Khuntia Susanta, Swaroop Shakti, Patro Bishnu P, Sahu Subhrajyoti
Orthopaedics, All India Institute of Medical Sciences, Bhubaneswar, IND.
Microbiology, Maharaja Krishna Chandra Gajapati (MKCG) Medical College, Berhampur, IND.
Cureus. 2020 Apr 27;12(4):e7847. doi: 10.7759/cureus.7847.
Elastic intramedullary nailing or titanium elastic nail (TEN) is an alternative method for the treatment of various pediatric long bone fractures. Titanium nails are preferred over plaster cast and stainless steel nails for children older than six years. Our series included 30 paediatric long bone fractures who were managed with TEN. The mean age was 9.3 years and the mean follow-up period was 28 months. A mean time of 10 weeks was recorded for the union of all fractures. The occurrence of superficial infection in three cases healed with antibiotics and minor debridement. Limb length discrepancy was seen in three cases of femur fracture, which was functionally insignificant, but it may be a potential problem needing close follow-up until skeletal maturity is attained. An elastic intramedullary nail or TEN in long bone fractures in children is a safe and minimally invasive technique that achieves stable reduction, especially in long spiral fractures till union. We attained successful union and good results in all our 30 cases with long bone fractures in children. A few complications of hardware prominence were resolved with implant removal. Long-term studies with a comparison to casting techniques in paediatric long bone fractures are required.
弹性髓内钉或钛弹性钉（TEN）是治疗各种小儿长骨骨折的一种替代方法。对于6岁以上的儿童，钛钉比石膏绷带和不锈钢钉更受青睐。我们的系列研究纳入了30例接受TEN治疗的小儿长骨骨折患者。平均年龄为9.3岁，平均随访期为28个月。所有骨折愈合的平均时间记录为10周。3例发生浅表感染，经抗生素治疗及轻微清创后愈合。3例股骨骨折出现肢体长度差异，功能上无明显影响，但这可能是一个潜在问题，需要密切随访直至骨骼成熟。弹性髓内钉或TEN治疗儿童长骨骨折是一种安全且微创的技术，能实现稳定复位，尤其适用于长螺旋骨折直至愈合。我们治疗的30例儿童长骨骨折均成功愈合且效果良好。少数内固定物突出并发症通过取出植入物得以解决。需要进行长期研究，并与小儿长骨骨折的石膏固定技术进行比较。
