Introduction to Flexible Intramedullary

What is/are Flexible Intramedullary?

Flexible Intramedullary - In some centers, there has been a recent trend towards surgical fixation of these fractures with flexible intramedullary nails (FINs). ^[1] Though most of these fractures can be treated with casting, with or without closed reduction, the orthopedic surgeon may indicate a patient for operative fixation with flexible intramedullary nailing in the setting of unacceptable malalignment, an unstable fracture, refracture, neurovascular compromise, or an open fracture. ^[2] The aim of this study was to investigate the available evidence on the efficacy and safety of flexible intramedullary nailing (FIN) for both open and closed tibia fractures in children, exploring the main surgical outcomes and rate of complications. ^[3] Description A Steinmann pin or flexible intramedullary nail is introduced percutaneously through the olecranon apophysis and advanced within the medullary canal to the ulnar fracture site. ^[4] INTRODUCTION The aim of this multicenter prospective study was to analyze the outcomes of bone lengthening by external fixator associated with flexible intramedullary nailing (FIN) in acquired limb length discrepancy (LLD). ^[5] Methods: A retrospective review of 26 children who have undergone flexible intramedullary nailing of tibial fractures and 30 children with rigid nailing at our university hospital between 2008 and 2017. ^[6] Background: Hydroxyapatite (HA) coated flexible intramedullary nailing (FIN) stimulates osteogenic activity. ^[7] Flexible intramedullary nailing can be successful for a skeletally mature adolescent in treatment of refracture surrounding plate fixation of a midshaft forearm fracture. ^[8] Internal fixation with flexible intramedullary nails has gained increasing popularity, without evidence of a better outcome compared with closed reduction and cast immobilisation. ^[9] Flexible intramedullary nailing, rigid intramedullary nailing, plate and screw osteosynthesis, and external fixation are acceptable treatment options that may be considered for an individual patient depending upon the clinical scenario. ^[10] Background Flexible intramedullary nails (FNs) are successfully used to treat pediatric forearm fractures, especially midshaft fractures. ^[11] A flexible intramedullary rod has been developed to address this problem. ^[12] Background Flexible intramedullary nailing is performed for femoral fractures in pediatric patients who may be too large for spica cast immobilization but who have substantial growth remaining and who are not a candidate for rigid intramedullary nailing. ^[13] DISCUSSION Adolescent diaphyseal radial shaft fractures present several unique challenges; the radial bow must be restored to preserve forearm rotation and there are several clinical scenarios where plating, even in the skeletally immature child, is strongly recommended and will have more reliable results over flexible intramedullary nails. ^[14] There are many options for stabilization, including external fixation, rigid internal fixation with screws and plates, percutaneous pinning, and flexible intramedullary nailing. ^[15] Favourable mechanics is attained by flexible intramedullary nailing like Ender’s nailing. ^[16] She eventually underwent a revision surgery with a flexible intramedullary nail. ^[17] Objective: the aim of the work was to assess the results of using the flexible intramedullary nails in the treatment of humeral shaft fractures. ^[18] Recent literature has shown pediatric femur fractures in preschool-age children have equivalent clinical and radiographic outcomes when treated with spica casting or flexible intramedullary nails (IMN). ^[19] Currently, both flexible intramedullary nailing and plate fixation are acceptable options in this population. ^[20] Later Flexible intramedullary nailing, modified antegrade nailing, allowed fracture fixation with minimal exposure of the fracture site. ^[21] Flexible intramedullary nailing (FIN) provides multiple advantages in limb lengthening and progressive deformity correction in combination with external fixation. ^[22] This study aims to investigate the comparative study of calcium phosphate coatings for flexible intramedullary nails (FINs) used to lengthen long tubular bones. ^[23] For pediatric proximal humeral metaphyseal fractures, percutaneous pinning and flexible intramedullary nailing may be necessary, both of which are reported to have good outcomes. ^[24] The objective of this study was to test the compressive strength and torsional stiffness provided by the addition of a two-pin external fixator to an unstable pediatric femoral shaft fracture model after being instrumented with flexible intramedullary nailing (FIMN), and to compare this to bridge plating and FIMN alone. ^[25] To review the experience at our center with elastic stable titanium flexible intramedullary nails (ESIN) for pediatric femoral shaft unstable fractures. ^[26] Background: Various flexible intramedullary nail (FIMN) constructs for pediatric femur fractures are described; however, no biomechanical study has compared stability of medial-lateral entry versus all-lateral entry retrograde nailing. ^[27] Flexible intramedullary nailing is gaining wide adoption for acute surgical treatment. ^[28] Purpose: Length stable diaphyseal femur and tibial shaft fractures in paediatric patients may be fixed with flexible intramedullary nails (FINs) in selected paediatric patients. ^[29] The aim of this study is to compare the reported complications and outcomes of reduction and cast immobilization versus flexible intramedullary nailing in the treatment of pediatric tibia shaft fractures. ^[30] Background: It has been shown that retrograde titanium flexible intramedullary nails (Ti FIN) provide superior resistance to bending compared to antegrade Ti FIN in distal femur fractures. ^[31] Of the operative group, flexible intramedullary nails (IMN) were used for 568 patients (21. ^[32] Conclusion: The use of flexible intramedullary nailing in properly selected patients in the preschool to early teenage population is an effective method of treating diaphyseal fractures of long bones of the lower limb. ^[33] Hence we conclude that flexible intramedullary nailing is an excellent technique for the treatment of diaphyseal fractures of the femur and tibia in children and adolescents aged 5 to 16 years. ^[34] Forty-six patients with proximal phalangeal neck fractures managed by either percutaneous antegrade flexible intramedullary nailing (Group I) or crossed Kirschner-wires (Group II) were recruited for a randomized prospective comparative study. ^[35] Children's femoral shaft fractures are commonly treated with flexible intramedullary nailing after closed or open reduction, but there is little information concerning indications for open reduction. ^[36] The disadvantages of traditional casting can be minimized by alternative management strategies: waterproof casts to facilitate bathing and swimming; a Pavlik harness in infants, a single-leg spica cast, or flexible intramedullary nails to avoid complications with double-leg spica casts for femur fractures; and braces or splints to manage buckle and minimally displaced distal radius fractures, toddler's fractures, and stable foot/ankle fractures. ^[37] Purpose Although spica casting remains the benchmark for treating diaphyseal femur fractures in preschool children, some authors advocate using flexible intramedullary nails in certain situations. ^[38] We present a patient with bilateral Rorabeck II/Su III periprosthetic distal femur fractures treated successfully with bilateral single stage flexible intramedullary fixation. ^[39]

