Flexible Intramedullary Nailing in Children: The Nancy University Manual

Description

Over the past three decades, the flexible intramedullary nailing (FIN) technique that originated in the University of Nancy in France has evolved to the point where it is becoming the gold standard for the treatment of many fractures in children. Most orthopedic surgeons and traumatologists now use the method to treat femoral fractures in children, and various investigators have expanded the method so that it is applicable to tibial and forearm fractures as well. Despite this, full descriptions of FIN’s potential are still lacking in the literature, and many surgeons remain unfamiliar with the original technique as developed in Nancy. This comprehensive textbook on FIN is written by Pierre Lascombes and his colleagues from the University of Nancy and covers all potential applications of the technique. The book is divided into three parts. The first part focuses on general considerations such as biomechanics, choice of implant, basic principles of surgical technique, and rehabilitation. The second part describes in detail the techniques developed for each particular fracture type with the aid of numerous high-quality illustrations. In the final part, a range of further indications for FIN in children are discussed. By clearly explaining the basic principles and techniques of intramedullary fixation with flexible nails, this book will prove of value to both novice and experienced traumatologists and orthopedic surgeons. Front Matter....Pages i-xviii Front Matter....Pages 1-1 Introduction....Pages 3-8 Experimental Studies....Pages 9-18 Biomechanics of FIN....Pages 19-24 Stainless Steel or Titanium?....Pages 25-28 Surgical Technique: Basic Principles....Pages 29-48 FIN Without Image Intensification....Pages 49-52 Hardware Removal....Pages 53-57 Pediatric Anesthesia and Postoperative Pain Management....Pages 59-61 FIN and Imaging....Pages 63-68 Rehabilitation After FIN....Pages 69-73 Professional Caregivers' Perspective....Pages 75-77 Front Matter....Pages 79-79 Fracture of the Proximal Humerus....Pages 81-98 Humeral Shaft Fracture....Pages 99-114 Supracondylar Humeral Fracture....Pages 115-135 Radial Neck Fracture....Pages 137-158 Both-Bone Forearm Fracture....Pages 159-185 Metacarpal and Phalangeal Fractures....Pages 187-196 Femoral Fracture....Pages 197-230 Tibial Fracture....Pages 231-251 Ipsilateral Long Bone Fractures and Polytrauma....Pages 253-260 Front Matter....Pages 261-261 FIN and Bone Weakness....Pages 263-277 FIN in Ilizarov Bone Lengthening....Pages 279-289 Use of FIN for Correction of Deformities in Children with Familial Hypophosphatemic Rickets....Pages 291-299 FIN and Osteotomies....Pages 301-308 Conclusion....Pages 309-310 Back Matter....Pages 311-317