Antegrade Nailing For Midshaft Femur Fractures

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Management of Femoral Shaft Fractures

chanteric fractures are described as 31-M/3.1-III, shaft fractures as 32-D/4 or 5. 70% of these juvenile fractures occur in the midshaft region, 22% are located proxima-lly and 8% in the distal diaphysis (9). For completion of sufficient description and classifi-cation of open femur fractures the soft tissue classificati-

7118-0897 trigen humeral nail ST - Smith & Nephew

most often used for antegrade humeral nailing is the lateral deltoid splitting incision. For complete fractures or nonunions, a traditional deltopectoral approach may be used. A 2-3cm incision is made from the edge of the acromion to the edge of the head of humerus, anterolateral to the tip of the acromion. The deltoid is divided down to the

Safety and efficacy of a novel cephalomedullary nail in

gation. We also included acute femur shaft fractures with ipsilateral proximal femur pathology (femoral head, neck, and intertrochanteric region), if they were treated with a single implant. Exclusion criteria in-cluded other nailing systems, retrograde nail fixation, femoral shaft fractures with an ipsilateral proximal

University of Groningen Femoral nailing in adults El Moumni

fractures were treated by antegrade unreamed femoral nailing (UFN) at the University Medical Centre Groningen, The Netherlands. All patients were skeletally mature. Patients with a pathologic fracture of the femur and patients who underwent secondary operations with an UFN were excluded.

List of contributors p. xi

Fractures off the clavicle p. 3 Open reduction and internal fixation of midshaft fractures p. 3 Section I: Fractures of the proximal humerus p. 8 General considerations p. 8 Tension band wiring for displaced greater tuberosity fractures p. 10 Open reduction and internal fixation of 3- and 4-part fractures (using a Philos plate) p. 14

Hip dislocation - Vula

Hip fractures are rare in children. They usually occur from high-energy trauma, particularly MVAanda high index of suspicion is needed to diagnose them. X-ray (AP and lateral views) are essential to make the diagnosis, and a CT scan may be indicated for occult fractures. Below is a table summarising how hip fractures are classified. Classification

ISPUB.COM Volume 23 Number 1

3) Elastic Intramedullary Nailing Antegrade locked intramedullary nailing techniques have shown a risk of proximal femoral deformities and avascular necrosis of the femoral head.2,10,11 Complications arising out of fracture shaft femur in the paediatric age group and adolescents like limb length

Expert Nailing System Titanium Cannulated Adolescent Lateral

lateral x-ray of the femur and measure the diameter of the medullary canal at the narrowest part that will contain the nail. To estimate nail length, place the template on the AP x-ray of the uninjured femur and select the appropriate nail length based on patient anatomy. When selecting nail size, consider

Early Rehabilitation Following Surgical Fixation of a Femoral

the outcome of a patient following fixation of a midshaft femur left femur by use of an antegrade intramedullary nail. Following complication of femoral intramedullary nailing.2,4,5,12,13

Proceedings of the Institution of Mechanical Engineers, Part

femur quality and geometry have motivated recent experimental use of synthetic femurs that oblique fractures at midshaft; fractures with some grade than antegrade nailing, is the result of

Prophylactic Internal Fixation Secondary Neoplastic Deposits

24 F. 51 Breast Shaft L.femur Pain 50-75% Severe K.nail Slight Yes 11 weeks 25 M. 67 Bronchus L. gt. trochanter Painonwalking 50-75% Severe Nailplate Nil Yes 18months 26 F. 52 Gallbladder L. gt. trochanter Painonwalking 50-75% Severe Nailplate Slight Yes 10weeks 27 F. 65 Breast ShaftofR. femur PainonwaLking 50-75% Moderate K.nail

Avascular Necrosis of the Femoral Head Following

a midshaft left femur fracture in the late 1990s. Figure 1, an anteropos-terior (AP) x-ray of the pelvis taken the day of injury, does not show a femoral neck fracture, any associ-ated intra-articular hip injury, or any evidence of preexisting AVN. The next day, at an outside institution, the patient was treated with placement

Lengthening of the Femur Over an Existing Intramedullary Nail

proximal aspect of the IMN for antegrade and retrograde nails, respectively. The frame is prepped into the surgical field and the pin sites are covered with Betadine-soaked sponges. FIGURE 1. (A) A 25-year-old man with 3-cm shortening after intramedullary (IM) nailing of a femur fracture. (C) Anteroposterior

