[The ECMES [Centro-Medullary Elastic Stabilising Wiring) osteosynthesis method in limb fractures in children. Principle, application on the femur. Apropos of 250 fractures followed-up since 1979].
The theoretical basis of this new technique were recalled: a closed operation respecting the conjugation cartilages. The material, composed of flexible wires of adequate diameter are bent and stabilised forming a non traumatic fixation which is inserted into the medullary canal of the fractured bone under fluoroscopic surveillance. The second part of this paper deals with the results of 250 fractures of the femur followed up since 1979. Late outcome in terms of complications and stimulation of the post-trauma growth, which is a problem in all forms of fractures in the child, especially of the femur, is presented.
Prévot
J
J
Service de Chirurgie pédiatrique orthopédique, Hôpital d'Enfants de Nancy.
Lascombes
P
P
Ligier
J N
JN
D000293:Adolescent; D001864:Bone Wires; D002648:Child; D005260:Female; D005264:Femoral Fractures / Q000601:surgery*; D005500:Follow-Up Studies; D005594:Fracture Fixation, Intramedullary / Q000009:adverse effects / Q000379:methods* / Q000706:statistics & numerical data; D006801:Humans; D007870:Leg Length Inequality / Q000209:etiology; D008297:Male
L'ECMES comme procédé d'ostéosynthèse des fractures des membres chez l'enfant. Principe, application sur le fémur. A propos de 250 fractures suivies depuis 1979.