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Journal of Children's Orthopaedics

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01-02-2010 | Original Clinical Article

Elastic intramedullary nailing in unstable fractures of the paediatric tibial diaphysis: a systematic review

Authors: Mark G. Swindells, R. A. Rajan

Published in: Journal of Children's Orthopaedics | Issue 1/2010

Abstract

Purpose

The majority of paediatric tibial fractures can be managed conservatively. However, there is a small but significant group of patients that require surgical intervention for several indications, most notably, unstable fractures. There are various surgical options, each with its own advantages and risks. This review establishes the current available evidence for the use of elastic intramedullary nails in this group.

Methods

A systematic review of the currently available literature was performed. The relevant studies were then critically appraised.

Results

Seven applicable retrospective case series were identified, with the outcomes from a total of 210 (range 16–60) patients considered. The mean time to union ranged from 7 to 21 weeks. Reported complications included small numbers each of delayed union, non-union, malunion, leg length discrepancy and infection.

Conclusions

There is only a small body of evidence currently published on this topic. The evidence published so far concludes that elastic intramedullary nailing represents an effective and reliable method to treat an unstable fracture of the tibial diaphysis in the paediatric patient, where conservative management is not appropriate.

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Title: Elastic intramedullary nailing in unstable fractures of the paediatric tibial diaphysis: a systematic review
Authors: Mark G. Swindells
R. A. Rajan
Publication date: 01-02-2010
Publisher: Springer Berlin Heidelberg
Published in: Journal of Children's Orthopaedics / Issue 1/2010
Print ISSN: 1863-2521
Electronic ISSN: 1863-2548
DOI: https://doi.org/10.1007/s11832-009-0223-4

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Springer Medicine

Elastic intramedullary nailing in unstable fractures of the paediatric tibial diaphysis: a systematic review

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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