Ender nails: an alternative for intramedullary fixation of femoral shaft fractures in children and adolescents.

Abstract:

:Fixation of femur fractures in children and adolescents is becoming widely accepted because of the lower chance of iatrogenic infection and prohibitive cost of in-hospital traction and spica cast care. Interlocking nails, which have dramatically improved adult femur fracture care, have posed problems, such as injury to the greater trochanteric apophysis and osteonecrosis of the femoral head. We reviewed a series of five stable femoral shaft fractures treated with Ender nails in children from 9 to 17 years of age. No serious complications (eg, leg length inequality) occurred. Follow-up averaged more than 3 years. Complete healing, with return to preinjury activity levels, occurred within 11 weeks on average. Decreased hospitalization, low cost of implants, less potential damage to growth centers, and decreased blood loss and operative time suggest this procedure has merit. Attention to operative technique diminishes previously reported complications attributed to Ender nails.

journal_name

South Med J

journal_title

Southern medical journal

authors

McGraw JJ,Gregory SK

doi

10.1097/00007611-199707000-00008

subject

Has Abstract

pub_date

1997-07-01 00:00:00

pages

694-6

issue

7

eissn

0038-4348

issn

1541-8243

journal_volume

90

pub_type

杂志文章
  • Sedimentation level in intracerebral hematoma in patients receiving anticoagulation therapy.

    abstract::We have described two cases of spontaneous intracerebral hematoma, characterized by sedimentation level seen on unenhanced cerebral CT, in patients receiving anticoagulation therapy. Anticoagulation or coagulopathy may be important in producing sedimentation levels. The "sedimentation level" is a more accurate term th...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199310000-00020

    authors: Huang TY,Ahn SS

    更新日期:1993-10-01 00:00:00

  • Evaluation and management of shoulder pain in primary care clinics.

    abstract::Shoulder pain is a frequent clinical problem facing primary care physicians. Despite its common occurrence, many clinicians are unfamiliar with the diagnosis and treatment of many common shoulder ailments. Because therapy for most shoulder disorders can be made at the initial consultation, a good history and physical ...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/SMJ.0b013e3181f5e85f

    authors: House J,Mooradian A

    更新日期:2010-11-01 00:00:00

  • Impact of Holidays on Pediatric Trauma Admissions to a Community Hospital in South Florida.

    abstract:OBJECTIVES:The data from temperate regions indicate increases in pediatric traumatic injuries during the spring and summer months with anticipated admission spikes on warm weather holidays; hospitals in southern subtropical regions should not anticipate the same trends. The objectives of this study were to identify hol...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.14423/SMJ.0000000000000947

    authors: Eyerly-Webb S,Solomon R,Young L,Bard K,Laituri C,Rosenthal A,Long J

    更新日期:2019-03-01 00:00:00

  • Remodeling of the endocrine pancreas: the central role of amylin and insulin resistance.

    abstract:BACKGROUND:Remodeling of the endocrine pancreas, caused by the deleterious effects of amylin as it is co-synthesized, co-packaged, and co-secreted with insulin, gives clinicians and researchers cause to ponder. METHODS:A literature search was done, and relevant publications and texts on amylin and islet amyloid polype...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:

    authors: Hayden MR,Tyagi SC

    更新日期:2000-01-01 00:00:00

  • Catheter-related bacteremia due to Mycobacterium smegmatis.

    abstract::Rapidly growing mycobacteria have occasionally been reported to cause catheter-related infections. We report a case of a central venous catheter-related bacteremia, caused by Mycobacterium smegmatis, in a patient with cancer. Cultures of the catheter tip and blood cultures grew M smegmatis and Enterococcus faecalis. T...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/00007611-199801000-00007

    authors: Skiest DJ,Levi ME

    更新日期:1998-01-01 00:00:00

  • Barrett's esophagus: a multifaceted condition.

    abstract::Five patients with Barrett's esophagus, each with a differing presentation, serve as the basis of this report. Hiatal hernia is noted to be frequently present in Barrett's esophagus, and the incidence of adenocarcinoma is thought to be distinctly increased. The condition is easily diagnosed by fiberoptic endoscopy and...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Burke EL,Mullen JT

