Is it safe and effective to leave Titanium Elastic Nail (TEN) tips outside the skin in pediatric femoral diaphyseal fractures?
Aim: In this study, we aimed to retrospectively evaluate the use of nail tips outside and under the skin in TEN (Titanium Elastic Nail) application in pediatric femur diaphyseal fractures.Patients and methods: Forty-six patients (47 fractures) who underwent TEN due to femoral diaphyseal fractures be...
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Alanya Alaaddin Keykubat University
2024-04-01
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| Series: | Acta Medica Alanya |
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| Online Access: | https://dergipark.org.tr/tr/download/article-file/3579225 |
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| author | Cemil Ertürk Gürkan Çalışkan Halil Büyükdoğan Necati Doğan |
| author_facet | Cemil Ertürk Gürkan Çalışkan Halil Büyükdoğan Necati Doğan |
| author_sort | Cemil Ertürk |
| collection | DOAJ |
| description | Aim: In this study, we aimed to retrospectively evaluate the use of nail tips outside and under the skin in TEN (Titanium Elastic Nail) application in pediatric femur diaphyseal fractures.Patients and methods: Forty-six patients (47 fractures) who underwent TEN due to femoral diaphyseal fractures between January 2016 and July 2019 were examined retrospectively. While the patients whose TEN ends were left outside the skin were called Group 1, the patients whose TEN ends were left under the skin were called Group 2.. Age, gender, fracture side, and follow-up periods were evaluated. Clinical evaluation; hip and knee ROM (range of motion), rotational or angular deformities, pin bottoms, incision scars, infective findings; In radiological evaluation; angulation, deformity and length differences were examined on two-way radiography. Implant removal times and all complications were evaluated.Results: 21 fractures (Group 1) TEN ends were left outside the skin; In 26 fractures (Group 2), the TEN ends were left under the skin. Both groups had similar distributions in terms of age, gender and fracture sides. The follow-up period of Group 2 was significantly longer (p<0.05), but the minimum follow-up period in both groups was 9 months. There was a significant difference in the distribution of coronal and sagittal angulations in both groups (p<0.05), but all of the angulations were within acceptable limits in their age groups. Pin bottom discharge of both groups had similar distribution. (p>0.05) In terms of implant removal time, Group 1 achieved this in a shorter time compared to Group 2. (p<0.05) Union was achieved without any problems in all fractures in both groups. No notable angulation defects, rotation defects or shortness were observed in the patients. No patient developed infection in deep tissues.Conclusions: In pediatric femur diaphyseal fractures, in addition to removing the implants in a short time under outpatient clinic conditions and without the need for anesthesia by leaving the TEN ends outside the skin; leaving the implant tip outside seems to be quite advantageous, since union or angulation problems are similar to nail tips being left inside. However, nail root infection is still a serious concern; therefore, we believe that this problem can be solved with close monitoring and parental education. |
| format | Article |
| id | doaj-art-eaabf26e36a34d119d2a5edded670eb7 |
| institution | OA Journals |
| issn | 2587-0319 |
| language | English |
| publishDate | 2024-04-01 |
| publisher | Alanya Alaaddin Keykubat University |
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| series | Acta Medica Alanya |
| spelling | doaj-art-eaabf26e36a34d119d2a5edded670eb72025-08-20T02:29:19ZengAlanya Alaaddin Keykubat UniversityActa Medica Alanya2587-03192024-04-01813710.30565/medalanya.1400363727Is it safe and effective to leave Titanium Elastic Nail (TEN) tips outside the skin in pediatric femoral diaphyseal fractures?Cemil Ertürk0https://orcid.org/0000-0002-9225-917XGürkan Çalışkan1https://orcid.org/0000-0002-4612-1700Halil Büyükdoğan2https://orcid.org/0000-0002-0202-444XNecati Doğan3https://orcid.org/0000-0001-9503-5676SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, İSTANBUL KANUNİ SULTAN SÜLEYMAN SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİSAĞLIK BİLİMLERİ ÜNİVERSİTESİ, İSTANBUL