Acta Scientific Orthopaedics (ISSN: 2581-8635)

Research Article Volume 5 Issue 12

Risk Factors for Delayed Union in Diaphyseal Fractures of the Tibia Treated with Stable Elastic Intramedullary Nailing in Children and Adolescents

Cristian Olmedo Garate*

Director Fellow Traumatología Infantil Universidad del Desarrollo Santiago, Santiago Metropolitan Region, Chile

*Corresponding Author: Cristian Olmedo Garate, Director Fellow Traumatología Infantil Universidad del Desarrollo Santiago, Santiago Metropolitan Region, Chile.

Received: August 26, 2022; Published: November 07, 2022

Abstract

Introduction: Elastic stable intramedullary nailing (ESIN) is an alternative treatment for tibial shaft fractures in skeletally immature patients. Although consolidation rates are high, factors associated with delayed union have not been well established.

Objective: To identify risk factors for delayed union in tibial shaft fractures in skeletally immature patients treated with ESIN.

Methods:Consecutive retrospective cohort of patients with tibial shaft fractures treated with ESIN between 2006 and 2019 in the same pediatric trauma service. Demographic data, injury mechanism, fracture characteristics, surgical details and timing of initial weight bearing were analyzed. The outcome evaluated was the presence of delayed union at 6 months evaluated on leg anteroposterior and lateral radiographs. For the statistical analysis, a univariate and multivariate regression was performed.

Results: Totally, 32 patients with tibial shaft fractures were included. We found 10 patients with delayed union. Multivariate logistic regression showed that transverse and multifragmentary fractures were predictors of delayed union.

Conclusions: Transverse, multifragmentary and delayed onset of load (4.8 weeks) in tibial shaft fractures are directly associated with delayed union in patients treated with ESIN.

Keywords: Tibial Shaft Fracture; Elastic Stable Intramedullary Nailing; Delayed Union

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Citation

Citation: Cristian Olmedo Garate. “Risk Factors for Delayed Union in Diaphyseal Fractures of the Tibia Treated with Stable Elastic Intramedullary Nailing in Children and Adolescents”. Acta Scientific Orthopaedics 5.12 (2022): 32-36.

Copyright

Copyright: © 2022 Cristian Olmedo Garate. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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