MONOLATERAL LOW-INVASIVE TREATMENT OF HUMERAL SHAFT FRACTURE IN CHILDREN

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Abstract

Humeral fractures in children are from 4 up to 10% of the general number of child fractures. Recently the trend is marked to expansion of indications to operative treatment despite of mainly conservative treatment of humeral shaft fractures. The experience of humeral shaft fractures operative treatment with use of Ender nails was analyzed. 8 humeral bones were treated with use of 2 nails, 15 humeral bones - with use of 1 nail only. The good and excellent results were received in both groups of patients. At the same time group with monolateral osteosynthesis (with 1 nail) had statistically significant (p<0,01) decreasing of surgery time (average difference 16 min), and also it had statistically significant (p <0,001) decreasing of X-ray exposition time (average difference 23 sec) in comparison with group where the osteosynthesis was done with use of 2 nails. The results received in study show necessity of the further work for this direction.

About the authors

V. P. Kuzmin

ГБУЗ КО «Калужская областная детская больница»

Author for correspondence.
Email: kuzminvp3@rambler.ru
Russian Federation

S. O. Tarasov

ГБУЗ КО «Калужская областная детская больница»

Email: tarasov-so@yandex.ru
Russian Federation

I. N. Popov

ГБУЗ КО «Калужская областная детская больница»

Email: popobigor@yandex.ru
Russian Federation

S. V. Mironov

ГБУЗ КО «Калужская областная детская больница»

Email: mironovsergey2012@yandex.ru
Russian Federation

A. F. Voytenkov

ГБУЗ КО «Калужская областная детская больница»

Email: voytenkovaleksandr@yandex.ru
Russian Federation

N. N. Kononir

ГБУЗ КО «Калужская областная детская больница»

Email: kononirnikolay@yandex.ru
Russian Federation

N. N. Krylova

ГБУЗ КО «Калужская областная детская больница»

Email: krilovanatalya@yandex.ru.
Russian Federation

References

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  2. Flynn, J.M. Titanium elastic nails for pediatric femur fractures: a multicenter study of early results with analysis of complications / J.M. Flynn [et al.] // J. Pediatr. Orthop. - 2001. - Vol. 21. - P. 4-8.
  3. Hefti, F. Pediatric orthopedics in practice / F. Hefti. -Berlin; Heidelberg: Springer-Verlag, 2007.
  4. Leung, K.-S. Practice of intramedullary locked nails / K.-S. Leung, G. Taglang, R. Shnettler. - Berlin; Heidelberg: Springer-Verlag, 2007.
  5. Sarmiento A. Functional bracing of fractures of the shaft of the humerus / A. Sarmiento [et al.] // J. Bone Joint Surg. - 1977. - Vol.59-A. - P. 596-601.
  6. The titanium elastic nail system technique guide. -USA: Synthes, 1998. Режим доступа: http://www. rcsed.ac.uk/fellows/lvanrensburg/classification/ surgtech/ao/manuals/Synthes%20TENS%20nails.pdf

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