Experience of treatment of humeral fractures in children using titanium elastic rods

Abstract

Purpose. To analyze the authors’ own experience of using intramedullary stable elastic osteosynthesis in the Kurgan Red Cross Regional Children Hospital for surgical treatment of humeral fractures in children.
Materials and Methods. The experience of using intramedullary stable elastic osteosynthesis of humerus studied retrospectively in a continuous group of 17 patients at the age of 5-17 years. The techniques of antegrade and retrograde monopolar insertion of the rods depending on fracture localization used.
Results. Consolidation of bone fragments achieved in all cases with complete anatomical and functional recovery of the segment injured. The complications occurred included skin perforation with a free end of the rod, splintering during the rod insertion for incomplete spiral fractures (2 cases). The complications didn’t influence treatment tactics and didn’t required additional surgical interventions. In one case additional plaster immobilization required due to a small diameter of the rods in order to avoid secondary displacement.
Conclusion. The experience of using intramedullary stable elastic osteosynthesis in the authors’ group is positive. Surgical technique of the procedure should be carefully observed to prevent possible complications.