    更新日期:1976-03-01 00:00:00

  • Scleroderma: developments from Osler to the present.

    abstract::The clinical entity of progressive systemic sclerosis (PSS, or scleroderma) has remained unchanged since Osler's first description in 1892. Several related or overlap syndromes have now been recognized, which may afford some insight into etiologic events in the development of PSS. As yet, the cause of PSS remains elus...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/00007611-198006000-00027

    authors: Cunningham PH,Andrews BS,Davis JS 4th

    更新日期:1980-06-01 00:00:00

  • Progressive systemic sclerosis causing rapidly progressive myocardial disease and death.

    abstract::We have presented an unusually swift progression of progressive systemic sclerosis (PSS), with death from cardiogenic shock in a 22-year-old woman who had severe hypertension and acute renal insufficiency. She arrived at our hospital with pericardial tamponade and shock. Despite initial improvement after pericardiocen...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199207000-00026

    authors: Lawrence ME,Robinson JC,Terry EE

    更新日期:1992-07-01 00:00:00

  • Systemic lupus erythematosus: unusual presentation with gastric polyps and vasculitis.

    abstract::A case of SLE with the unique association of gastric polyps and vasculitis is reported. Gastrointestinal symptoms, surgical indications, and complications of SLE with gastrointestinal involvement are reviewed. The unusual patterns of ileus or lupus peritonitis secondary to mesenteric vasculitis must be differentiated ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Morton RE,Miller AI,Kaplan R

    更新日期:1976-04-01 00:00:00

  • Distribution of physicians in family practice and other medical specialties in Texas, 1969-1973: a statistical review.

    abstract::This article documents distributional patterns of allopathic family practice physicians (including general practitioners) in Texas as compared with allopathic physicians in all other medical specialties in the state during the period 1969-1973, for which there are reliable data. Statistical analysis of this informatio...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197709000-00007

    authors: Stefanu C,Zetzman MR

    更新日期:1977-09-01 00:00:00

  • Diagnostic value of clinical examination and various imaging techniques for breast implant rupture as determined in 81 patients having implant removal.

    abstract::To determine sensitivity and specificity of magnetic resonance imaging (MRI) and ultrasonography (US) in the detection of breast implant rupture, and also to determine the relative merits of clinical examination and mammography, we studied 81 patients (160 implants). All patients had implants removed, thus allowing co...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199604000-00009

    authors: Netscher DT,Weizer G,Malone RS,Walker LE,Thornby J,Patten BM

    更新日期:1996-04-01 00:00:00

  • Statin therapy in rheumatoid arthritis.

    abstract::Rheumatoid arthritis, a chronic inflammatory polyarthritis that destroys synovial joints, is associated with systemic as well as local inflammation and with an increased risk of cardiovascular disease and death not fully explained by traditional cardiac risk factors. Statins (HMG-coA reductase inhibitors), medications...

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/01.smj.0000161755.22998.f7

    authors: Costenbader KH,Coblyn JS

    更新日期:2005-05-01 00:00:00

  • Evaluation of extramural programs.

    abstract::Extramural programs may be evaluated in terms of effectiveness in achieving their particular goals. The components of structure, process, and outcome are examined as related sets of program elements. Goals influence appropriate structure in organization, facilities, and manpower. Structure in turn influences process o...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-197906000-00027

    authors: Chappell JA,Hain JD

    更新日期:1979-06-01 00:00:00

  • Intracranial complications of ear disease in a pediatric population with special emphasis on subdural effusion and empyema.

    abstract::Between the years 1963 to 1982, 84 consecutive cases of intracranial complications of ear disease in pediatric patients were diagnosed and treated at the North Carolina Baptist Hospital. This group consisted of 65 patients with otitic meningitis, four with otitic brain abscess, four with otitic hydrocephalus, three wi...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198504000-00018

    authors: Gower DJ,McGuirt WF,Kelly DL Jr

    更新日期:1985-04-01 00:00:00

  • Sexual relationships of patients with kleptomania.

