PDF(Pubmed)
Abstract：
Introduction Pediatric fractures account for one-fourth of all pediatric injuries. Stabilizing the fracture, regulating the length and alignment, encouraging bone healing, and minimizing morbidity and problems for the child and family are the objectives of treatment for diaphyseal fractures of long bones in children. Our goal is to investigate how pediatric diaphyseal long bone fractures are treated with a titanium elastic nailing system (TENS). Methods A prospective interventional study was conducted on 24 children who had displaced diaphyseal fractures of major long bones, involving 31 diaphyseal fractures of long bones. Utilizing Flynn\'s grading standards, the result was examined. Results The mean age was 12.20 years. The youngest child was seven years old and the eldest child was 16 years old. There were 20 boys (83.33%) and four girls (16.67%). The male-to-female ratio was noted to be 5:1. The commonest mode of injury was road traffic accidents (12 cases, 50%), followed by falls while playing (10 cases, 41.67%). Other causes included falls from height (one case, 4.17%) and blunt trauma (one case, 4.17%). The commonest bone to get fractured was the femur (37.50%), followed by both bones of the forearm (29.17%), tibia (20.83%), humerus (8.33%), and ulna alone (4.17%). The middle third (21 fractures, 67.74%) was the most prevalent location for fractures. Five fractures each (16.13%) accounted for in the proximal and distal thirds. Twelve fractures (38.71%) were detected on the left side, while the majority of fractures (19 fractures, 61.29%) were seen on the right side. Most of the fractures in this group were transverse fractures (18 fractures, 58.06%) followed by oblique fractures (eight fractures, 25.81%). Comminuted fractures accounted for five fractures (16.13%). Of the 31 fractures, open reduction had to be done in two fractures, after unsuccessful attempts at closed reduction. Closed reduction was done in 29 fractures. There were 15.12 weeks in the average union term. The range is six weeks to 39 weeks. The most frequent side effect was discovered to be skin irritation at the entry site. The extraosseous portion of nails caused irritation at two entry sites (6.45%). A case had delayed union (3.23%) and restricted knee range of movements. Conclusion For the treatment of juvenile diaphyseal fractures of the long bones, the TENS is the best option. It is a quick, straightforward, safe, dependable, and efficient way to treat pediatric long-bone fractures in patients aged five to 16 years. The healing process takes a fair amount of time, while the surgery takes less time. It does away with the necessity for extended bed rest and significantly shortens hospital stays. It provides stability and elastic mobility, which is perfect for early mobilization and quick union at the fracture site. It has a low rate of complications and produces excellent functional results.
摘要：
介绍小儿骨折占所有小儿损伤的四分之一。稳定裂缝,调节长度和对齐，促进骨骼愈合，减少儿童和家庭的发病率和问题是治疗儿童长骨骨干骨折的目标。我们的目标是研究如何使用钛弹性钉系统（TENS）治疗小儿骨干长骨骨折。方法对24例主要长骨骨干骨折移位的患儿进行前瞻性介入研究，涉及31个长骨骨干骨折.利用Flynn的分级标准,检查了结果。结果患者平均年龄为12.20岁。最小的孩子7岁，最大的孩子16岁。有20个男孩（83.33％）和4个女孩（16.67％）。注意到男女比例为5:1。最常见的伤害方式是道路交通事故(12例，50%),其次是玩耍时摔倒(10例，41.67%）。其他原因包括从高处坠落（一例，4.17％）和钝性创伤（1例，4.17%）。最常见的骨折是股骨（37.50％），其次是前臂的两块骨头（29.17％），胫骨（20.83%），肱骨(8.33%),和仅尺骨(4.17%)。中间三分之一（21处骨折，67.74%）是最常见的骨折部位。近端和远端各5处（16.13%）骨折。左侧12处骨折(38.71%),而大多数骨折（19处骨折，61.29%）见于右侧。该组中大部分骨折为横断骨折(18处骨折,58.06%)其次是斜向骨折(8处骨折,25.81%）。粉碎性骨折占骨折5例(16.13%)。在31处骨折中,必须在两个骨折中进行切开复位，在封闭式还原尝试失败后。29例骨折闭合复位。平均工会任期为15.12周。范围为6周至39周。发现最常见的副作用是进入部位的皮肤刺激。指甲的骨外部分在两个进入部位引起刺激(6.45%)。一例延迟愈合（3.23％）并限制了膝盖的运动范围。结论对于青少年骨干长骨干骨折的治疗,TENS是最好的选择。这是一个快速的，直截了当，安全,可靠,和有效的方法来治疗儿童长骨骨折患者5至16岁。愈合过程需要相当长的时间，而手术需要更少的时间。它消除了延长卧床休息的必要性，并大大缩短了住院时间。它提供了稳定性和弹性流动性，这是完美的早期动员和快速愈合在骨折部位。它的并发症发生率低，并产生出色的功能效果。
