Closed intramedullary nailing of femoral fractures. A report of five hundred and twenty cases.

Winquist, Robert A.; Sigvard, H. T.; Clawson, D. Kay

doi:10.1055/s-2005-919122

Cited by 96 publications

(150 citation statements)

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“…They concluded that 87 % of these patients displayed solid union in 3 months, and there were only eight patients (1.5 %) that had a knee flexion below 125°. In terms of complications, they reported that 0.7 % (4 patients) of patients developed an infection, 0.7 % (4 patients) of nonunion, 2 % of cases had shortness more than 2 cm, 7 % of cases had shortness between 1 and 2 cm, 2.3 % (12 patients) of cases developed malunion more than 20°, and 8.2 % (43 patients) of cases union at an external rotation of 10° [22].…”

Section: Discussionmentioning

confidence: 99%

“…However, they emphasized that the rate of complication was lower for interlocking intramedullar nails [21]. Winquist et al reported that the rate of shortness above 2 cm was 2 % [22]. They reported that shortness was rarely seen in type 1 stabile, short oblique, or transverse fractures, and that shortness less than 2 cm rarely caused leg or back pain.…”

Section: Discussionmentioning

confidence: 99%

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The Intramedullary Nailing of Adult Femoral Shaft Fracture by the Way of Open Reduction is a Disadvantage or Not?

et al. 2013

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The purpose of this study is that to evaluate superiority and results of open technique in the treatment of femoral shaft fracture with interlocking intramedullary nailing. The retrospective study is designed to evaluate results of our technique. In this study, the patients that were admitted to the Orthopedics and Traumatology Department of University Hospital that is third level of trauma center. We claim that open technique is not a disadvantage during union process over closed technique in treatment of femoral shaft fracture with interlocking nailing. In this study, 44 patients that were consulted for adult femoral shaft fracture between January 2008 to July 2010 were included. Patients with open fractures, gunshot wounds, neurovascular injuries, and patients that did not have isolated femoral diaphysis fractures were excluded from the study. Clinical and radiological results of the patients were checked periodically. The open interlocking intramedullary nailing was used in treatment. Complete union rate was 90.9 % in 40 patients who were treated with open interlocking intramedullary nailing for adult femoral shaft fracture, and nonunion rate was 9.1 % in four patients. Mean union time was 18.3 weeks (12-36-weeks

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The Intramedullary Nailing of Adult Femoral Shaft Fracture by the Way of Open Reduction is a Disadvantage or Not?

et al. 2013

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“…Schematic drawing showing the technical details of the RSR. 5 pressure and voltage between 0 and 10 3 mmHg (0 and 133.3 kPa). Careful bleeding of the system through a valve (TA 1017M Critiflow dome; Viggo Spectramed, Singapore) was indispensable.…”

Section: Determination Of Intramedullary Pressurementioning

confidence: 99%

Pathophysiological advantages of rinsing‐suction‐reaming (RSR) in a pig model for intramedullary nailing

Schult

Küchle²,

Hofmann³

et al. 2006

Journal Orthopaedic Research

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Although reamed intramedullary nailing has been one of the greatest advances in modern fracture care, the concomitant increase in medullary cavity pressure leads to intravasation of bone marrow content into the blood stream, an effect that can evoke serious systemic reactions. A newly developed rinsing-suction-reamer (RSR) was able to substantially reduce the pressure and bone marrow intravasation content during experimental femoral nailing. We investigated the pathophysiological effects using the RSR, testing the hypothesis that by reducing marrow fat embolization, RSR would also reduce the activation of coagulation compared with the universial AOReamer (AOR) and comparable to external fixation. Twenty-two pigs were treated with either simulated external fixation or reamed femoral nailing using AOR or RSR. During surgery, the intramedullary pressure was measured and intravasation of medullary material was quantified. After surgery, the pigs were kept anaesthetised and monitored for 6 h. At defined intervals, serological, hematological, and hemodynamic parameters were evaluated. The RSR was significantly superior when compared to AOR with regard to the generation of intramedullary pressure and fat embolization; however, with external fixation the values were even lower. The evaluation of other parameters revealed no clear differences between the two reamers and the external fixator. The pig model showed that RSR led to a significant reduction of the intramedullary increase in pressure and fat intravasation compared to AOR. Although the reduction of fat embolism by RSR is not associated with pathophysiological changes, RSR can have advantages for the treatment of femoral fractures.

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“…Implants supporting minimally invasive osteosynthesis have been designed. [1][2][3][4][5][6] However, reduction is still a key point for successful fracture treatment. 1,4 Reduction must be achieved, maintained, and controlled before fracture fixation can be executed.…”

Section: Introductionmentioning

confidence: 99%

Forces and torques during fracture reduction: Intraoperative measurements in the femur

Gösling

Westphal

Faulstich

et al. 2006

Journal Orthopaedic Research

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Reduction is a crucial step in fracture treatment. We determined intraoperative peak forces and torques during fracture reduction in seven patients with eight fractures of the femoral shaft. All fractures were temporarily stabilized by external fixation. Force and torque measurements were performed during the subsequent intramedullary nailing procedure. A three-dimensional load cell was attached to the distal femur fragment using two Schanz screws. All forces and torques were registered on-line during the reduction process. The maximum resulting force was 411 N, the maximum resulting torque 74 N Á m. The highest force was observed along the shaft axis with 396 N for distraction. The maximum torque value was measured around the frontal axis, being 74 N Á m for antecurvature. These results may assist the development of new reduction techniques and devices.

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Closed intramedullary nailing of femoral fractures. A report of five hundred and twenty cases.

Cited by 96 publications

References 0 publications

The Intramedullary Nailing of Adult Femoral Shaft Fracture by the Way of Open Reduction is a Disadvantage or Not?

The Intramedullary Nailing of Adult Femoral Shaft Fracture by the Way of Open Reduction is a Disadvantage or Not?

Pathophysiological advantages of rinsing‐suction‐reaming (RSR) in a pig model for intramedullary nailing

Forces and torques during fracture reduction: Intraoperative measurements in the femur

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