Functional Outcome Following Intramedullary Nailing of the Femur

Stannard, James P.; Bankston, Larry S.; Futch, Lydia A.; McGwin, Gerald; Volgas, David A.

doi:10.2106/jbjs.j.00760

Cited by 44 publications

(10 citation statements)

References 26 publications

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“…Intramedullary (IM) rods are used as internal fracture fixation devices in long bones, such as the femur and tibia and their first ever use was reported in the 1940s [1]. IM rods are inserted into the medullary canal of the bone to stabilise fracture fragments.…”

Section: Introductionmentioning

confidence: 99%

Initial mechanical properties of phosphate-glass fibre-reinforced rods for use as resorbable intramedullary nails

et al. 2012

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This paper investigates the use of novel phosphate-glass fibre-reinforced rods as resorbable intramedullary nails. Random and unidirectional fibres were moulded into composite rods by forging at *100°C. Rods produced using non-woven random mats (RM) showed little improvement in mechanical strength over the unreinforced polylactic acid (PLA) rods. This was suggested to be due to the breakdown of the fibres during the manufacturing process; the length of the fibres decreased from 10-mm (initial) to *1.2 mm. Modulus and stiffness values for P50 RM rods were higher than those for the PLA rods which could be due to the orientation of the fibres during the rod manufacture process. Rods produced using long fibres parallel to the length of the rod displayed superior mechanical properties, not only against the PLA rods but also cortical bone. Maximum flexural, shear and compressive strengths were 242, 87 and 400 MPa, respectively. A flexural modulus of 25 GPa was achieved, with shear and compressive stiffness values of 6 and 21.5 kN mm -1 , respectively. These unidirectionally reinforced phosphate glass fibre PLA composites have huge potential to be used as IM fixation devices.

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Section: Introductionmentioning

confidence: 99%

Initial mechanical properties of phosphate-glass fibre-reinforced rods for use as resorbable intramedullary nails

et al. 2012

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“…7 performed nailing on fifty-four patients. Out of them 41% had pain and swelling over the fracture site.…”

Section: Resultsmentioning

confidence: 99%

A comparative study of fracture shaft of femur in adults treated with broad dynamic compression plate versus intramedullary interlocking nail

Thapa

Dhakal

Marasini

et al. 2016

J Coll Med Sci-Nepal

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Background & Objectives: Diaphyseal femur fr actur e is one of the commonest fractures to present in an emergency room. The objective of the study was to compare femoral shaft fractures treated using nail with those using plate and screws. Materials & Methods: We studied a total of 62 patients of fracture shaft of femur admitted in the Bharatpur Hospital, Bharatpur, Chitwan and National Academy of Medical Sciences, Bir Hospital, Kathmandu. Two cases were lost to follow up. Thirty cases were treated with plating and 30 cases with nailing. The age group was from 16-30 years. Fifty-three were male and seven were females. Fiftyeight patients had closed fracture and two had Gustillo Anderson grade I open fracture. Results: Time from injury to surgery was 19 days on an average. Mean time for union was more in patients treated by plating, 19.46 weeks as compared to nailing 14.78 weeks. We found one case of infection with plating and breakage of plate in four patients. One patient with nailing did not show any signs of healing and two had failure in case of nailing. Our series revealed 23(38.3%) excellent, five (8.3%) good and two (3.3%) poor results in patients who had nailing while 15 (25.5%) excellent, nine (15%) good, one (1.7%) fair and five (8.3%) poor in patients who had plating out of 30 patients in each group. Conclusion: In our study we found that there was no significant difference in outcomes between plating and intramedullary nailing of femoral diaphysis fracture in terms of union, infection and implant failure. Key words: Femor al plating; femor al shaft fr actur e; intr amedullar y interlocking nail; Thorensen criteria Citation: Thapa S, Thapa SK, Dhakal S, Mar asini R, Hamal B, Rai RK, Shr estha R, Kandel M. A comparative study of fracture shaft of femur in adults treated with broad dynamic compression plate versus intramedullary interlocking nail. JCMS Nepal. 2016;12(2):66-9.

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“…However, several papers have also reported significantly more iatrogenic fractures in the GTE group. Stannard et al [3] reported intraoperative parameters including fluoroscopy time and duration of surgery to be better in the GTE group with no differences in functional outcomes. Although some cadaveric studies have claimed that the GT entrance may decrease morbidity due to a reduction in soft tissue injury, [5] other clinical studies have shown that functional outcomes, particularly in regard to the gluteus medius, abductor muscles, and tensor fasciae to be similar between different entrance points [3].…”

Section: Discussionmentioning

confidence: 98%

“…Stannard et al [3] reported intraoperative parameters including fluoroscopy time and duration of surgery to be better in the GTE group with no differences in functional outcomes. Although some cadaveric studies have claimed that the GT entrance may decrease morbidity due to a reduction in soft tissue injury, [5] other clinical studies have shown that functional outcomes, particularly in regard to the gluteus medius, abductor muscles, and tensor fasciae to be similar between different entrance points [3]. However, only a handful of studies have directly compared the effects of the entrance point among supra-isthmal, isthmal, and infra-isthmal femoral shaft fractures [9].…”

Section: Discussionmentioning

confidence: 98%

“…The use of conventional nails using TFE has decreased significantly in recent years due to the increasing number of publications showing they are more likely to cause iatrogenic collum femoris fractures, and the use of new nails allowing trochanteric access has been popularized. However, other studies have reported no difference between the two nails in terms of functional outcomes and complications, suggesting that any difference may be minimal [3].…”

mentioning

confidence: 86%

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Does using different entrance points for intramedullary nails affect clinical outcomes for femoral shaft fractures? A retrospective clinical comparative study

Söylemez

Öz

2020

North Clin Istanbul

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Does using different entrance points for intramedullary nails affect clinical outcomes for femoral shaft fractures? A retrospective clinical comparative study Orıgınal Article ORTHOPEDICS & TRAUMATOLOGY Cite this article as: Soylemez MS, Oz TT. Does using different entrance points for intramedullary nails affect clinical outcomes for femoral shaft fractures? A retrospective clinical comparative study.

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Functional Outcome Following Intramedullary Nailing of the Femur

Cited by 44 publications

References 26 publications

Initial mechanical properties of phosphate-glass fibre-reinforced rods for use as resorbable intramedullary nails

Initial mechanical properties of phosphate-glass fibre-reinforced rods for use as resorbable intramedullary nails

A comparative study of fracture shaft of femur in adults treated with broad dynamic compression plate versus intramedullary interlocking nail

Does using different entrance points for intramedullary nails affect clinical outcomes for femoral shaft fractures? A retrospective clinical comparative study

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