Flandre Hospital, Lille, France

    Federico Canavese

  4. Faculty of Medicine, Nord-de-France Lille University, Lille, France

    Federico Canavese

  5. Childrens’ Orthopaedic Centre, Mumbai, India

    Ashok Johari

Authors
  1. Antonio Andreacchio
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  2. Flavia Alberghina
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  3. Federico Canavese
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  4. Ashok Johari
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Editor information

Editors and Affiliations

  1. NH Narayana Superspeciality and Multispeciality Hospitals, Howrah, West Bengal, India

    Arindam Banerjee

  2. Technical University of Munich, Munich, Germany

    Peter Biberthaler

  3. Sri Lakshmi Narayana Institute of Medical Sciences, Puducherry, India

    Saseendar Shanmugasundaram

Section Editor information

  1. Childrens' Orthopaedic Centre, Mumbai, Maharashtra, India

    Ashok Johari

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© 2023 Springer Nature Singapore Pte Ltd.

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Andreacchio, A., Alberghina, F., Canavese, F., Johari, A. (2023). Implantology of Paediatric Upper Limb Fractures. In: Banerjee, A., Biberthaler, P., Shanmugasundaram, S. (eds) Handbook of Orthopaedic Trauma Implantology. Springer, Singapore. https://doi.org/10.1007/978-981-19-7540-0_89

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  • DOI: https://doi.org/10.1007/978-981-19-7540-0_89

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-19-7539-4

  • Online ISBN: 978-981-19-7540-0

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