Minimally invasive technique to treat fractures in children, using flexible rods.
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Elastic Nailing for fractures in children and Adolescents
Elastic pinning is a minimally invasive technique used to treat fractures in children and adolescents. It consists of inserting a flexible rod through the bone marrow, which acts as an internal support for the fracture. This method allows the bone to continue growing and remodeling as the child grows, avoiding the need for multiple surgeries as the child increases in size.
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Traumatic bone injuries are the leading cause of fractures in children and adolescents, most commonly in the shafts of long bones like the humerus, forearm, femur, and tibia. Elastic stable intramedullary nailing (ESIN) or a titanium elastic nailing system (TENS) is a minimally invasive surgical technique for pediatric fractures. This procedure offers benefits such as a small incision, minimal muscle trauma, and a rapid recovery.
The document lists several types of long-bone fractures:
- Transverse fracture: A straight, horizontal break across the bone.
- Oblique fracture: An angled break across the bone.
- Comminuted fracture: A severe fracture where the bone breaks into three or more pieces.
- Spiral fracture: A break caused by a twisting force that spirals around the bone.
- Open fracture (compound fracture): Bone fragments protrude through the skin.
- Stress fracture (hairline fracture): Small cracks in the bone from overuse or wear and tear.
The use of elastic nailing depends on the patient's age, the location and type of the fracture, and the patient's bone condition. The procedure involves making a small incision and inserting two pre-bent titanium elastic nails into the intramedullary canal of the bone to stabilize the fracture.