PreprintArticleVersion 1Preserved in Portico This version is not peer-reviewed
Direct Comparison of Elastic Stable Intramedullary Nailing and External Fixation for Managing Diaphyseal Femoral Fractures in Children: A Retrospective Analysis
Version 1
: Received: 26 September 2023 / Approved: 27 September 2023 / Online: 28 September 2023 (09:39:55 CEST)
How to cite:
Thomas, N.; Wittig, U.; Boehm, T.; Burtscher, M.; Binder, H.; Komjati, M.; Payr, S.; Sarahrudi, K.; Tiefenboeck, T.M. Direct Comparison of Elastic Stable Intramedullary Nailing and External Fixation for Managing Diaphyseal Femoral Fractures in Children: A Retrospective Analysis. Preprints2023, 2023091946. https://doi.org/10.20944/preprints202309.1946.v1
Thomas, N.; Wittig, U.; Boehm, T.; Burtscher, M.; Binder, H.; Komjati, M.; Payr, S.; Sarahrudi, K.; Tiefenboeck, T.M. Direct Comparison of Elastic Stable Intramedullary Nailing and External Fixation for Managing Diaphyseal Femoral Fractures in Children: A Retrospective Analysis. Preprints 2023, 2023091946. https://doi.org/10.20944/preprints202309.1946.v1
Thomas, N.; Wittig, U.; Boehm, T.; Burtscher, M.; Binder, H.; Komjati, M.; Payr, S.; Sarahrudi, K.; Tiefenboeck, T.M. Direct Comparison of Elastic Stable Intramedullary Nailing and External Fixation for Managing Diaphyseal Femoral Fractures in Children: A Retrospective Analysis. Preprints2023, 2023091946. https://doi.org/10.20944/preprints202309.1946.v1
APA Style
Thomas, N., Wittig, U., Boehm, T., Burtscher, M., Binder, H., Komjati, M., Payr, S., Sarahrudi, K., & Tiefenboeck, T.M. (2023). Direct Comparison of Elastic Stable Intramedullary Nailing and External Fixation for Managing Diaphyseal Femoral Fractures in Children: A Retrospective Analysis. Preprints. https://doi.org/10.20944/preprints202309.1946.v1
Chicago/Turabian Style
Thomas, N., Kambiz Sarahrudi and Thomas Manfred Tiefenboeck. 2023 "Direct Comparison of Elastic Stable Intramedullary Nailing and External Fixation for Managing Diaphyseal Femoral Fractures in Children: A Retrospective Analysis" Preprints. https://doi.org/10.20944/preprints202309.1946.v1
Abstract
Intramedullary fixation with elastic stable intramedullary nailing and stabilization with an external fixator are standard methods for the treatment of diaphyseal femoral shaft fractures in children. A retrospective bi-centre cohort study was carried out, including all patients between the ages of 2 and 16 years with isolated traumatic diaphyseal femur fractures, treated either with intramedullary nailing or an external fixator. In total, 57 patients (17 female and 40 male) with a mean age of 6.5 ± 2.7 years (min. 2; max. 16 years) with a mean follow-up period of 6.1 ± 4.6 months (min. 2; max. 26 months), were included in this retrospective study. 33 patients were treated with elastic stable intramedullary nailing and 24 patients, and external fixation. In total, 18 patients (32%) experienced osteosynthesis-related complications: 8 patients (24%) in the elastic stable intramedullary nailing group and 10 (42%) in the external fixation group, leading to revision surgery in 10 patients (18%). At the latest follow-up, all fractures were radiologically healed with no evidence of malangulation or malrotation (defined as >20°) and full weight-bearing. There was a lower rate of complications in the ESIN group than in the external fixation group. Overall, we were unable to show a significant difference between the two methods.
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
