Complex Femur Fractures: Treatment with the Wagner External Fixation Device or the Grosse-Kempf Interlocking Nail

Antegrade Locked Nailing Of Adult Femoral Shaft Fractures And Non-Unions: A Retrospective Review Of 48 Cases Erişkin Femur Şaft Kırıklarının Ve Non-Unionlarının Antegrad Kilitli Çivileme Yöntemi İle T

“…In a retrospective study, Murphy et al compared external fixation to intramedullary nailing in patients who had closed femoral shaft fractures (15). In noncomplicated fractures, intramedullary nailing provided significantly better clinical results (15).…”

Management of compound fractures of shaft femur: a study of 55 cases

“…36,37 The results of interlocking nailing of closed fractures of the femoral shaft have been shown to be superior to those of plating external fixation. [17][18][19][22][23][24] Open reduction with plating of open fractures has been advocated but with plating increased rates of infection, delayed union, non-union and failure of implant have been widely reported. 5,[20][21][22][28][29][30][31][32][33][34] In series reported by Ruedi and Luscher and by Mageryl et al these complications occurred frequently, despite the fact that both series predominantly included closed fractures.…”

“…Fixators are complicated by decreased range of motion of the knee and pin tract infection. [23][24][25][26] Interlocked intra-medullary nails control the length and rotation of comminuted fractures of femoral shaft. 17,18 The operative care of open fractures has been improved by recent advances in extensive soft-tissue debridement and coverage, methods of fracture fixation and broad spectrum antibiotic coverage.…”

“…11 Cases suitable for operative treatment were treated by interlocked intramedullary nailing platingor external fixators. [3][4][5][13][14][15][16][17][18][19][20][21][22][23][24][25][26] Routinely closed reduction and intramedullary interlocked nailing were performed in lateral position by taking entry through pyriform fossa. Plating was done in paediatric and adolescents.…”

Current Concepts of Respiratory Insufficiency Syndromes After Fracture

“…Those who develop this complication may be too medically labile to undergo further surgery for some weeks after this initial phase, and prolonged external fixation may then produce a poor functional outcome or substantially complicate later definitive surgery. 104 The patient with a concomitant chest injury. Attention has also focused on the subgroup of multiply-injured patients with chest injuries, typically a pneumothorax, a haemothorax or pulmonary contusion, since the FE produced by reamed nailing may further compromise their impaired pulmonary function.…”