Intramedullary nailing for femoral shaft fractures in adults

Xiong, Rong; Mai, Qiguang; Yang, Chengliang; Ye, Shu-Xi; Zhang, Xiao; Fan, Shicai

doi:10.1002/14651858.cd010524

Cited by 6 publications

(6 citation statements)

References 15 publications

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“…It has been indicated that intramedullary nail fixation is the preferred choice for treating femur fractures if complete weight bearing is a consideration. [3][4][5][6][7][8][9][10] The present study shows the treatment of Femoral fracture using an intramedullary nailing device which was designed and manufactured by Kaulmed private limited, India.…”

Section: Discussionmentioning

confidence: 98%

Clinical outcomes of the intramedullary femoral nailing system in the treatment of femoral fractures

Sharma¹,

Jain²,

Luthra³

2022

Int J Res Orthop

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Background: Femoral fractures are a common type of fracture brought on by large force impaction. This study's objective was to clinically assess the results of using an intramedullary femoral nailing system to treat femoral fractures.Methods: 32 patients with femoral fractures are included in this retrospective clinical trial. They are all treated with an intramedullary femoral nailing system made by Kaulmed private limited in Sonipat, Haryana, India. This system includes KN-1 advance nails (PFNA), KN-6 femur nails (retrograde Nails), KN-3 nails type II (gamma nails), KN-2F femur nails (expert femoral nails), and KN-5F universal intramedullary cannulated femoral nails. There were 32 patients, with 15 from one hospital and 17 from the other. The first hospital group consisted of 8 men and 7 women, with an average age of 32 years and the second hospital group consisted of 9 male and 8 female with mean age of 40.5 years. The fractures were categorized based on AO classification and pre-operative fitness was assessed using American society of anaesthesiologist (ASA Grade). The clinical effectiveness was evaluated using the VAS score and anatomical results.Results: Surgery was performed on 32 patients with at-least three post-operative follow-up visits in 180 days. No patient in any group complained after the final follow up about complications or hardware problems, and every patient's bone union was achieved successfully. Radiological outcomes also showed proper union at 6 months. Conclusions: In femoral fractures, the intramedullary femoral nail provides better results with a high rate of union and postoperative composure.

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Section: Discussionmentioning

confidence: 98%

Clinical outcomes of the intramedullary femoral nailing system in the treatment of femoral fractures

Sharma¹,

Jain²,

Luthra³

2022

Int J Res Orthop

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“…The prevalence of femoral shaft fractures is approximately 10 per 100.000 people with peak-age related incidence between the ages of 15-24 years [11]. The early reference stated that vascularized bone graft offer significant advantages over conventional treatment methods in selected patients with segmental bone defects greater than 6 cm [12].…”

Section: Discussionmentioning

confidence: 99%

A Case Series: Non-vascularized Autologous Fibular Graft in the Treatment of Major Segmental Bone Defect after Post-traumatic at Diaphyseal Femur

