Interlocking Nailing of Complex Fractures of the Femur and Tibia

Klemm, Klaus; Börner, M.

doi:10.1097/00003086-198611000-00011

Cited by 143 publications

(117 citation statements)

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“…[10][11][12] 32 forearm bones were nailed (radius 12 and ulna 20), in 22 forearm fractures, isolated fracture radius was seen in 2 patients and ulna alone in 10 patients whereas both bone involvement seen in 10 patients Present study was also comparable to other studies in total number of bones nailed. 13 In the literature involvement of isolated radius was less frequent than isolated ulna, which was also glaring in the present study. Most common mode of injury in our series was RTA in 13 patients followed by assault in 8 patients and fall in 1 patient.…”

Section: Resultssupporting

confidence: 61%

A study on patients treated with interlock nailing in the forearm fracture bones

2016

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INTRODUCTIONThe human forearm is adapted more for mobility than stability, it serves an important role in upper extremity function, facilitating placement of the hand in space thus helping to provide the upper extremity with its unique mobility. The presence of the proximal and distal radioulnar joints allows pronation, supination and such movements are important to all in the usual activities of daily living. Moreover, the forearm serves as the origin for muscles for inserting on the hand. Therefore, fractures involving the bones of the forearm present unique problems not encountered with fractures of other long bones and may significantly affect the function of the upper limb.Forearm fractures are as important as articular fractures as slight deviations in the spatial orientation of the radius and ulna will decrease the forearms rotational amplitude and thereby impair the positioning and function of the hand.2 Thus the management of these fractures and their associated injuries deserve special attention, imperfect treatment of fractures of the radius and ulna diaphyses leads to a loss of motion as well as muscle imbalance and poor hand function. Mechanism of injury is blunt trauma ABSTRACT Background: Fractures involving the bones of the forearm present unique problems not encountered with fractures of other long bones and may significantly affect the function of the upper limb. The purpose of the present study was to evaluate the functional outcome of patients treated with interlock nailing in the fracture forearm bones. Methods: Thirty two patients included after their consent. With the patient supine on a radiolucent table, and under general or regional anesthesia the extremity was prepared and the surgery was performed using a standard procedure. If secure rigid fixation is achieved forearm POP splint is applied and kept in place for 2 weeks, thereafter a removable sugar-tong orthosis is worn until bridging callus is present, and the orthosis is removed frequently for exercise. Results: The average age of the patients was 38.90 years. The major mode of injury was RTA (59.09%) followed by assault (36.36%). 41% of patients were operated within week of injury, only three patients were operated after a week and one patient after 3 weeks. More than half of patients had closed fractures and rest was open fractures, of which Gustilo Anderson type II were in majority. In 3/5 of patients locking at nondriving end was not done cause of stable fixation. There was statistically significant difference in the surgical time (P <0.05) and duration of postoperative immobilization differed statistically significantly (P <0.001) between the group of patients in whom locking was done and not done. Conclusions: Advantages of Interlocking nail are high rate of bony consolidation along with minimized surgical approaches, cosmetically better suited and little risk of refracture after removal of the implant.

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Section: Resultssupporting

confidence: 61%

A study on patients treated with interlock nailing in the forearm fracture bones

2016

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“…Fourteen patients did not develop any complications. Four patients (1.5 %) experienced nonunion, seven patients (2.6 %) developed a deep infection, and one patient (0.3 %) suffered peroneal nerve paralysis [23].…”

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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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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“…The management of osteomyelitis relies primarily on the local delivery of antibiotics [2,6], and in contrast other manifestations of osteomyelitis, intramedullary infection in the disease usually presents no sequestrum or dead bone, making removal of the nail used for fixation of a fracture of the bone, together with reaming and lavage of the intramedullary cavity, the mainstay of treatment of such infection [1,7,8]. In this setting the insertion into the intramedullary cavity of antibiotic-impregnated cement beads to sterilize the canal is the preferred method of local delivery of antibiotics to the site of infection [3,7,9].…”

Section: Discussionmentioning

confidence: 99%

An Improved Technique for Removing Intramedullary Antibiotic Beads in Osteomyelitis of the Tibial Shaft

Lee

Kim

Kang

et al. 2014

Surgical Infections

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Background: The intramedullary insertion of antibiotic-impregnated cement beads is used widely for the treatment of intramedullary infection. This report describes an improved technique for removing chains of antibiotic beads inserted into the intramedullary cavity. Methods: We examined four cases in three patients of the intramedullary insertion of chains of antibioticimpregnated cement beads for the treatment of osteomyelitis of the diaphysis of the tibia after the fixation of fractures with interlocking nails. During bead removal, the tip of an intramedullary guidewire was bent into a hook shape and was then engaged with the chain of impacted beads. The guidewire was removed from the intramedullary cavity, permitting the extraction of any beads adhering to the wire. Results: As beads came into contact with the tip of the intramedullary guidewire, they could be extracted easily. No additional incision or bone fenestration was required. Conclusions: The use of a hook-shaped intramedullary guidewire simplifies the removal of chains of antibioticimpregnated cement beads without the need for an invasive procedure. This technique makes the use of chains of cement beads a favorable choice for treating intramedullary infection.

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Interlocking Nailing of Complex Fractures of the Femur and Tibia

Cited by 143 publications

References 0 publications

A study on patients treated with interlock nailing in the forearm fracture bones

A study on patients treated with interlock nailing in the forearm fracture bones

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

An Improved Technique for Removing Intramedullary Antibiotic Beads in Osteomyelitis of the Tibial Shaft

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