A 3-mm protrusion threshold after pediatric forearm ESIN: a rule-out safety margin, not a decision rule

Letter to the Editor: Long-term implant retention after impacted elastic stable intramedullary nailing in pediatric diaphyseal forearm fractures

Authors

  • Rui Zhang Department of Orthopedic Trauma, Qujing Central Hospital of Yunnan Province/Affiliated Qujing Hospital of Kunming Medical University, Yunnan Engineering Research Center for Precision Medical Testing, Qujing, Yunnan Province, China https://orcid.org/0009-0000-3809-6413
  • Sheng Lu Department of Orthopedics, the First People’s Hospital of Yunnan Province, the Affiliated Hospital of Kunming University of Science and Technology, Kunming, Yunnan Province; The Key Laboratory of Digital Orthopedics of Yunnan Province, Kunming, Yunnan Province; Intelligent Orthopedic Medical Technology Research Center, Kunming University of Science and Technology, Kunming, Yunnan Province, China

DOI:

https://doi.org/10.2340/17453674.2026.46139

Keywords:

Fractures, Implants, Paediatric orthopaedics

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References

Brattgjerd J E, Aasheim C, Rosenberg A, Fotland C, Halvorsen V. Long-term implant retention after impacted elastic stable intramedullary nailing in pediatric diaphyseal forearm fractures: a retrospective cohort study. Acta Orthop 2026; 97: 225-31. doi: 10.2340/17453674.2026.45693. DOI: https://doi.org/10.2340/17453674.2026.45693

Reddy E, Sriwastwa A, Patel S, Gupta R, Parikh S N. Elastic stable intramedullary nailing for pediatric forearm fractures: a review article. J Clin Orthop Trauma 2025; 71: 103249. doi: 10.1016/j.jcot.2025.103249. DOI: https://doi.org/10.1016/j.jcot.2025.103249

Lieber J, Dietzel M, Scherer S, Schäfer J F, Kirschner H-J, Fuchs J. Implant removal associated complications after ESIN osteosynthesis in pediatric fractures. Eur J Trauma Emerg Surg 2022; 48: 3471-8. doi: 10.1007/s00068-021-01763-4. DOI: https://doi.org/10.1007/s00068-021-01763-4

Perkins N J, Schisterman E F. The inconsistency of “optimal” cutpoints obtained using two criteria based on the receiver operating characteristic curve. Am J Epidemiol 2006; 163: 670-5. doi: 10.1093/aje/kwj063. DOI: https://doi.org/10.1093/aje/kwj063

Liu J, Su Y. Factors which can influence elastic stable intramedullary nailing removal in healed bone cysts in children. Sci Rep 2024; 14: 11129. doi: 10.1038/s41598-024-61828-3. DOI: https://doi.org/10.1038/s41598-024-61828-3

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Published

2026-06-12

How to Cite

Zhang, R., & Lu, S. (2026). A 3-mm protrusion threshold after pediatric forearm ESIN: a rule-out safety margin, not a decision rule: Letter to the Editor: Long-term implant retention after impacted elastic stable intramedullary nailing in pediatric diaphyseal forearm fractures. Acta Orthopaedica, 97, 395–396. https://doi.org/10.2340/17453674.2026.46139

Issue

Vol. 97 (2026): Acta Orthopaedica

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Publications

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Copyright (c) 2026 Rui Zhang, Sheng Lu

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Acta Orthopaedica (Scandinavica) content is available freely online as from volume 1, 1930. The journal owner owns the copyright for all material published until volume 80, 2009. As of June 2009, the journal has however been published fully Open Access, meaning the authors retain copyright to their work. As of June 2009, articles have been published under CC-BY-NC or CC-BY licenses, unless otherwise specified.
 
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