Siregar

Gunawan

Fitriadi

2021

Open Access Maced J Med Sci

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BACKGROUND In the management of bony defects, autologous bone grafts can be used as the mechanical structure for reconstruction to restore aesthetics and function, Non-vascularized autologus fibular graft are often used to the treat large post traumatic defects caused by high-energy trauma with open fracture and nonunion cases for 1st and 2nd cases. Here we would like to present a 16-year-old woman and a 37-year-old man patients of major bone defect at the right femoral shaft region using 9 cm and 10 cm non-vascularized fibular autogenous grafts. OBJECTIVE The purpose of this case report was to determine the effectiveness of non-vascularized autologus fibular graft for major bone defect at the regio femoral shaft for the reconstruction of post traumatic case. MATERIAL AND METHODS We treat post traumatic of the major bone defect at the regio femoral shaft with 9 cm and 10 cm femoral non-vascularized autologus fibular graft and fixed by a limited contact dynamic compression plate and femoral locking plate methode by routine phisioteraphy. RESULTS The Patient have a good result with good functional outcome after open reduction internal fixation (ORIF) and using a non-vascularized autologus fibular graft for treating the major bone defect after post traumatic femoral shaft fracture. CONCLUSION Complete and comperhensive open reduction internal fixation (ORIF) with autologous non- vascularized fibular graft, stabilized fracture by limited contact dynamic compression plate for 1st patient and femoral locking plate for 2nd patient allowing with an early rehabilitation is an acceptable, Phisioteraphy and early mobilisation resulting better outcome for the patient, all of this are less expensive, can be accepted at the hospitals that limited facilities and health professionals for professional subspeciality and widely reproducible option to manage bone defects in open shaft femoral fractures to achieving union, preserving length and motion with no donor site morbidity, giving patients good functional outcome and radiologic result. KEYWORDS Major bone defect, non-vascularized autologus fibular graft, autologous bone grafts, femoral shaft fracture, Open Fracture, Muskuloskeletal Reconstruction, Bone Loss, Nonunion.

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“…1,2 Closed reduction and intramedullary (IM) nailing is the technique of choice in these cases. 3 It helps minimize trauma to the surrounding tissues compared to an open technique. IM nailing has good overall outcomes, with union rates above 90%, decreased infection rates and early functional use of the leg.…”

Section: Introductionmentioning

confidence: 99%

“…The annual incidence of femur fractures has been estimated at 10–17 cases per 100 000 persons . Closed reduction and intramedullary (IM) nailing is the technique of choice in these cases . It helps minimize trauma to the surrounding tissues compared to an open technique.…”

Section: Introductionmentioning

confidence: 99%

Improving the human–robot interface for telemanipulated robotic long bone fracture reduction: Joystick device vs. haptic manipulator

Suero

Hartung

Westphal

et al. 2017

Robotics Computer Surgery

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Objectives: Intramedullary nailing is the treatment of choice for femoral shaft fractures.However, there are several problems associated with the technique, e.g. high radiation exposure and rotational malalignment. Experimental robotic assistance has been introduced to improve the quality of the reduction and to reduce the incidence of rotational malalignment. In the current study, we compare two devices for control of the fracture fragments during telemanipulated reduction.Methods: Ten male and ten female subjects were asked to participate as examiners in this experiment. A computer program was developed to render and manipulate CT-based renderings of femur fracture bone fragments. The user could manipulate the fragments using either a simple joystick device or a haptic manipulator. Each examiner performed telemanipulated reduction of 10 virtual fracture models of varying difficulty with each device (five in a 'training phase' and five in a 'testing phase'). Mixed models were used to test whether using the haptic device improved alignment accuracy and improved reduction times compared to using a joystick.Results: Reduction accuracy was not significantly different between devices in either the training phase or the testing phase (P > 0.05). Reduction time was significantly higher for the Phantom device than for the Joystick in the training phase (P < 0.0001), but it was no different in the testing phase (P = 0.865). High spatial ability with electronics had a significant effect on the alignment of fracture reduction and time to reduction. Conclusions:The Joystick and the Phantom devices resulted in similarly accurate reductions, with the Joystick having an easier learning curve. The Phantom device offered no advantage over the Joystick for fracture telemanipulation. Considering the high cost of the Phantom device and the lack of a demonstrable advantage over the Joystick, its use is not justified for implementation in a fracture telemanipulation workflow. The Joystick remains as a low-cost and effective device for developing 3D fracture telemanipulation techniques.

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Intramedullary nailing for femoral shaft fractures in adults

Cited by 6 publications

References 15 publications

Clinical outcomes of the intramedullary femoral nailing system in the treatment of femoral fractures

Clinical outcomes of the intramedullary femoral nailing system in the treatment of femoral fractures

A Case Series: Non-vascularized Autologous Fibular Graft in the Treatment of Major Segmental Bone Defect after Post-traumatic at Diaphyseal Femur

Improving the human–robot interface for telemanipulated robotic long bone fracture reduction: Joystick device vs. haptic manipulator

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