Medial femoral condyle fracture as a complication of

Closed IM nailing has been considered to be the preferred treatment for diaphyseal femoral fractures [1, 11]. The aim of this case report was to discuss the yet undescribed com-plication of a per-operative medial condyle fracture. Com-mon complications reported are non-union in up to 9.6% in severely comminuted fractures [3]. Mal-union, most fre-


retrograde vs. antegrade femoral nailing malreductions antegrade 30% 3% 18% retrograde 47% 3% 6% retrograde vs. antegrade femoral nailing retrograde nailing jan 1, 1991 ‐ march 31, 1998 conclusions antegrade nailing of proximal femur fractures is superior retrograde vs. antegrade femoral nailing retrograde nailing jan 1, 1991 ‐ march 31, 1998

Patterns, Management, and Outcome of Traumatic Femur Fracture

Results: A total of 605 hospitalized cases with femur fractures were reviewed. The mean age was 30.7 16.2 years. The majority of fractures were unilateral (96.7%) and 91% were closed fractures. Three-fourths of fractures were treated by reamed intramedullary nailing (rIMN), antegrade in 80%.

Functional outcome and persistent disability after isolated

antegrade locked intramedullary nail is generally considered to be success-ful when union occurs predictably and malalignment is avoided. In fact, union rates exceeding 95% and mal-alignment rates below 5% are ex-pected after intramedullary nailing of midshaft fractures.1 8 Nonetheless, patients report disability long after

Case Report: An Occult Ipsilateral Femoral Neck Fracture

shaft fractures are associated with ipsilateral femoral shaft fractures. This case report necessitates the increase of awareness for the presence of associated femoral shaft and neck fractures in patients undergoing antegrade femoral nailing. Also, we recommend appropriate preoperative, intraoperative, and postoperative imaging. A B S T R A C T

Diaphyseal Humerus Fractures - OTA

Shoulder dysfunction higher in antegrade nailing Reoperation higher with IMN Plate fixation generally considered gold standard. Union rate 90 -95% Heineman, et. al., Acta Orthop, 2010 Metanalysis findings: ORIF has overall lower complication rate than IMN.

Retrograde Locked Intramedullary Nailing For The

stabilisation of both the femur and tibia fractures via one incision. Nailing of the femur via the antegrade approach can be technically demanding especially in an obese patient. In additional to that, antegrade nailing can also cause Trendelenburg gait from abductor injury by the awl, heterotopic ossification and an increased incidence of hip

CASE REPORT Open Access A cascade of preventable

Background: Occult femoral neck fractures associated with femoral shaft fractures are frequently missed and may lead to adverse outcomes. Case presentation: A 46-year old female presented to our institution with increasing groin pain one month after antegrade intramedullary nailing of a femoral shaft fracture at an outside hospital.

Titanium Cannulated Adolescent Lateral Entry Femoral Nail

Titanium Cannulated Adolescent Lateral Entry Femoral Nail. Expert Nailing System. Technique Guide EXPERT Nailing System XXXXX-J8377B:16984-J8377A 12/28/09 2:02 PM Page C1

Gait Analysis Following Intramedullary Nailing of Midshaft

Introduction: Surgical approach for intramedullary nailing of midshaft femur fractures is often surgeon dependent. Early comparative studies noted an increase in hip pain after the antegrade approach and an increase in knee pain after the retrograde approa ch. Healing rates are similar between the two approaches.

Polytrauma - Smith & Nephew

Session 8: Femoral fractures 13:15 13:30 DCO management of distal and midshaft femur fractures P Bates 13:30 13:45 Fixation options- antegrade or retrograde nailing T Fuchs Session 9: Femoral nailing lab 13:50 15:00 Anatomical workshop: Retrograde femoral nailing 15:00 15:15 Final remarks M Pearse

Outcome of Surgical Implant Generation Network Intramedullary

Intramedullary nailing of femur shaft fractures achieves more than 90% of union rate.[5] SIGN nails are used for both tibia and femur (antegrade and retrograde). It has a 9° bend in the proximal part and the distal end is tapered so that the nail slides smoothly in the cortex during insertion. The nail is

OPEN ACCESS Review Article Complications of Femoral

Fractures distal or around the nail tip occur when the nail acts as a stress riser therefore a nail long enough to reach the broad supracondylar region or even the physical scar is strongly advocated [41]. Regarding retrograde femoral nailing medial femoral condylar fractures have also been described as a complication therefore the

