Pediatric forearm shaft 22r-D/4.1

ESIN

ESIN

Main indication: Any unstable fracture

Skill: Some specialized surgical experience
Equipment: Simple surgical and imaging resources

If elastic nails are not available, the ESIN method can be performed with long stainless-steel K-wires.

If closed reduction is not possible, an open reduction may be necessary.

This treatment can be performed if an image intensifier is not available with fracture reduction under direct vision.

Supporting indications

  • Unacceptable reduction after conservative treatment
  • Secondary displacement after conservative treatment
  • Refracture

Advantages

  • Cast-free rehabilitation
  • Minimally invasive treatment
  • Good alignment of fracture fragments
  • Predictably good functional outcome

Disadvantages

  • Image intensifier recommended
  • Risk of nerve or tendon injury at entry point
  • Technically difficult for distal meta-diaphyseal fractures
  • Risk of infection
  • General anesthesia required
  • Second anesthetic required for implant removal

Legend

*Skill
Basic surgical experience, no specialized skills Basic surgical experience, no specialized skills
Some specialized surgical experience Some specialized surgical experience
Highly experienced and skilled surgeon Highly experienced and skilled surgeon
*Equipment
Basic equipment only Basic equipment only
Simple surgical and imaging resources Simple surgical and imaging resources
Full specialized surgical and imaging resources Full specialized surgical and imaging resources

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v1.0 2018-11-28