Closed Intramedullary Nailing of Femoral Fractures

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

doi:10.2106/00004623-200112000-00021

Cited by 117 publications

(59 citation statements)

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“…Winquist. Washington 1978) et al 4 study was 38 years, in Wu CC, Wen JC et al 1997 7 was 37 years 60 percent of the fracture in our series located in middle third. 15% of our patients suffered complex femoral fractures due to low energy injury and most of the patients were elderly individuals.…”

Section: Discussionmentioning

confidence: 47%

Role of Intramedullary Interlocking Nailing In Complex Femoral Shaft Fractures

Ilangovan¹,

Thulasiraman²

2014

IOSRJDMS

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Section: Discussionmentioning

confidence: 47%

Role of Intramedullary Interlocking Nailing In Complex Femoral Shaft Fractures

Ilangovan¹,

Thulasiraman²

2014

IOSRJDMS

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“…Additionally, the K-nail procedure and does not require the use of an image intensifier (as the fracture is reduced via open method), so there is no unnecessary exposure to radiation and no radiographer is needed. The K-nail is also T Ta ab bl le e I I: : Winquist classification for femoral shaft fractures 11 .…”

Section: Discussionmentioning

confidence: 99%

Unlocked Nailing vs. Interlocking Nailing for Winquist Type I and II Femoral Isthmus Fractures. Is there a Difference?

Ck¹,

Wong²,

Vivek³

et al. 2008

MOJ

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Interlocking intramedullary nailing is suitable for comminuted femoral isthmus fractures, but for noncomminuted fractures its benefit over unlocked nailing is debatable. This study was undertaken to compare outcomes of interlocking nailing versus unlocked intramedullary nailing in such fractures. Ninety-three cases of noncomminuted femoral isthmus fractures (Winquist I and II) treated with interlocking nailing and unlocked nailing from 1 June 2004 to 1 June 2005 were reviewed; radiological and clinical union rates, bony alignment, complication and knee function were investigated. There was no statistical significant difference with regard to union rate, implant failure, infection and fracture alignment in both study groups. Open fixation with unlocked femoral nailing is technically less demanding and requires less operating time; additionally, there is no exposure to radiation and cost of the implant is cheaper. We therefore conclude that unlocked nailing is still useful for the management of non-comminuted isthmus fractures of the femur.

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“…Winquist et al had 99.1% union rate with postoperative knee ROM averaging 130 degree and 0.9% infection rate. 7 Since antegrade nail has been so successful there has been resistance in surgeons to accept retrograde nailing as an alternative as shown in Figure 1 and 2. et al have advocated retrograde femoral nailing to treat bilateral femur fractures , both fractures can be fixed simultaneously on a simple table. 11  No significant post-operative abductor weakness, no postsurgical hetero-tropic ossification in the region of hip, simultaneous treatment of bilateral lower extremity injuries.…”

Section: Introductionmentioning

confidence: 99%

Study to evaluate the outcomes of surgical stabilization of distal 1/3rd fracture shaft femur with retrograde nailing

et al. 2016

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Background: Distal femur is a complex fractures and most of times a personalized approach is needed for these fractures. Over a period of time variety of approaches and implants have been used for these fractures. The use of retrograde femur nail for fixing femur fracture, using entry from inter-condylar notch of femur, is a known method of treatment, but most surgeons are apprehensive of making an entry from the knee joint because of possible complications like knee pain, arthro-fibrosis, infections etc .The aim of this study was to investigate its effectiveness in fixation of distal 1/3rd fracture of femur with special emphasis on the outcome and inherent surgical challenges.Methods: A prospective study of 40 patients with fracture femur diaphysial distal one third were treated by retrograde nailing, from July 2010 to January 2016, after obtaining required approval from the Institutional ethical & research committee. All the patients were followed till fracture union and evaluated on the basis of demography, duration of healing, complications and surgical challenges.Results: We observed that mean age of patients was 35.8 years (18 years to 62 years) where 87.5% were male and 12.5% were female. Average duration of healing was 17.75 weeks (ranging from 10 weeks to 36 weeks) with 100% healing achieved. Mean knee range of motion was 124.5 degree (70 to 140 degree), rate of knee pain 10% (4/40), re-operation rate 5% (2/40), infection rate 2.5% (1/40), and fat embolism 2.5% (1/40). Conclusions: Retrograde femoral nailing is a reliable alternative to antegrade nailing or plate fixation for diaphyseal fracture distal one third femur, and may be in some situations even advantageous when antegrade nail entry is challenging like ipsilateral hip fractures, previous implant in hip & proximal femur, ipsilateral pelvi-acetabular injury, bilateral femoral shaft fracture, floating Knee injuries, poly-trauma and obese patients.

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Closed Intramedullary Nailing of Femoral Fractures

Cited by 117 publications

References 1 publication

Role of Intramedullary Interlocking Nailing In Complex Femoral Shaft Fractures

Role of Intramedullary Interlocking Nailing In Complex Femoral Shaft Fractures

Unlocked Nailing vs. Interlocking Nailing for Winquist Type I and II Femoral Isthmus Fractures. Is there a Difference?

Study to evaluate the outcomes of surgical stabilization of distal 1/3rd fracture shaft femur with retrograde nailing

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