Tuesday, 25 July 2017

image Q. 67 - Finding fixation

Q.   Identify the implant used in below image for treatment of given fracture ?

a. Bent K- wire
b. Enders' nail
c. Rush pin
d. Flexible nail
e. Guide wire




















































































































Answer -
d

The below image shows fixation of forearm fracture in pediatric case. They are best managesd by intramedullary nails in children.

An implant with bent tip in the shape of 'hockey stick' is TENS ( titanium elastic nailing system - see in image below the answer). These are also called flexible nails or ESIN ( elastic stable intramedullary nails).

Rush nails are also bend at one end and bevelled at other ,but it is not the end to be inserted, it is the end that remains outside bone.

Enders' nail are straight and bevelled like rush with a hole at other non-inserting  end.

K wire is pointed at both ends and usually is serted as it is so never is bent for that purpose.


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