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  • Title: [Elastic stable intramedullary nailing (ESIN) in pediatric forearm shaft fractures: intraoperative image intensifier times].
    Author: Kraus R, Pavlidis T, Szalay G, Meyer C, Schnettler R.
    Journal: Z Orthop Unfall; 2007; 145(2):195-8. PubMed ID: 17492560.
    Abstract:
    AIM: Elastic stable intramedullary nailing (ESIN)is the therapy of choice in pediatric forearm shaft fractures. It requires increased intraoperative image intensifier times and radiation load. METHOD: We performed a retrospective analysis of 78 operative procedures from a five-year period. In 16 cases the image intensifier times of the distinct steps of the operation were investigated prospectively. RESULTS: Average duration of the surgical procedure was 36.9 (18-144) minutes. Average radiation time was 59.5 (8-222) seconds. In educational operations, the duration of surgery was significantly longer than in procedures performed by experienced surgeons, but radiation times only were increased tendentially. In those procedures investigated prospectively, 53.1% of the image intensifier time was used for fracture passage. CONCLUSION: In ESIN of forearm shaft fractures,intraoperative image intensifier times of less than 2 minutes can be expected. Low intraoperative radiation times are a mark of quality. They serve for radiation protection of the patients, surgeons and OT staff.
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