Complications after Elastic Stable Intramedullar Osteosynthesis of Femur Diaphysis Fractures in Children

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Results of surgical treatment for femur diaphysis fractures were analyzed for 115 children (119 operations of osteosynthesis). In all cases technique of elastic stable intramedullar osteosynthesis (ESIO) was used. Analysis of complications after ESIO was performed in 13 (11.3%) patients according to their types and time of development. It was detected that in femur diaphysis fractures a great number of ESIO complications could be either avoided or minimized with strict determinations of indications to ESIO, correct preoperative planning, observance of osteosynthesis technique and rational postoperative rehabilitation program.


  1. Меркулов В.Н., Дорохин А.И., Омельяненко Н.П. Нарушение консолидации костей при переломах у детей и подростков. Методы диагностики и лечения /Под ред. С.П. Миронова. - М., 2009.
  2. Розинов В.М., Яндиев С.И. Закрытый интрамедуллярный остеосинтез в системе хирургического лечения детей с диафизарными переломами бедренной кости //Вестн. травматол. ортопед. - 2010. - N 1. - С. 60-65.
  3. Розинов В.М., Яндиев С.И., Чоговадзе Г.А. Эластично-стабильный интрамедуллярный остеосинтез в лечении детей с диафизарными переломами бедренной кости //Детская хирургия. - 2010. - N 5. - С. 21-26.
  4. Яндиев С.И., Розинов В.М., Гаврюшенко Н.С. и др. Биомеханическая характеристика интрамедуллярного остеосинтеза гибкими титановыми стержнями при диафизарных переломах бедренной кости у детей //Вестн. травматол. ортопед. - 2006. - N 1. - С. 29-33.
  5. Ligier J.N., Metaizeau J.P., Prevot J., Lascombe P. Elastic stable intramedullary nailing of femoral shaft fractures in children //J. Bone Jt Surg. - 1988. - Vol. 70. - P. 74-77.
  6. Heinrich S.D., Drvaric D., Darr K., MacEwen G.D. The operative stabilization of pediatric diaphyseal femur fractures with flexible intramedullary nails: a prospective analysis //J. Pediatr. Orthop. - 1994. - Vol. 14. - P. 501-507.
  7. Parsch K.D. Modern trends in internal fixation of femoral shaft fractures in children. A critical review //J. Pediatr. Orthop. - 1997. - Vol. 6. - P. 117-125.
  8. Flynn J.M., Hresko T., Reynolds R.A. et al. Titanium elastic nails for pediatric femur fractures: a multicenter study of early results with analysis of complications //J. Pediаtr. Orthop. - 2001. - Vol. 21, N 1. - P. 4-8.
  9. Heybeli M., Muratli H.Y., Celebi L. et al. The result of intramedullary fixation with titanium elastic nails in children with femoral fractures //Acta Orthop. Traum. - 2004. - Vol. 38, N 3. - P. 178-187.
  10. Vierhout B.P., Sleeboom C., Aronson D.C. et al. Long-term outcome of elastic stable intramedullary fixation (ESIF) of femoral fractures in children //Eur. J. Pediatr. Surg. - 2006. - Vol. 16, N 6. - P. 432-437.
  11. Khazzam M., Tassone C., Liu X.C. et al. Use of flexible intramedullary nail fixation in treating femur fractures in children //Am. J. Orthop. - 2009. - Vol. 38, N 3. - P. 49-55.
  12. Salem K.H., Keppler P. Limb geometry after elastic stable nailing for pediatric femoral fractures //J. Bone Jt Surg. - 2010. - Vol. 92, N 6. - P. 409-417.



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