Double S-shaped elastic stable intramedullary nailing to treat pediatric fractures of the distal tibia diaphyseal metaphyseal junction
10.3760/cma.j.cn115530-20231115-00197
- VernacularTitle:双S形弹性髓内钉在儿童胫骨远端干骺交界区骨折中的应用效果分析
- Author:
Liang SUN
1
;
Wanlin LIU
;
Yishan WEI
;
Rui BAI
;
Daihe LI
;
Zhenqun ZHAO
;
Yong WANG
;
Chao SUN
;
Fan LU
;
Muhan NA
;
Lihua ZHANG
Author Information
1. 内蒙古医科大学第二附属医院儿童骨科，呼和浩特 010030
- Keywords:
Fracture fixation;
Child;
Ankle joint;
Distal tibial fracture;
Elastic stable intramedullary nailing
- From:
Chinese Journal of Orthopaedic Trauma
2024;26(2):176-179
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the efficacy of double S-shaped elastic stable intramedullary nailing in the treatment of paediatric fractures of the distal tibia diaphyseal metaphyseal junction.Methods:From January 2018 to January 2022, a total of 25 children with fracture of the distal tibia diaphyseal metaphyseal junction were treated at Department of Pediatric Orthopedics, The Second Affiliated Hospital of Inner Mongolia Medical University. All of them were treated with closed reduction and double S-shaped elastic stable intramedullary nailing. There were 16 males and 9 females with an average age of (10.4±3.3) years, and 14 left sides and 11 right sides. The operation time, imaging results and complications were recorded after operation. At the last follow-up, the American Orthopaedic Foot & Ankle Society (AOFAS) scoring was used to evaluate the efficacy.Results:Closed reduction succeeded in all patients. The operation time was (55.6±23.7) min. Follow-up lasted (20.5±4.7) months for this cohort. Bony union was achieved in all patients after (11.5±2.7) weeks. No postoperative complications occurred in the patients, like infection, loss of reduction, disparity in length of lower limbs, delayed union or non-union. The AOFAS scoring at the last follow-up yielded 23 excellent and 2 good cases, and an excellent and good rate of 100% (25/25).Conclusion:In the treatment of paediatric fractures of the distal tibia diaphyseal metaphyseal junction, double S-shaped elastic stable intramedullary nailing is a safe, effective and feasible option.
