title: Titanium elastic intramedullary nailing: closed or mini-open reduction?
abstract: The authors retrospectively studied 43 children with femoral fractures, treated with titanium elastic nailing (TEN). Twenty-two underwent closed fluoroscopic reduction ( Group I), whereas the other 21 underwent mini-open reduction (Group II). The operation time averaged 71 minutes in group I, and 48 minutes in group II (p < 0.001). The mean fluoroscopy time was 793 seconds in group I, and 35.5 seconds in group II (p <0.001). However, blood loss and hospital stay were significantly higher in group II (p < 0.001 and p = 0.001 respectively). Time to full weight bearing, time to radiographic union and TEN outcome score did not differ significantly. Overall, no one technique was really superior. From a practical viewpoint, a mini-open reduction may be decided intra-operatively if closed reduction proves to be problematic. This decreases intra-operative radiation and length of the surgical procedure.
authors.affiliation: Department of Orthopaedic Surgery, Dicle University Medical Faculty, Diyarbakir, Turkey. drbyucar@yahoo.com
authors.forename: Bekir Yavuz
authors.initials: BY
authors.lastname: Uçar
authors.forename: Mehmet
authors.initials: M
authors.lastname: Gem
authors.forename: Mehmet
authors.initials: M
authors.lastname: Bulut
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Azboy
authors.forename: Abdullah
authors.initials: A
authors.lastname: Demirtaş
authors.forename: Celil
authors.initials: C
authors.lastname: Alemdar
mesh_terms: D016063:Blood Loss, Surgical; D001858:Bone Nails; D002648:Child; D002675:Child, Preschool; D004867:Equipment Design; D005260:Female; D005264:Femoral Fractures / Q000601:surgery*; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D007902:Length of Stay; D008297:Male; D012189:Retrospective Studies; D014025:Titanium
chemical_list: D014025:Titanium