Lower Extremity Fracture Case Presentations

site, and subsequent antegrade reamed femoral nailing Initially an 8 mm diameter implant was utilized, but after difficulty with the proximal locking screws, the femoral canal was reamed up to 10.5 mm and a 9mm X 380 mm locked femoral nail was inserted Xrays 10 days post op

Hoffa Fragment Associated with a Femoral Shaft Fracture. A

fractures of the shaft and the distal part of the femur to be performed when the patient s general condition had been sta-bilized. Additionally, the authors noted that fixation of the fractures of the femoral neck and the distal part of the femur frequently dictated the type of fixation used for the femoral shaft fracture.

Supracondylar femur fracture xation

ation of supracondylar femur fractures, including condylar buttress plating (Sanders et al. 1991), Rush-pin xation (Shelbourne and Brueckmann 1982), antegrade exible intramedullary Enders rodding (Moehring 1988), retrograde intramedul-lary nailing (Lueng et al. 1991), 95º angle blade plate xation (Siliski et al. 1989, Merchan et al.


Femur fractures rarely treated non-operatively SIGN site 20% cases ORIF with plate (surgeon preference) Study Design Prospective observational study Skeletally mature patients with femoral shaft fractures (OTA 32) presenting to Muhimbili Orthopaedic Institute Primary comparison Locked intramedullary nailing ORIF

Fracture Management

Nailing can be performed safely with flexible antegrade or retrograde positioning, in an un-reamed, locked fashion External fixation is reserved for humeral shaft fractures with extensive soft tissue injury, bone loss, or injection that occurs with gunshot wounds etc.

Reamed vs. Unreamed Intramedullary Nailing of Femoral

Reamed vs. Unreamed Intramedullar y Nailing of Femoral Fractures in the Elderly Enes Ocalan*, Cihad Cagri Ustun and Kemal Aktuglu Department of Orthopaedics and Traumatology, Ege University, 5772, Sokak, Saray 2, 45100, Manisa, Turkey

Comparative study of results of ORIF with plating vs. CRIF

mic success of intramedullary fixation of fractures of the femur and tibia, there was speculation that intramedullary nailing might be more appropriate for humeral shaft fractures than dynamic compression plating. According to recent studies the preferred method of fixation of humeral fractures is by

Incidence of Varus Malalignment Post Interlocking Nail in

or midshaft femur fracture and were surgically treated with an interlocking nail. The inclusion criteria were patients aged between 16-60 years old who underwent ante grade interlocking nailing for proximal shaft and midshaft femur fractures either through the piriformis fossa (PF) and greater trochanter (GT) as entry points. The two types of

Fifty top-cited fracture articles from China: a systematic

Antegrade locked nailing for humeral shaft fractures. Clin Orthop Relat Res 1999;365:201 10. 35 30 Leung KS, Shi HF, Cheung WH, Qin L, Ng WK, Tam KF, et al. Low-magnitude high-frequency vibration accelerates callus formation,

The Outcome of Closed interlocked Nailing for Treatment of

nailing is another choice in treating comminuted femoral shaft fracture. A retrospective analysis of comminuted femoral shaft fractures treated with locked reamed interlocking nail was carried out to identify the outcomes of this procedure. For the period of two years, from January 1996 till

Valgus Malalignment Due to Internally Malrotated Trochanteric

midshaft opened grade IIIa fracture and right humeral midshaft closed fracture. Within 24 hours, he underwent emergency damaged controlled surgery with left leg debridement and external fixation, right humeral fracture was splinted, while right femur was immobilised with skeletal traction. Definitive fixation of right femoral and right humeral

Improving your fracture management skills

9:20-9:30 Difficult patella fractures how to improve your results 9:30-9:45 Panel discussion (#2) 9:45-10:05 Break, visit exhibits (with snacks) Lower extremity trauma debates: 10:05-10:15 Fixation of intertrochanteric femur fractures: SHS vs nail 10:15-10:25 Antegrade femur nailing: traction table vs free leg

Femoral Shaft Fractures - OTA

Femur Fracture Management Antegrade nailing is still the gold standard Highest union rates with reamed nails Extraarticular starting point Refined technique Antegrade nailing problems: Varus alignment of proximal fractures Trendelenburg gait Can be difficult with obese or multiply injured patients