Intramedullary Fixation in Adolescent Humerus Fractures: An Overview | Chapter 10 | Advanced Concepts in Medicine and Medical Research Vol. 4

 This episode delves into the intricate management of humeral rod fractures in adolescents, a distinct and frequently challenging subdivision of pediatric fractures. While non-operative approaches have historically yielded superior results in children, adolescents present singular complexities due to their speedy growth. These challenges grant permission result in complications to a degree malalignment, angulation, and malrotation, necessitating operative mediations. The traditional approach of open reduction and within fixation with plates and screws, while productive, is not without allure limitations. Soft tissue thorough analysis, scarring, and complications pose concerns, making it authoritative to explore alternative techniques. This branch centers on one specific alternative—closed intramedullary K-wire obsession. The method employs without a stain steel K-wires introduced into the humeral rod through minimally invasive techniques, checking many drawbacks guide traditional open procedures. Through a inclusive examination of the closed intramedullary K-coil technique, this chapter outlines allure advantages and dispassionate outcomes. Notably, this technique minimizes ancestry loss, preserves the purity of soft tissues, and maintains the rupture hematoma, thereby promoting early bridging callus composition. The results of a study conducted at Jawaharlal Nehru Medical College & Hospital, AMU, Aligarh, between 2012 and 2014, are bestowed, demonstrating a 97.5% union rate and slightest complications. In conclusion, closed intramedullary K-cable fixation arises as a promising alternative for managing adolescent humeral rod fractures. The technique offers a safe, economical, and efficient approach, ensuring support while preserving easy tissue integrity. It allows early bridging callus composition, early initiation of physiotherapy, and optimal working outcomes, making it a valuable addition to the orthopedic physician's toolkit for addressing this questioning fracture type.

Author(s) Details:

Abdul Qayyum Khan,
Department of Orthopaedic Surgery, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, India.

Mohammad Baqar Abbas,
Department of Orthopaedic Surgery, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, India.

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