{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,25]],"date-time":"2026-10-25T03:17:19Z","timestamp":1792898239413,"version":"4.5.0"},"reference-count":19,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2023,8,18]],"date-time":"2023-08-18T00:00:00Z","timestamp":1692316800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Children's Orthopaedics"],"published-print":{"date-parts":[[2023,10]]},"abstract":"\n Purpose:<\/jats:title>\n The elastic stable intramedullary nail has been recognized as an accepted technique for treating pediatric long bone fractures. The principle of the technique is \u201c3-point support and fixation,\u201d and it should be followed to achieve the optimum outcome without implant failure and complications. However, tools have yet to be reported for pre-bending of the elastic stable intramedullary nail. This study aims to present a novel tool for pre-bending the elastic stable intramedullary nails and the results of using this tool by surgeons.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n A designed case of femoral shaft fracture was provided to the participants. All participants were divided into three groups according to their experience with the elastic stable intramedullary nail technique: resident, fellow, and attending groups. The time of completing the pre-bending and coronal plane deviation of the nails after pre-bending was recorded. Statistical analysis compared the data in a conventional way and with the new tools in each group.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n A total of 30 physicians were recruited in this study. The pre-bending duration with the new tool was significantly shorter than that of the conventional method for all physicians ( p\u2009<\u20090.001). The coronal plane deviation of nails after pre-bending by the new tool was significantly smaller than that of the conventional method for all physicians ( p\u2009<\u20090.001).<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n This novel tool for elastic stable intramedullary nail pre-bending was convenient and easy to use in achieving the principal role of the elastic stable intramedullary nail technique. Physicians could reduce the coronal plane deviation when pre-bending elastic stable intramedullary nails, especially for physicians with less experience with the elastic stable intramedullary nail technique.<\/jats:p>\n <\/jats:sec>\n \n Level of evidence:<\/jats:title>\n IV.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/18632521231193713","type":"journal-article","created":{"date-parts":[[2023,8,19]],"date-time":"2023-08-19T02:25:05Z","timestamp":1692411905000},"page":"453-458","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["A novel pre-bending tool for elastic stable intramedullary nailing: An efficient and accurate study"],"prefix":"10.1177","volume":"17","author":[{"given":"Wen","family":"Shu","sequence":"first","affiliation":[{"name":"Department of Trauma Orthopaedics, Liuzhou People\u2019s Hospital, Liuzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"LongJun","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Yangxin People\u2019s Hospital, Huangshi, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theddy","family":"Slongo","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery, University Children\u2019s Hospital, Bern, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saroj","family":"Rai","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Al Ahalia Hospital, Abu Dhabi, United Arab Emirates"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haobo","family":"Zhong","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Huizhou First Hospital, Huizhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xin","family":"Tang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,8,18]]},"reference":[{"key":"bibr1-18632521231193713","doi-asserted-by":"publisher","DOI":"10.1007\/s00064-020-00696-2"},{"key":"bibr2-18632521231193713","doi-asserted-by":"publisher","DOI":"10.1302\/1863-2548.14.190154"},{"key":"bibr3-18632521231193713","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.86B7.15273"},{"key":"bibr4-18632521231193713","doi-asserted-by":"publisher","DOI":"10.1055\/s-0033-1360460"},{"key":"bibr5-18632521231193713","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200409000-00009"},{"key":"bibr6-18632521231193713","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2004.12.009"},{"key":"bibr7-18632521231193713","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2004.12.017"},{"key":"bibr8-18632521231193713","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.86B7.15620"},{"issue":"2","key":"bibr9-18632521231193713","first-page":"91","volume":"87","author":"Vasilescu DE","year":"2014","journal-title":"Clujul Med"},{"key":"bibr10-18632521231193713","doi-asserted-by":"publisher","DOI":"10.1097\/01.bpo.0000235397.64783.d6"},{"key":"bibr11-18632521231193713","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000163463.05141.1c"},{"key":"bibr12-18632521231193713","unstructured":"Fischer LP, Fessy MH, Bejui J, et al. 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