Skip to main content

Study on Functional Outcome of Elastic Stable Intramedullary Nailing (ESIN) of Diaphyseal Fractures of Paediatric Long Bones | Chapter 1 | New Frontiers in Medicine and Medical Research Vol. 11

Background: Since the introduction of titanium elastic nails (TENs) and the encouraging results of elastic stable intramedullary nailing (ESIN) in diaphyseal fractures of paediatric long bones, more and more orthopaedicians are offering ESIN with TENs to avoid the inherent problems of conservative treatment. The goal of this study was to see how well ESIN worked in diaphyseal fractures of paediatric long bones.

Methods: ESIN used TENs to treat 44 patients aged 5 to 15 years who had diaphyseal fractures of the femur, tibia, humerus, and forearm bones.

The femur took an average of 8.3 weeks to union, 7.3 weeks for the tibia, 7 weeks for the forearm bones, and 7.5 weeks for the humerus.

Pain at the insertion site was the most prevalent complication.

The lengthening of one patient's femur was 1.5 cm. One femur and one forearm patient both had joint stiffness. None of the patients had any delayed/non-union, sagittal/coronal/rotational mal-union, or deep infection. On the second or third day, partial weight bearing (PWB) commenced, progressing to full weight bearing (FWB) after 6 to 10 weeks.

Conclusions: ESIN with TENs appears to be a reasonable and safe way to avoid the problems associated with conservative treatment because it is the least invasive and allows for early PWB/FWB, which leads to early personal hygiene/toilet independence, as well as early social integration/return to school.


Author (S) Details

Arun Vashisht
Department of Orthopaedics, Subharti Medical College, Meerut, Uttar Pradesh, India.

Gaurav Dev Sharma
Department of Orthopaedics, Subharti Medical College, Meerut, Uttar Pradesh, India.


View Book :- https://stm.bookpi.org/NFMMR-V11/article/view/3687


Labels:

Comments

Post a Comment

Popular posts from this blog

Greening Regional Airports: A Vision for Carbon Neutral Infrastructure | Chapter 12 | Contemporary Perspective on Science, Technology and Research Vol. 3

 This study provides an overview of the energy demand of a regional airport, divided into individual time horizons. The electrification of aircraft systems raises the question of whether airports will be among the largest electricity consumers in our infrastructure in the future. Sustainability and especially emission reductions are significant challenges for airports that are currently being addressed. The Clean Sky 2 project GENESIS addresses the environmental sustainability of hybrid-electric 50-passenger aircraft systems in a life cycle perspective to support the development of a technology roadmap for the transition to sustainable and competitive electric aircraft systems. This article originates from the GENESIS research and describes various options for ground power supply at a regional airport. Potential solutions for airport infrastructure with a short (2030), medium (2040), and long (2050) time horizon are proposed. In addition to the environmental and conservation benefi...
Post a Comment
Read more

Alkali Element Modification of Glucose Molecules as a Method to Dissolve Cancer Cells | Chapter 12 | New Visions in Medicine and Medical Science Vol. 4

  The present study highlights about alkali element modification of glucose molecules as a method to dissolve cancer cells. The central regulation of the mechanisms governing cell proliferation has little effect on cancer cells. Cancer cells are entirely independent of the central command and divide and proliferate on their own, making it challenging to activate their response mechanism. Precisely, this is the reason why they are at risk to the health of humans and/or any biological entities. Instead of trying to reconnect the central command of the growth control mechanism to cancer cells that are already out of the range, we present a method of using the cancer cell’s own irresponsive and uncontrolled growth mechanism to their disadvantage and destroy the cancer cells. We found that this is achievable in an atomic/molecular level study of the glucose molecule, which is the primary food source used for growth and energy generation by all cells in the body, including the cancer cel...
Post a Comment
Read more

Empowerment and Leader Member Exchange towards Organizational Citizenship Behavior Readiness among Government Workforce in Malaysia | Book Publisher International

  State agencies are among the most significant entities that represent the public's needs, and their programmes are essential to a state's and the nation's economic growth and development. State agencies have been rife by public concerns for years, as demonstrated by the Public Complaints Bureau, as problems of inefficiency in service quality and delivery have yet to meet the public's standards. With the support of 15 employees from state agencies on Malaysia's east coast, this study aims to achieve three targets. The first and second objectives are to investigate the ties between leader-member exchange (LMX) and OCB empowerment. The final aim is to define the most significant factors that affect OCB willingness. A total of 288 people took part in the survey, which was conducted using a cluster sampling process. The survey items had achieved the necessary reliability, according to the pilot test results, and some sub-dimensions were renamed after factor analysis. ...
1 comment
Read more