title: Displaced tibia shaft fractures in children treated by elastic stable intramedullary nailing: results and complications in children weighing 50 kg (110 lb) or more.
abstract: The main objective of this study was to retrospectively evaluate the clinical and radiographic outcomes of displaced tibia shaft fractures in children weighing 50 kg (110 lb) or more treated by elastic stable intramedullary nailing (ESIN). Translation, sagittal and coronal angulations were assessed on plain radiographs in all the patients. Twenty-six out of 106 patients met the inclusion criteria. The average patient age at the time of injury was 13.5 ± 1.3 years (range 11.3-16.1). The mean patient weight was 57 ± 8 kg (range 50-80). This study demonstrates that the use of ESIN for displaced tibia shaft fractures in children and adolescents weighing 50 kg (110 lb) or more, or older than 13 years of age, is not contraindicated. In contrast to data in femoral shaft fractures, we did not find poorer outcomes in older or heavier patients. No correlation between nail size/medullary canal diameter ratio and outcome was observed.
authors.affiliation: Pediatric Surgery Department, University Hospital Estaing, 1 Place Lucie et Raymond Aubrac, 63003, Clermont-Ferrand, France.
authors.forename: Lorenza
authors.initials: L
authors.lastname: Marengo
authors.affiliation: Pediatric Orthopedic Surgery Department, Regina Margherita Children's Hospital, Piazza Polonia 94, 10100, Turin, Italy.
authors.forename: Matteo
authors.initials: M
authors.lastname: Paonessa
authors.affiliation: Pediatric Orthopedic Surgery Department, Regina Margherita Children's Hospital, Piazza Polonia 94, 10100, Turin, Italy.
authors.forename: Antonio
authors.initials: A
authors.lastname: Andreacchio
authors.affiliation: Faculty of Medicine, University of Montpellier, 2 Rue de l'Ecole de Medicine, 34090, Montpellier, France.
authors.forename: Alain
authors.initials: A
authors.lastname: Dimeglio
authors.affiliation: Pediatric Orthopedic Surgery Department, Regina Margherita Children's Hospital, Piazza Polonia 94, 10100, Turin, Italy.
authors.forename: Alberto
authors.initials: A
authors.lastname: Potenza
authors.affiliation: Pediatric Surgery Department, University Hospital Estaing, 1 Place Lucie et Raymond Aubrac, 63003, Clermont-Ferrand, France. canavese_federico@yahoo.fr.
authors.forename: Federico
authors.initials: F
authors.lastname: Canavese
mesh_terms: D000293:Adolescent; D001835:Body Weight; D001858:Bone Nails; D002648:Child; D005260:Female; D005594:Fracture Fixation, Intramedullary / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D008297:Male; D011859:Radiography; D012189:Retrospective Studies; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome
keywords: Adolescent; Complications; Elastic stable intramedullary nailing; Heavier children; Tibia shaft fracture