Atypical use of pediatric flexible nails in the treatment of diaphyseal fractures in adults

Atypical use of pediatric flexible nails in the treatment of diaphyseal fractures in adults

Authors

  • Alessio Pedrazzini SSD Ortopedia e Traumatologia , Ospedale Oglio Po, Casalmaggiore (CR)
  • Paolo Bastia Orthopaedics and Traumatology Clinic, Department of Medicine and Surgery, University of Parma, Parma, Italy.
  • Nicola Bertoni Orthopaedic Unit, Oglio Po Hospital, Vicomoscano di Casalmaggiore (CR), ASST Cremona, Italy
  • Bianca Pedrabissi Orthopaedic Unit, Oglio Po Hospital, Vicomoscano di Casalmaggiore (CR), ASST Cremona, Italy
  • Henry Claudel Yewo Simo Orthopaedic Unit, Oglio Po Hospital, Vicomoscano di Casalmaggiore (CR), ASST Cremona, Italy
  • Vanni Medina Orthopaedic Unit, Oglio Po Hospital, Vicomoscano di Casalmaggiore (CR), ASST Cremona, Italy
  • Francesco Ceccarelli Orthopaedics and Traumatology Clinic, Department of Medicine and Surgery, University of Parma, Parma, Italy.
  • Francesco Pogliacomi Orthopaedics and Traumatology Clinic, Department of Medicine and Surgery, University of Parma, Parma, Italy.

Keywords:

elastic nailing, diaphyseal fractures, adults

Abstract

Background and aim of the work: Elastic intramedullary nails are commonly used for the treatment of diaphyseal fractures in adolescents and children. The major advantages are the minimally invasive nature of the technique, the short operation time, and the preservation of the growth plate and periosteum thus allowing bone healing within a closed and intact biological environment. Elastic nails are rarely applied to the adult fractures. Methods: Five selected adult patients affected by diaphyseal fractures were treated using paediatric flexible nails T2 Kids (Stryker®, Mahwah, NJ, USA) as consequence of their poor clinical conditions, high risk of neurovascular injuries and skin/soft tissues problems. All patients were monthly clinically and radiographically evaluated after surgery until fracture healing. Results: Radiological and clinical outcomes were satisfying. All fractures healed after a mean period of 3 months. No losses of reduction as well as mobilization/breakage of implant were observed. Conclusions: Use of pediatric elastic nails is a valid surgical option in treatment of diaphyseal fractures in selected adult patients who request fast and minimally invasive surgery as consequence of precarious clinical or soft tissues conditions.

Author Biography

Alessio Pedrazzini, SSD Ortopedia e Traumatologia , Ospedale Oglio Po, Casalmaggiore (CR)

specialista in ortopedia e traumatolgia, specialista in idrologia medica, master in Chirurgia della Mano, diploma di Tecniche Microchirurgiche, professore a  contratto dell'Università di Parma

Downloads

Published

23-05-2019

Issue

Section

ORIGINAL ARTICLES

How to Cite

1.
Atypical use of pediatric flexible nails in the treatment of diaphyseal fractures in adults. Acta Biomed [Internet]. 2019 May 23 [cited 2024 Mar. 29];90(2):300-7. Available from: https://mattioli1885journals.com/index.php/actabiomedica/article/view/8284