Femur Fractures in Older Children and Adolescents Treated by the Sign Intramedullary Nail
Tapia-Pena Telmo1* and Tapia Abril Juan-Claude2
1Hospital Vicente Corral Moscoso, MSP, Cuenca, Ecuador
2Hospital Municipal de la Mujer y El Niño, Cuenca, Ecuador
*Corresponding Author:Tapia-Peña Telmo, Hospital Vicente Corral Moscoso, MSP, Cuenca, Ecuador.
June 22, 2022; Published: August 09, 2022
Objectives: To evaluate the clinical results of intramedullary nailing of femoral shaft fractures using a rigid intramedullary SIGN nail in older children and adolescents. Is it safe to use it on this group of age?
Design: A retrospective study was carried out evaluating all skeletally immature patients with femoral shaft fractures treated with the SIGN nail system at the Vicente Corral Moscoso Hospital, Cuenca, Ecuador.
Patients/Participants: Thirty-four children and adolescents with displaced femoral fractures and one case of non-union of the femur and open growth plates.
Main Outcome Measurements: Patients were evaluated to determine hospital stay, time to union, final fracture alignment, complications, proximal femoral changes including avascular necrosis or proximal femoral valgus with femoral neck narrowing.
Results: The average age of the patients was 12 years old (range from 8 to 17 years). Fractures healed at a mean of 6 weeks (range 5-14 weeks) after a fracture. The average hospital stay for patients with isolated femur fractures was 2.8 days (range 1-5 days). At an average follow-up of 57 weeks, no patient had developed malunion, avascular necrosis, femoral neck valgus, or femoral neck narrowing. Patients were followed for a minimum of 6 weeks (range: 6 - 351 weeks). The SIGN intramedullary nail provided a quick, first quality solution in osteosynthesis of diaphyseal fractures of the femur, without affecting the budget of the institution.
Keywords:Femoral Shaft Fractures; Antegrade Intramedullary Nailing; Femur; Femur Fractures in Children and Adolescents
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