    abstract::Kleptomania, a disorder of impulse control in which the patients feel a compelling urge to steal objects of no value to them, has long been considered a disorder related in some fashion to sexual impulses. Recent advances in the clinical understanding of human sexual functioning have not been accompanied by an effort ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198708000-00015

    authors: Turnbull JM

    更新日期:1987-08-01 00:00:00

  • D-penicillamine-induced bronchial spasm.

    abstract::Although d-penicillamine has a wide range of benefits in many clinical conditions, various side effects have also been reported and preclude its further use in certain patients. In this case, d-penicillamine-induced reversible airway obstruction developed, despite the "go slow--go low" regimen as suggested to reduce t...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198006000-00032

    authors: Tanphaichitr K

    更新日期:1980-06-01 00:00:00

  • Hand infections in the elderly.

    abstract::Diagnosis and management of hand infections in the elderly can be challenging. The general principles of rest, elevation, compresses, and drainage when appropriate apply. Antibiotics are important to therapy. Review of data from elderly patients and comparison with a younger population having identical infections show...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198502000-00009

    authors: Stromberg BV

    更新日期:1985-02-01 00:00:00

  • Painful edema of the arm after insertion of single-needle subclavian vein dialysis catheters: pathogenesis and treatment.

    abstract::The percutaneous subclavian vein hemodialysis catheter, which is widely used for vascular access in patients with renal failure, can give rise to several complications. Asymptomatic stenosis or occlusion of the subclavian vein due to these catheters can lead to painful arm edema if further dialysis accesses are constr...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198803000-00004

    authors: Coates GR,Clements JB,Yium J,Watlington J

    更新日期:1988-03-01 00:00:00

  • Cluster headache: Horton's cephalalgia revisited.

    abstract:BACKGROUND:Cluster headache (CH), though not fully characterized until this century, is a relatively common primary headache disorder. METHODS:We reviewed pertinent literature on CH and related cephalalgias. RESULTS:We found that CH typically occurs in middle-aged men and has a characteristic cyclic temporal pattern....

    journal_title:Southern medical journal

    pub_type: 杂志文章,评审

    doi:10.1097/00007611-199807000-00002

    authors: Mendizabal JE,Umaña E,Zweifler RM

    更新日期:1998-07-01 00:00:00

  • Atypical chest pain: a computer-assisted study.

    abstract::We have recently developed a Data Bank for Digestive Disorders, with primary data derived from the performance of upper gastrointestinal endoscopy. By using this system to analyze the clinical characteristics of patients with atypical chest pain, we found information from the patient's history (reflux, dysphagia, abdo...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198301000-00007

    authors: Pancotto FS,Garbutt JT Jr

    更新日期:1983-01-01 00:00:00

  • Dissemination of community-associated methicillin-resistant Staphylococcus aureus in a tertiary care hospital.

    abstract:BACKGROUND:The epidemiology of methicillin-resistant Staphylococcus aureus (MRSA) was investigated at a tertiary care hospital, and relationship was made between the clinical and genetic definitions of community- and healthcare-associated MRSA. METHODS:Nonduplicate isolates of S. aureus were collected during 2004. Iso...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/SMJ.0b013e31815d3fce

    authors: Patel M,Hoesley CJ,Moser SA,Stamm AM,Baddley JW,Waites KB

    更新日期:2008-01-01 00:00:00

  • Simple method to predict digoxin serum concentration.

    abstract::The predictability of a method of determining serum digoxin concentration was assessed in a retrospective study of 35 hospitalized patients taking digoxin orally for maintenance therapy. Simple pharmacokinetic expressions were used to estimate digoxin concentration. Clinically, the mean measured digoxin concentration ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198403000-00016

    authors: Shearer SW,Sawyer WT,Petteway SB Jr

    更新日期:1984-03-01 00:00:00

  • Population-Based Analysis of Patient Age and Other Disparities in the Treatment of Ovarian Cancer in Central Appalachia and Kentucky.

