The Use Of Elastic Stable Intramedullary Nailing For Treatment Of Partial Tumor Like Lesions Of Long Bones Complicating By Pathological Fracture In Children

Objective To explore the effectiveness and advantages of applying elastic stable intramedullary nails(ESINs) internal fixation combined with traditional curettage and graft for the treatment of partial tumor like lesions of long bones complicating by pathological fracture in children.Methods ESIN internal fixation combined with traditional curettage and graft was used to treat partial tumor like lesions of long bones complicating by pathological fracture in 16 children patients between January 2010 and December 2013,.The healing process was assessed by radiography and clinical follow up.Radiographic assessment was performed on the scheduled follow-ups to examine bone fracture reduction and lesion healing. The clinical outcomes were evaluated using the comprehensive evaluation criteria of the shoulder, elbow, hip, knee, ankle, and patients' s atisfaction report at the final follow up.Results All patients had a mean follow up period of 25.6 months after surgery. Fractures healed completely at 4 to 6 months after operation(mean, 5 months). All lesions were responsive to treatment. The lesions could be seen gradually reduced until disappeared and no recurrence or re-fracture was observed during follow-up. The ESIN was removed at a mean period of 12.5 months after operation. At the last follow-up, 14 cases were found completely disappeared, most of the lesions disappeared in 2 cases, all the children suffering from limb pain were disappeared, and the adjacent joint activities were normal.Conclusion ESINs combined with curettage and graft can be as an effective method to treat children with long bone partial tumor like lesions complicating by pathological fracture.