Comparison Of Two Biological Internal Fixation Techniques In The Treatment Of Adult Femur Shaft Fractures (Plate - Screws and Locked Intramedullar Nail)

Köseoğlu, Ertuğrul; Durak, Kemal; Bilgen, M. Sadık; Küçükalp, Abdullah; Bayyurt, Sarp

doi:10.5505/tjtes.2011.24892

Cited by 20 publications

(12 citation statements)

References 44 publications

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“…In the presence of lung injuries and hemodynamic shock, alternative fixation can be used to avoid further pulmonary damage. 6 , 15 , 16 Polytraumatized patients who undergo plate fixation may have a lower incidence of cardiopulmonary complications because of less femoral canal interference.…”

Section: Discussionmentioning

confidence: 99%

“… 4 , 5 Several scholars have recommended plate fixation in patients whose injuries are unsuitable for intramedullary fixation. 6 , 7 …”

Section: Introductionmentioning

confidence: 99%

“…4,5 Several scholars have recommended plate fixation in patients whose injuries are unsuitable for intramedullary fixation. 6,7 In this retrospective cohort study, we evaluated the results of orthogonal doubleplating fixation of comminuted femoral fractures with respect to the achievement of anatomical reduction, mechanical stability, and less femoral canal interference. We assessed clinical outcomes in skeletally mature patients with thoracic trauma and comminuted femoral shaft fractures using this fixation technique.…”

Section: Introductionmentioning

confidence: 99%

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Double-plating fixation of comminuted femoral shaft fractures with concomitant thoracic trauma

et al. 2017

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ObjectiveThis study was performed to evaluate the clinical outcomes in adult polytraumatized patients with thoracic injury and femoral shaft fractures treated with double-plating fixation.MethodsFrom November 2010 to October 2014, 15 polytraumatized patients with femoral shaft fractures were enrolled in this retrospective study. Radiographic findings and functional outcomes were assessed at 1, 3, 6, and 12 months postoperatively.ResultsFourteen (93%) of the 15 femoral shaft fractures achieved bony union, with a mean time to union of 9.2 months. The mean Nonarthritic Hip Score and Lysholm Knee Score was 89.4 and 87.2 points, respectively. The range of motion of the knee joint was comparable between the injured and uninjured legs (116° and 121°, respectively).ConclusionsOur findings suggest that lower limb function returns to normal after orthogonal double-plating fixation, which is an alternative technique to intramedullary nailing for femoral diaphyseal fractures in patients with severe chest injury.

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Section: Discussionmentioning

confidence: 99%

“… 4 , 5 Several scholars have recommended plate fixation in patients whose injuries are unsuitable for intramedullary fixation. 6 , 7 …”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Double-plating fixation of comminuted femoral shaft fractures with concomitant thoracic trauma

et al. 2017

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“…[13] According to the majority of studies ream intramedullary technique is the preferred method and has a greater chance of healing and lower rate of complications with regard to unreamed technique. [7121415161718] From the early papers until now, there are still controversies in results of femoral shaft fractures treated by close versus open IMN.…”

Section: Introductionmentioning

confidence: 99%

“…Different open and close techniques have been described for using this device and each may be preferred by some surgeons according to availability of operating room equipment (such as C-arm and fracture table), patient's factor (such, as morbid obesity), and fracture pattern and associated injuries (i.e., floating knee injury, concomitant acetabular fracture, and spinal injury). [ 13 ] According to the majority of studies ream intramedullary technique is the preferred method and has a greater chance of healing and lower rate of complications with regard to unreamed technique. [ 7 12 14 15 16 17 18 ] From the early papers until now, there are still controversies in results of femoral shaft fractures treated by close versus open IMN.…”

Section: Introductionmentioning

confidence: 99%

Is there a place for open intramedullary nailing in femoral shaft fractures?

Tahririan

Andalib

2014

Adv Biomed Res

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Background:Femoral shaft fractures are among the most common fractures following high trauma injuries. Different kinds of treatment have been suggested for these injuries.Aim:The aim of this study was to compare the results femoral fractures treated by mini open and close intramedullary nailing (IMN) technique.Materials and Methods:A total of 48 adult patients were operated due to fracture of the femur with close or open IMN technique between September 2010 and September 2011. 23 patients operated with close. IMN technique was included in Group I while 24 patients operated with mini open IMN technique constituted Group II. In Group I, all patients. Were operated on the fracture table in the supine position while in Group II, all patients underwent surgery on standard tables in the lateral position.Results:The mean age of patients was 27.3 years, ranging between 16 and 62. The mean age of the close nailing and open nailing groups was 30.5 and 24.5 respectively (P = 0.052). Only one patient from the open nailing group failed to unite. The mean time for union in close and open nailing groups was 13 + 2.4 and 17.7 + 2.3 weeks respectively (P = 0.001). No infection or limb length discrepancies were observed in the two groups.Conclusion:Although close nailing is the preferred methods in most cases, but in poly-traumatized patients or in centers where there are no fracture tables or C-arm, open nailing is a good option.

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Repeat LISS treatment for femoral shaft fractures due to hardware failure: a retrospective analysis of eleven cases

Liu

et al. 2012

Eur J Orthop Surg Traumatol

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Comparison Of Two Biological Internal Fixation Techniques In The Treatment Of Adult Femur Shaft Fractures (Plate - Screws and Locked Intramedullar Nail)

Cited by 20 publications

References 44 publications

Double-plating fixation of comminuted femoral shaft fractures with concomitant thoracic trauma

Double-plating fixation of comminuted femoral shaft fractures with concomitant thoracic trauma

Is there a place for open intramedullary nailing in femoral shaft fractures?

Repeat LISS treatment for femoral shaft fractures due to hardware failure: a retrospective analysis of eleven cases

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