Operative Orthopädie und Traumatologie
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Oper Orthop Traumatol · Oct 2008
Clinical Trial[Elastic stable intramedullary nailing of femur fractures in children].
Elastic stable intramedullary nailing (ESIN) is a minimally invasive osteosynthesis technique that allows sufficient stabilization of fractures in children. ⋯ The minimally invasive method of ESIN is a well-accepted treatment option for femur fracture in children yielding good and excellent clinical results. It is the treatment of first choice for transverse and oblique femoral fractures (32-D/4.1 und 32-D/5.1). Fractures with several fragments (32-D/5.2) as well as fractures of the metaphyseal region (31-M/3.1 und 33-M/3.1) may be difficult to stabilize with ESIN and might alternatively be treated with an external fixator.
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Oper Orthop Traumatol · Oct 2008
Clinical Trial[Surgical treatment of fractures of the distal tibia in adolescents].
Injury to the epiphyseal cartilage during the period of growth plate closure in adolescence results in specific stereotyped injury patterns due to the change in biomechanics. According to the number of fragments, fractures of the distal tibia can be categorized into so-called two-plane and triplane I and II fractures. Since these fractures are involving the joint, the most important aspect for further therapy is the reconstruction of the joint surface. As the growth plate has already begun to close at this stage, relevant growth disturbances are unlikely. ⋯ While short-term results are generally good, data on long-term outcome and possible development of arthrosis is still insufficient.