ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2022
Implant removal associated complications after ESIN osteosynthesis in pediatric fractures.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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14 citing papers in PubMed, 18 citations in OpenAlex.
- Should we remove flexible intramedullary nails after diaphyseal forearm pediatric fracture? A cohort study of 288 patients.Acta orthopaedica · 2026Article
- A 3-mm protrusion threshold after pediatric forearm ESIN: a rule-out safety margin, not a decision rule.Acta orthopaedica · 2026Article
- Radial entry for ESIN fixation of pediatric radial fractures: a 10-year cohort study with focus on neurological complications.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Implant Removal Complications in Pediatric Orthopedics.Revista brasileira de ortopedia · 2025Article
- [Implant Removal Complications in Pediatric Orthopedics].Revista brasileira de ortopedia · 2025Article
- A Rare Case of Titanium Elastic Nail Removal 7 Years after Pediatric Femoral Shaft Fracture Using a Screw Retriever Technique.Journal of orthopaedic case reports · 2025Article
- Complication profile and risk patterns following elective implant removal in pediatric fractures: a 10-year retrospective analysis.Journal of orthopaedic surgery and research · 2025Article
- Considerations and Challenges of Resorbable Intramedullary Nailing in Pediatric Forearm Fractures.Children (Basel, Switzerland) · 2025Article
- Article
- The risk of refracture and malunion in children treated for diaphyseal forearm fractures: a retrospective cohort study.Acta orthopaedica · 2025Article
- Elastic stable intramedullary nailing in paediatric diaphyseal forearm fractures - a retrospective analysis of 201 cases.BMC musculoskeletal disorders · 2024Article
- Factors which can influence elastic stable intramedullary nailing removal in healed bone cysts in children.Scientific reports · 2024Article
- Clinical Outcomes of Minimally Invasive Fixation with Pre-Bent Elastic Stable Intramedullary Nails for the Treatment of Distal Radius Metaphyseal Diaphysis Junction Fractures in Children.Orthopaedic surgery · 2023Article
- Pilot Study and Preliminary Results of Biodegradable Intramedullary Nailing of Forearm Fractures in Children.Children (Basel, Switzerland) · 2022Article
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6 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
purposeESIN (elastic stable intramedullary nailing) is considered the gold standard for various pediatric fractures. The aim of this study was to analyze the incidence and type of complications during or after TEN (titanium elastic nail) removal.
methodsA retrospective data analysis was performed. Metal removal associated complications and preoperative extraosseous length/outlet angle of TENs as possible causes of complications were assessed.
resultsThe complication rate in 384 TEN removals was 3.1% (n = 12). One major complication (rupture of M. extensor pollicis brevis) was documented. One refracture at the forearm occurred, however, remodeling prior TEN removal was completed. Ten minor complications were temporary or without irreversible restrictions (3 infections, 5 scaring/granuloma, 2 temporary paraesthesia). In 38 cases (16 forearms, 10 femora, 9 humeri, 3 lower legs), intra-operative fluoroscopy had to be used to locate the implants. In patients with forearm fractures, extraosseous implant length was relatively shorter than in cases without fluoroscopy (p = 0.01), but outlet angle of TENs was not significantly different in these two groups (28.5° vs 25.6°). In patients with femur fractures, extraosseous implant length and outlet angle were tendentially shorter, respectively, lower, but this did not reach statistical significance.
conclusionRemoval of TENs after ESIN is a safe procedure with a low complication rate. Technically inaccurate TEN implantation makes removal more difficult and complicated. To prevent an untimely removal and patient discomfort, nail ends must be exactly positioned and cut. Intraoperative complications may be minimized with removal of TENs before signs of overgrowth. EVIDENCE: Level III, retrospective.
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