Titanium Flexible Intramedullary

To review the experience at our center with elastic stable titanium flexible intramedullary nails (ESIN) for pediatric femoral shaft unstable fractures. ^[1] Background: It has been shown that retrograde titanium flexible intramedullary nails (Ti FIN) provide superior resistance to bending compared to antegrade Ti FIN in distal femur fractures. ^[2]

flexible intramedullary nailing

Though most of these fractures can be treated with casting, with or without closed reduction, the orthopedic surgeon may indicate a patient for operative fixation with flexible intramedullary nailing in the setting of unacceptable malalignment, an unstable fracture, refracture, neurovascular compromise, or an open fracture. ^[1] The aim of this study was to investigate the available evidence on the efficacy and safety of flexible intramedullary nailing (FIN) for both open and closed tibia fractures in children, exploring the main surgical outcomes and rate of complications. ^[2] INTRODUCTION The aim of this multicenter prospective study was to analyze the outcomes of bone lengthening by external fixator associated with flexible intramedullary nailing (FIN) in acquired limb length discrepancy (LLD). ^[3] Methods: A retrospective review of 26 children who have undergone flexible intramedullary nailing of tibial fractures and 30 children with rigid nailing at our university hospital between 2008 and 2017. ^[4] Background: Hydroxyapatite (HA) coated flexible intramedullary nailing (FIN) stimulates osteogenic activity. ^[5] Flexible intramedullary nailing can be successful for a skeletally mature adolescent in treatment of refracture surrounding plate fixation of a midshaft forearm fracture. ^[6] Flexible intramedullary nailing, rigid intramedullary nailing, plate and screw osteosynthesis, and external fixation are acceptable treatment options that may be considered for an individual patient depending upon the clinical scenario. ^[7] Background Flexible intramedullary nailing is performed for femoral fractures in pediatric patients who may be too large for spica cast immobilization but who have substantial growth remaining and who are not a candidate for rigid intramedullary nailing. ^[8] There are many options for stabilization, including external fixation, rigid internal fixation with screws and plates, percutaneous pinning, and flexible intramedullary nailing. ^[9] Favourable mechanics is attained by flexible intramedullary nailing like Ender’s nailing. ^[10] Currently, both flexible intramedullary nailing and plate fixation are acceptable options in this population. ^[11] Later Flexible intramedullary nailing, modified antegrade nailing, allowed fracture fixation with minimal exposure of the fracture site. ^[12] Flexible intramedullary nailing (FIN) provides multiple advantages in limb lengthening and progressive deformity correction in combination with external fixation. ^[13] For pediatric proximal humeral metaphyseal fractures, percutaneous pinning and flexible intramedullary nailing may be necessary, both of which are reported to have good outcomes. ^[14] The objective of this study was to test the compressive strength and torsional stiffness provided by the addition of a two-pin external fixator to an unstable pediatric femoral shaft fracture model after being instrumented with flexible intramedullary nailing (FIMN), and to compare this to bridge plating and FIMN alone. ^[15] Flexible intramedullary nailing is gaining wide adoption for acute surgical treatment. ^[16] The aim of this study is to compare the reported complications and outcomes of reduction and cast immobilization versus flexible intramedullary nailing in the treatment of pediatric tibia shaft fractures. ^[17] Conclusion: The use of flexible intramedullary nailing in properly selected patients in the preschool to early teenage population is an effective method of treating diaphyseal fractures of long bones of the lower limb. ^[18] Hence we conclude that flexible intramedullary nailing is an excellent technique for the treatment of diaphyseal fractures of the femur and tibia in children and adolescents aged 5 to 16 years. ^[19] Forty-six patients with proximal phalangeal neck fractures managed by either percutaneous antegrade flexible intramedullary nailing (Group I) or crossed Kirschner-wires (Group II) were recruited for a randomized prospective comparative study. ^[20] Children's femoral shaft fractures are commonly treated with flexible intramedullary nailing after closed or open reduction, but there is little information concerning indications for open reduction. ^[21]

