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Treatment of Children’s Shaft Fracture of Tibia and Fibula with ESIN Fixation

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DOI: 10.4236/ojped.2011.12003    5,796 Downloads   10,533 Views   Citations

ABSTRACT

The Objective is to evaluate Elastic Stable Intrame-dullary Nailing (ESIN) fixation through the treat-ment of children’s shaft fracture of tibia and fibula. From January 2007 to January 2009, 16 cases of children’s shaft fracture of tibia and fibula had been treated by ESIN. 15 cases were followed up after the surgery and the follow-up time was 4 - 12 months (4.5 in average). The results turn out that all the patients’ fractures have got healed by Phase I and the healing time is 10 weeks in average. The near joints’ activity and affected extremity completely return to normal. This group of cases doesn’t show any sign of infection, bone nonunion, malunion or epiphysis injury. And six patients have had their intramedullary nails taken out after six months. It can be concluded that ESIN is good for treating children’s long diaphysis fracture which has difficulty in closed diaplasis and is suitable for children aged 6 - 13. ESIN has the advantages of small incision, slight injury of soft tissue, short sur-gery time, rapid recovery and few complications.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Liu, P. , Wei, Z. , Wei, Y. , Sun, W. , Li, H. and Huang, S. (2011) Treatment of Children’s Shaft Fracture of Tibia and Fibula with ESIN Fixation. Open Journal of Pediatrics, 1, 9-11. doi: 10.4236/ojped.2011.12003.

References

[1] Cai, Q.X., Chen, T. and Zhang, T. (2007) The application of ESIN in children’s diaphisis fracture. Practical Application of Clinical Pediatrics, 22, 317-319.
[2] Flynn, J.M., Hresko, T., Reynolds, R.A., et al. (2001) Tianium elastic nails for pediatric femur fractures. A multicenter study of early results with analysis of complications. Journal of Pediatric Orthopaedics, 21, 4-8.
[3] Hunter, J.B. (2005) The principles of elastic stable intramedullary nailing in children. Injury, 36 (Supplement 1), A20-A24.
[4] Gu, Z.P., Yu, X.H., Li, H.Y., etc. (2006) TEN in treating children’s fracture of tibia and fibula. Clinical Pediatrics, 5, 98-100.
[5] Flynn, J.M., Skaggs, D.L., Sponseller, P.D., Ganley, T.J., Kay, R.M. and Leitch, K. K. (2002) The operative management of pediatric fractures of the low extremity. Intergalactic Bead and Jewelry Shows, 84, 2288-2301.

  
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