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https://doi.org/10.14300/mnnc.2024.19026

Application of elastic osteosynthesis tens in children with diaphyseal fractures

[Surgery]
Burkhard Martin Christian Evers; Alesya Isaeva; Sergey Minaev; Natusya Barova; Yuri Vasilievich Pozharsky; Aliy Askerovich Edidzhi; Mamuka Shalvovich Ushveridze; Maria Sergeevna Bagdasaryan;

A multicenter study analyzes the use of elastic stable intramedullary nailing (ESIN) in 142 fractures of the femoral, tibia, and humerus shaft in children. Flexible rods are introduced through the distal metaphyseal area to develop a bridging callus. Early load on the limb is possible and is recommended. Complications were minimal. Compared with osteosynthesis with extracortical plates in 208 patients, ESIN obviates the need for prolonged bed rest and protects soft tissue without disrupting the blood supply to bone tissue.

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References:
1. Lascombes P., Journeau P., Popkov D. A. Use of flexible nails in children diaphyseal fractures. Five questions and answers. Genij Ortopedii. 2021;27(4):413-417. https://doi.org/10.18019/1028-4427-2021-27-4-413-417
2. Heffernan M. J., Gordon J. E., Sabatini C. S., Keeler K. A., Lehmann C. L. [et al.] Treatment of femur fractures in young children: a multicenter comparison of flexible intramedullary nails to spica casting in young children aged 2 to 6 years. J. Pediatr. Orthop. 2014;35(2):26-129. https://doi.org/10.1097/BPO.0000000000000268
3. Borshchevskaya V. N., Kopylov A. V., Kolomoets I. A., Sasko S. S., Bachurin S. S. [et al.] Morphological characteristics of the vascular-capillary bed of soft tissues in the fracture region of long tubular bones depending on the carriage of single-nucleotide polymorphisms in the methylenetetrahydrofolate reductase (MTHFR) gene. Medical News of North Caucasus. 2023;18(3):299-303. https://doi.org/10.14300/mnnc.2023.18070
4. Denis D., Maucort B. D., Suchier Y., Mamadou T. B., Metaizeau J. D. Biomechanical and Clinical Comparative Study of the New Elastic Stable Intramedullary Nailing «MJ-FLEX Orthofix». J. Pediatr. Orthop. 2020;40(3):149-155. https://doi.org/10.1097/BPO.0000000000001206
5. Shaha J., Cage J. M., Black S., Wimberly R. L., Shaha St. H. [et al.] Flexible intramedullary nails for femur fractures in pediatric patients heavier than 100 pounds. J. Pediatr. Orthop. 2018;38(2):88-93. https://doi.org/10.1097/BPO.0000000000000775
6. Khanna M., Wadhwani J., Batra A., Yadav S., Iman S. [et al.] TENS for the surgical management of femoral shaft fractures in 6–14 years age group children. Pediatric traumatology, orthopaedics and reconstructive surgery. 2017;5(2):13-21. https://doi.org/10.17816/PTORS5213-21
7. Luo Y., Wang L., Zhao L. H., Wang Y. C., Chen M. J. [et al.] Elastic stable titanium flexible intramedullary nails versus plates in treating low grade comminuted femur shaft fractures in children. Orthop. Surg. 2019;11(4):664-670. https://doi.org/10.1111/os.12514
8. Huang J., Pan J., Xu M., Xu S. Successful open reduction and internal fixation for displaced femoral fracture in a patient with osteopetrosis: Case report and lessons learned. Medicine (Baltimore). 2017;96(33):e7777. https://doi.org/10.1097/MD.0000000000007777
9. Ligier J. N., Metaizeau J. P., Prévot J., Lascombes P. Elastic stable intramedullary nailing of femoral shaft fractures in children. J. Bone Joint Surg. Br. 1988;70(1):74-77. https://doi.org/10.1302/0301-620X.70B1.3339064
10. O’Shaughnessy M. A., Parry J. A., Liu H., Stans A. A., Larson A. N. [et al.] Management of paediatric humeral shaft fractures and associated nerve palsy. J. Child. Orthop. 2019;13(5):508-515. https://doi.org/10.1302/1863-2548.13.190012
11. Flynn J. M., Hresko T., Reynolds R. A., Blaiser R. D., Davidson R., Kasser J. Titanium elastic nails for pediatric femur fractures-a multicenter study of early results with analysis of complications. J. Pediatric Orthop. 2001;21(1):4-8.
12. Venkataramana P., Mahesh S. A prospective study of surgical management of diaphyseal fractures of femur & tibia in children aged between 5 to 16 years using elastic stable intra medullary nailing. International Journal of Orthopaedics Sciences. 2016;2:31-35. https://doi.org/10.22271/ortho.2016.v2.i4.007
13. Seibold B. T., Quan T., Pizzarro J., Farley B., Tabaie S. Comparing pediatric femoral shaft fracture repair patient outcomes between pediatric and non-pediatric orthopedic surgeons. Eur. J. Orthop. Surg. Traumatol. 2024;34(2):809-814. https://doi.org/10.1007/s00590-023-03717-5
14. Patil Ch., Amar J. Study of the outcome of titanium elastic nail system (Tens) in diaphyseal fractures of femur and tibia in children. International Journal of Orthopaedics Sciences. 2019;5:617-620. https://doi.org/10.22271/ortho.2019.v5.i3k.1599

Keywords: diaphyseal bone fracture, elastic osteosynthesis, ESIN, TEN, children