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    Early experience with titanium elastic nails in a trauma unit.

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    Authors
    Shah, M H
    Heffernan, G
    McGuinness, A J
    Affiliation
    Cork University Hospital, Wilton, Cork, Ireland.
    Issue Date
    2012-02-03T15:09:04Z
    MeSH
    Adult
    *Bone Nails
    Female
    Femoral Fractures/*surgery
    Fracture Fixation, Internal/*methods
    Humans
    Ireland
    Male
    Titanium
    *Trauma Centers
    
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    Citation
    Ir Med J. 2003 Jul-Aug;96(7):213-4.
    Journal
    Irish medical journal
    URI
    http://hdl.handle.net/10147/208980
    PubMed ID
    14518586
    Abstract
    The Titanium Elastic Nail (TEN) offers a number of potential advantages over traditional ways of treating long bone fractures particularly in the paediatric population. These advantages include earlier mobilisation and shorter hospital stay and less risk of loss of fracture position. These advantages are most apparent and significant when treating femoral fractures in children where the length of hospital stay is reduced from several weeks to a typical period of 5 to 8 days. We have reviewed our early experience of using these implants over the past 2 years. Patients were assessed clinically and radiologically. 13 patients were treated using the TEN during this period. There were 2 femoral fractures, 4 humeral fractures, 1 tibial and 6 forearm fractures treated using the Titanium Elastic Nail. All fractures united during the study period. However 1 humeral fracture required a secondary bone grafting and plating for delayed union and 1 fracture lost position during follow-up. Insertion point pain was a problem in 4 patients but this resolved after nail removal in all. There was 1 superficial wound infection which resolved with antibiotics and 1 superficial wound infection of an open fracture wound which resolved following nail removal and antibiotics. There were no cases of deep infection. There were no limb length discrepancy or rotational or angular malalignment problems. Biomechanical principles and technical aspects of this type of fixation are discussed.
    Language
    eng
    ISSN
    0332-3102 (Print)
    0332-3102 (Linking)
    Collections
    Cork University Hospital

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