flexible intramedullary nail

In some centers, there has been a recent trend towards surgical fixation of these fractures with flexible intramedullary nails (FINs). ^[1] Description A Steinmann pin or flexible intramedullary nail is introduced percutaneously through the olecranon apophysis and advanced within the medullary canal to the ulnar fracture site. ^[2] Internal fixation with flexible intramedullary nails has gained increasing popularity, without evidence of a better outcome compared with closed reduction and cast immobilisation. ^[3] Background Flexible intramedullary nails (FNs) are successfully used to treat pediatric forearm fractures, especially midshaft fractures. ^[4] DISCUSSION Adolescent diaphyseal radial shaft fractures present several unique challenges; the radial bow must be restored to preserve forearm rotation and there are several clinical scenarios where plating, even in the skeletally immature child, is strongly recommended and will have more reliable results over flexible intramedullary nails. ^[5] She eventually underwent a revision surgery with a flexible intramedullary nail. ^[6] Objective: the aim of the work was to assess the results of using the flexible intramedullary nails in the treatment of humeral shaft fractures. ^[7] Recent literature has shown pediatric femur fractures in preschool-age children have equivalent clinical and radiographic outcomes when treated with spica casting or flexible intramedullary nails (IMN). ^[8] This study aims to investigate the comparative study of calcium phosphate coatings for flexible intramedullary nails (FINs) used to lengthen long tubular bones. ^[9] To review the experience at our center with elastic stable titanium flexible intramedullary nails (ESIN) for pediatric femoral shaft unstable fractures. ^[10] Background: Various flexible intramedullary nail (FIMN) constructs for pediatric femur fractures are described; however, no biomechanical study has compared stability of medial-lateral entry versus all-lateral entry retrograde nailing. ^[11] Purpose: Length stable diaphyseal femur and tibial shaft fractures in paediatric patients may be fixed with flexible intramedullary nails (FINs) in selected paediatric patients. ^[12] Background: It has been shown that retrograde titanium flexible intramedullary nails (Ti FIN) provide superior resistance to bending compared to antegrade Ti FIN in distal femur fractures. ^[13] Of the operative group, flexible intramedullary nails (IMN) were used for 568 patients (21. ^[14] The disadvantages of traditional casting can be minimized by alternative management strategies: waterproof casts to facilitate bathing and swimming; a Pavlik harness in infants, a single-leg spica cast, or flexible intramedullary nails to avoid complications with double-leg spica casts for femur fractures; and braces or splints to manage buckle and minimally displaced distal radius fractures, toddler's fractures, and stable foot/ankle fractures. ^[15] Purpose Although spica casting remains the benchmark for treating diaphyseal femur fractures in preschool children, some authors advocate using flexible intramedullary nails in certain situations. ^[16]