Cited 1 times in

Cortical erosion after elastic stable intramedullary nail fixation for pediatric long bone fractures: Case series according to the site

DC Field Value Language
dc.contributor.author박건보-
dc.date.accessioned2019-09-20T07:21:56Z-
dc.date.available2019-09-20T07:21:56Z-
dc.date.issued2018-
dc.identifier.issn1743-9191-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/170850-
dc.description.abstractBACKGROUND: Elastic stable intramedullary nail (ESIN) is widely used for treatment of long bone fractures in children. However, migration of the nail or cortical bone erosion in children has been reported. This study was conducted to investigate the incidence of cortical erosion according to the site and cortical erosion type. MATERIALS AND METHODS: A total of 221 normally developing children (223 fractures) who were treated with ESIN for fractures of the long bones without cortical breakage at immediate postoperative radiography and with the ESIN in position for more than 6 months were included. Two pediatric orthopaedic surgeons reviewed all the radiographs. Cortical bone erosion was defined when the two investigators agreed that there was cortical breakage by the ESIN. RESULTS: Penetration of nails through the bone cortex was observed in 25 patients (11.2%). Fifteen patients (6.7%) showed cortical erosion at the diaphysis and ten patients (4.5%) showed protrusion of the tip of the ESIN at the metaphysis-diaphysis junction. The average time for hardware removal in patients with cortical erosion was 14.2 months. CONCLUSION: Cortical bone erosion by ESIN could occur in pediatric long bones without any iatrogenic problem or disease related to the bony structure. Erosion at diaphysis was more common than at metaphysis-diaphysis junction. Cortical erosion should be considered in children who retain their ESIN for a long time.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherElsevier-
dc.relation.isPartOfInternational Journal of Surgery-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.subject.MESHBone Diseases/diagnostic imaging*-
dc.subject.MESHBone Diseases/etiology-
dc.subject.MESHBone Nails/adverse effects*-
dc.subject.MESHChild-
dc.subject.MESHCortical Bone/diagnostic imaging-
dc.subject.MESHCortical Bone/pathology-
dc.subject.MESHFemale-
dc.subject.MESHFracture Fixation, Intramedullary/adverse effects*-
dc.subject.MESHFractures, Bone/surgery*-
dc.subject.MESHHumans-
dc.subject.MESHMale-
dc.subject.MESHPostoperative Complications/diagnostic imaging*-
dc.subject.MESHPostoperative Complications/etiology-
dc.subject.MESHPostoperative Period-
dc.subject.MESHRadiography-
dc.titleCortical erosion after elastic stable intramedullary nail fixation for pediatric long bone fractures: Case series according to the site-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Orthopedic Surgery (정형외과학교실)-
dc.contributor.googleauthorKun-Bo Park-
dc.contributor.googleauthorJe-Hyun Yoo-
dc.contributor.googleauthorSeok Woo Kim-
dc.contributor.googleauthorYoon Hae Kwak-
dc.identifier.doi10.1016/j.ijsu.2018.05.020-
dc.contributor.localIdA01418-
dc.relation.journalcodeJ01162-
dc.identifier.eissn1743-9159-
dc.identifier.pmid29778751-
dc.identifier.urlhttps://www.sciencedirect.com/science/article/pii/S1743919118307672-
dc.subject.keywordChildren-
dc.subject.keywordCortical erosion-
dc.subject.keywordElastic stable intramedullary nail-
dc.subject.keywordLong bone fracture-
dc.contributor.alternativeNamePark, Kun Bo-
dc.contributor.affiliatedAuthor박건보-
dc.citation.volume55-
dc.citation.startPage60-
dc.citation.endPage65-
dc.identifier.bibliographicCitationInternational Journal of Surgery, Vol.55 : 60-65, 2018-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.