By Pierre Lascombes (auth.), Pierre Lascombes (eds.)
Over the prior 3 many years, the versatile intramedullary nailing (FIN) process that originated within the collage of Nancy in France has developed to the purpose the place it really is turning into the most efficient for the therapy of many fractures in young children. so much orthopedic surgeons and traumatologists now use the strategy to regard femoral fractures in youngsters, and numerous investigators have multiplied the tactic in order that it really is appropriate to tibial and forearm fractures in addition. regardless of this, complete descriptions of FIN’s capability are nonetheless missing within the literature, and plenty of surgeons stay unusual with the unique approach as built in Nancy. This accomplished textbook on FIN is written by way of Pierre Lascombes and his colleagues from the college of Nancy and covers all strength functions of the technique.
The publication is split into 3 components. the 1st half specializes in normal issues corresponding to biomechanics, selection of implant, uncomplicated rules of surgical method, and rehabilitation. the second one half describes intimately the innovations constructed for every specific fracture sort by way of a number of high quality illustrations. within the ultimate half, a number of additional symptoms for FIN in young children are mentioned.
By basically explaining the elemental ideas and methods of intramedullary fixation with versatile nails, this publication will turn out of worth to either beginner and skilled traumatologists and orthopedic surgeons.
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Additional info for Flexible Intramedullary Nailing in Children: The Nancy University Manual
Owing to these specific bone features, four types of fractures are typically seen in children: • A buckle fracture (or torus fracture) occurs due to axial compression of bone at the metaphysealdiaphyseal junction. • A bowing fracture is when the diaphysis appears to be bent without any fracture line evident. • The well-named greenstick fracture occurs when a bone is angulated beyond the limits of plastic deformity: fracture involving only the convex side of the cortex and its periosteum. • Hairline fracture (often spiral shaped) with no displacement within its periosteal sleeve.
1a); bipolar retrograde FIN should be reserved for some fractures of the proximal one-fourth of the tibia (Fig. 1b). Humeral fractures are preferably treated by unipolar retrograde FIN, using a lateral supraepicondylar approach (Fig. 2b), although some authors use a bipolar FIN with a medial and a lateral nail . As regards both-bone forearm fractures, a combined antegrade (ulnar)/ retrograde (radial) FIN with one nail in each bone is unquestionably the easiest method (Fig. 2c), although some surgeons suggested P.
These three features typical of pediatric bone demonstrate that there is the same difference (relatively speaking) between pediatric bone and adult bone as between green wood and dry wood. Based on the analogy between bone and wood, one can easily picture what occurs in bone. As a matter of fact, if a critical bending force is manually applied to a wooden stick: • Dry wood breaks, and a large amount of energy is quickly released in an audible, palpable, and visible manner: audible “pop,” severe jolt in the hands, and significant displacement of the stick ends, which are violently brought together.