Email this article Clinical case for the use of intramedullary osteosynthesis in the treatment of pathological fractures of the femur in 6-day newborn girls with a high partial intestinal obstruction
- Authors: Skryabin E.G.1, Sorokin M.A.2, Akselrov M.A.1,2, Emelyanova V.A.2, Naumov S.V.2, Bukseev A.N.2, Chuprov A.Y.2
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Affiliations:
- Tyumen State Medical University
- Regional clinical hospital No 2
- Issue: Vol 5, No 2 (2017)
- Pages: 52-58
- Section: Articles
- URL: https://journal-vniispk.ru/turner/article/view/6756
- DOI: https://doi.org/10.17816/PTORS5252-58
- ID: 6756
Cite item
Abstract
Abstract. Skeletal bone fractures in newborns present a problem of modern traumatology.
Aim. The goal is to present the use of the method of intramedullary osteosynthesis in the treatment of a pathological fracture of the right femur in a newborn girl to a wide audience of pediatric orthopedic traumatologists.
Material and methods. We have experience in the treatment of a 6-day-old girl, who was born with intrauterine growth retardation and bowel disease. On the second day of stay in the intensive care unit, she had a pathological fracture of the right femur. Diagnosis of the pathological fracture was established based upon the results of clinical examination and radiography of the injured limb segment.
Results. Immediately after the diagnosis, the right lower limb of the child was fixed with a plaster bandage. On the control radiographs, the standing of the bone fragments were unsatisfactory, and a decision was made to use the intramedullary osteosynthesis method with a knitting needle on the 6th day after birth of the child. The need for surgical treatment of a fracture of the femur was due to a congenital abnormality of the intestine in the child, and a need to perform surgery on the abdominal organs.
Discussion. Spontaneous fracture of the right femur occurred in the child in treatment in the intensive care unit. The cause of the fracture was osteopenic syndrome, which developed as a result of vitamin D deficiency. During the first 12 days of her life, the newborn had two laparoscopic operations to address the intestinal pathology.
Four weeks after the operation using osteosynthesis, the metal from the bone marrow channel of the right femur was removed. After the removal of the needle, the correct axis of the operated segment was fixed to the same length of the lower extremities. The patient had absence of pathological mobility in the fracture region, and full amplitude of movements in the knee and hip joints.
Conclusion. When receiving fractures of the femur, both traditionally used conservative methods of treatment, as well as surgical methods can be used on newborn children. This is especially true, when a newborn has an accompanying congenital pathology of the internal organs requiring immediate treatment.
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##article.viewOnOriginalSite##About the authors
Evgeny G. Skryabin
Tyumen State Medical University
Author for correspondence.
Email: skryabineg@mail.ru
MD, PhD, professor of the Department of Traumatology and Orthopedics with the course of children’s traumatology
Russian Federation, TyumenMaxim A. Sorokin
Regional clinical hospital No 2
Email: skryabineg@mail.ru
MD, resident physician of the traumatologic and orthopedic department of the children’s department
Russian Federation, TyumenMikhail A. Akselrov
Tyumen State Medical University; Regional clinical hospital No 2
Email: skryabineg@mail.ru
MD, PhD, Head of the Department of Pediatric Surgery, Head of the surgical department of the children’s department
Russian Federation, TyumenViktoria A. Emelyanova
Regional clinical hospital No 2
Email: skryabineg@mail.ru
MD, neonatologist of intensive care unit of newborns
Russian Federation, TyumenSergey V. Naumov
Regional clinical hospital No 2
Email: skryabineg@mail.ru
MD, the head of the traumatologic and orthopedic department of the children’s department
Russian Federation, TyumenAlexander N. Bukseev
Regional clinical hospital No 2
Email: skryabineg@mail.ru
MD, resident physician of the traumatologic and orthopedic department of the children’s department
Russian Federation, TyumenAlexander Y. Chuprov
Regional clinical hospital No 2
Email: skryabineg@mail.ru
MD, resident physician of the traumatologic and orthopedic department of the children’s department
Russian Federation, TyumenReferences
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