Effect and complications of elastic intramedullary nailing in the treatment of long bone fracture of limbs in children

Abstract

Objective To investigate the effect and complications of elastic intramedullary nail in the treatment of long bone fracture of limbs in children. Methods A total of 98 children with long bone fracture of extremities who were treated by surgery in Luoyang Orthopedic-Traumatological Hospital from March 2016 to May 2019 were selected and divided into control group and observation group according to random numble table, with 49 cases in each group. The control group was treated by plate internal fixation and the observation group was treated by elastic intramedullary nail internal fixation. The operation time, incision length, intraoperative bleeding volume and postoperative drainage volume were compared between the two groups. The curative effect, time of fracture healing, start time of weight-bearing, treatment time in hospital and other prognosis related indexes of the two groups, complications of the two groups were compared. Results The operation time, incision length, intraoperative bleeding volume and postoperative drainage volume in the observation group were better than those in the control group, (39.23±7.20)min vs.(56.54±8.39)min, (2.56±0.94)cm vs.(10.92±2.34)cm, (37.43±10.12)ml vs.(115.64±16.56)ml, (16.23±6.39)ml vs.(49.09±8.28)ml, the differences were statistically significant (P 0.05). Conclusions Elastic intramedullary nail in the treatment of long bone fracture in children can effectively reduce the surgical trauma, improve the intraoperative hemorrhage, shorten the time of fracture healing and treatment time in hospital, and it is helpful to speed up the process of postoperative rehabilitation of children and has high safety. Key words: Elastic intramedullary nail; Internal fixation; Long bone fracture of limbs; Children