KANUNİ SULTAN SÜLEYMAN SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİKahta Devlet HastanesiSAĞLIK BİLİMLERİ ÜNİVERSİTESİ, İSTANBUL BAŞAKŞEHİR ÇAM VE SAKURA ŞEHİR SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, ORTOPEDİ VE TRAVMATOLOJİ ANABİLİM DALIAim: In this study, we aimed to retrospectively evaluate the use of nail tips outside and under the skin in TEN (Titanium Elastic Nail) application in pediatric femur diaphyseal fractures.Patients and methods: Forty-six patients (47 fractures) who underwent TEN due to femoral diaphyseal fractures between January 2016 and July 2019 were examined retrospectively. While the patients whose TEN ends were left outside the skin were called Group 1, the patients whose TEN ends were left under the skin were called Group 2.. Age, gender, fracture side, and follow-up periods were evaluated. Clinical evaluation; hip and knee ROM (range of motion), rotational or angular deformities, pin bottoms, incision scars, infective findings; In radiological evaluation; angulation, deformity and length differences were examined on two-way radiography. Implant removal times and all complications were evaluated.Results: 21 fractures (Group 1) TEN ends were left outside the skin; In 26 fractures (Group 2), the TEN ends were left under the skin. Both groups had similar distributions in terms of age, gender and fracture sides. The follow-up period of Group 2 was significantly longer (p<0.05), but the minimum follow-up period in both groups was 9 months. There was a significant difference in the distribution of coronal and sagittal angulations in both groups (p<0.05), but all of the angulations were within acceptable limits in their age groups. Pin bottom discharge of both groups had similar distribution. (p>0.05) In terms of implant removal time, Group 1 achieved this in a shorter time compared to Group 2. (p<0.05) Union was achieved without any problems in all fractures in both groups. No notable angulation defects, rotation defects or shortness were observed in the patients. No patient developed infection in deep tissues.Conclusions: In pediatric femur diaphyseal fractures, in addition to removing the implants in a short time under outpatient clinic conditions and without the need for anesthesia by leaving the TEN ends outside the skin; leaving the implant tip outside seems to be quite advantageous, since union or angulation problems are similar to nail tips being left inside. However, nail root infection is still a serious concern; therefore, we believe that this problem can be solved with close monitoring and parental education.https://dergipark.org.tr/tr/download/article-file/3579225çocuk femur diyafiz kırığıtitanyum elastik nail (ten)pin dibi enfeksiyonpediatric femur diaphyseal fracturetitanium elastic nail (ten)pin-site infection |
| spellingShingle | Cemil Ertürk Gürkan Çalışkan Halil Büyükdoğan Necati Doğan Is it safe and effective to leave Titanium Elastic Nail (TEN) tips outside the skin in pediatric femoral diaphyseal fractures? Acta Medica Alanya çocuk femur diyafiz kırığı titanyum elastik nail (ten) pin dibi enfeksiyon pediatric femur diaphyseal fracture titanium elastic nail (ten) pin-site infection |
| title | Is it safe and effective to leave Titanium Elastic Nail (TEN) tips outside the skin in pediatric femoral diaphyseal fractures? |
| title_full | Is it safe and effective to leave Titanium Elastic Nail (TEN) tips outside the skin in pediatric femoral diaphyseal fractures? |
| title_fullStr | Is it safe and effective to leave Titanium Elastic Nail (TEN) tips outside the skin in pediatric femoral diaphyseal fractures? |
| title_full_unstemmed | Is it safe and effective to leave Titanium Elastic Nail (TEN) tips outside the skin in pediatric femoral diaphyseal fractures? |
| title_short | Is it safe and effective to leave Titanium Elastic Nail (TEN) tips outside the skin in pediatric femoral diaphyseal fractures? |
| title_sort | is it safe and effective to leave titanium elastic nail ten tips outside the skin in pediatric femoral diaphyseal fractures |
| topic | çocuk femur diyafiz kırığı titanyum elastik nail (ten) pin dibi enfeksiyon pediatric femur diaphyseal fracture titanium elastic nail (ten) pin-site infection |
| url | https://dergipark.org.tr/tr/download/article-file/3579225 |
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