    abstract:OBJECTIVES:Adherence to National Comprehensive Cancer Network (NCCN) guidelines for ovarian cancer treatment improves patient outcomes. The aim of this study was to assess disparities associated with ovarian cancer treatment in the state of Kentucky and central Appalachia. METHODS:Data on patients diagnosed as having ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.14423/SMJ.0000000000000821

    authors: Ore RM,Chen Q,DeSimone CP,Miller RW,Baldwin LA,van Nagell JR Jr,Huang B,Tucker TC,Johnson MS,Fredericks TI,Ueland FR

    更新日期:2018-06-01 00:00:00

  • Alcohol and cocaine use among first-year college students.

    abstract::We surveyed 1528 first-year students at the University of Virginia, 1 month after their arrival on campus, who had used alcohol at some time in their lives. Our survey was designed to identify alcohol and cocaine use, and related psychosocial patterns. Men drank more and more often than women. Our data suggest that bo...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-199101000-00005

    authors: Canterbury RJ,Gressard CF,Vieweg WV,Grossman SJ,Westerman PS,McKelway RB

    更新日期:1991-01-01 00:00:00

  • Primary splenic lymphoma complicated by hematemesis and gastric erosion.

    abstract::Gastrosplenic fistula resulting from erosion of a primary splenic lymphoma is a rare cause of massive upper gastrointestinal hemorrhage associated with benign peptic ulcer disease, gastric Crohn's disease, gastric adenocarcinoma, and primary gastric and splenic lymphomas. Upper intestinal hemorrhage can be successfull...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: Bird MA,Amjadi D,Behrns KE

    更新日期:2002-08-01 00:00:00

  • Poison control centers: can their value be measured?

    abstract::Most regions of the United States are served by poison control centers that provide 24-hour toxicologic guidance resulting in the home management of most poison exposures. It has been suggested that without public access to a poison control hotline the majority of poison-exposed patients would seek medical care in eme...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:

    authors: King WD,Palmisano PA

    更新日期:1991-06-01 00:00:00

  • Inflammatory carcinoma of the breast: therapeutic perspective.

    abstract::The management of inflammatory carcinoma of the breast remains a therapeutic dilemma because of two basic conceptual problems: local control and systemic micrometastatic disease. Appropriate management requires a multidisciplinary approach involving radiation therapy, surgery, and medical oncology. ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198102000-00020

    authors: Doss LL,Kardinal CG,Memula N

    更新日期:1981-02-01 00:00:00

  • Use of sedatives and hypnotics prescribed in a family practice.

    abstract::The subsequent misuse and abuse of sedatives and hypnotics prescribed to 190 patients of the family practice program at the Medical University of South Carolina was investigated by medical record abstract and patient interviews. Results indicated little misuse and no abuse, with most respondents indicating they took f...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198406000-00003

    authors: Bush PJ,Spector KK,Rabin DL

    更新日期:1984-06-01 00:00:00

  • Chronic myelocytic leukemia with near-total pulmonary microvascular obstruction by platelets.

    abstract::We have described a patient with long-standing chronic granulocytic leukemia. Although most patients with this disorder eventually have a picture of acute leukemia (blast crisis), this patient had massive thrombocytosis (platelet count greater than 5.000 x 10(9)/L) without major symptoms, but he died after transfusion...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198804000-00029

    authors: Blachly RJ,Herring GF,Mansouri A

    更新日期:1988-04-01 00:00:00

  • Prolonged intermittent diarrhea after Shiga dysentery: postdysenteric syndrome.

    abstract::A 42-year-old woman had dysentery caused by the Shiga bacillus, Shigella dysenteriae type 1, while taking diphenoxylate with atropine during and after her return from a trip to Mexico. Although she was treated with appropriate antibiotics, she suffered a prolonged and toxic acute course followed by intermittent bouts ...

    journal_title:Southern medical journal

    pub_type: 杂志文章

    doi:10.1097/00007611-198003000-00034

    authors: Rice PA,Baine WB

    更新日期:1980-03-01 00:00:00