Flexible Intramedullary Nailing in Children. the Nancy University Manual

About this book

• Provides a step-by-step description of the surgical technique of FIN
• Covers indications and contraindications of long bones fractures treatments in children
• Contains a guide on complication management
• Includes illustrated cases
• Is a lavishly-illustrated surgical manual

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.

Written for: Pediatric orthopedic surgeons, orthopedic surgeons

Keywords:

Femur
Forearm
Humerus
Implant
Radius
Tibia

Table of contents

General considerations.- Experimental studies.- Biomechanics of FIN.- Stainless steel or Titanium ?- Surgical Technique: Basic Principles.- FIN without image intensification.- Hardware removal.- Pediatric anesthesia and postoperative pain management.- FIN and imaging.- Rehabilitation after FIN.- Professional caregivers’ perspective.- Technique.- Humeral shaft fracture.- Supracondylar humeral fracture.- Radial neck fracture.- Both-bone forearm fracture.- Metacarpal and Phalangeal fractures.- Femoral fracture.- Tibial fracture.- Ipsilateral long bone fractures and Polytrauma.- Other indications.- FIN in Ilizarov bone lengthening.- Use of FIN for correction of deformities in children with familial hypophosphatemic rickets.- FIN and osteotomies.- Conclusion.