Supracondylar skeletal traction and open interlocking nailing for neglected fracture of the shaft of femur – Retrospective study

Krishnakumar, R.; Thiruvenkitaprasad, G.; Kaliaperumal, Dayanand; Sundaram, Nandkumar

doi:10.1016/j.jcot.2013.05.003

Cited by 3 publications

(2 citation statements)

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“…Yadav 2 described 6 to 16 cm lengthened of shortening limb should be obtained in duration of 3 to 6 weeks by skeletal traction, and the traction weight should gradually increase up to 30 kg to avoid neurovascular complications. In the treatment of neglected fracture of the shaft of femur, Krishnakumar et al 3 performed definitive surgeries if overlapping was less than 1 cm, but if overlapping was more than 1 cm, skeletal traction with periodical increase of weights with neurovascular monitoring was done before definitive surgery. Because he holds that 1 cm overlapping can be overcome without undue tension under anesthesia with muscles relaxation and careful subperiosteal elevation, and when the overlapping more than 1 cm, correction of overlapping was possible with gradually increased traction weights.…”

Section: Discussionmentioning

confidence: 99%

The Old Supracondylar Fracture of Femur Treated by Gradual Deformity Correction Using the Ilizarov Technique Followed by the Second-Stage Internal Fixation in an Elderly Patient With Osteoporosis

Hou

Zhang

Bai

et al. 2020

Geriatr Orthop Surg Rehabil

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Background: The supracondylar nonunion of femur in elderly individuals is rare and challenging to manage. Nothing in English literatures or guidelines is available regarding this particular fracture characterized by osteoporosis, soft-tissue contracture, shortening, and joint stiffness. We report a case of an elderly patient with a supracondylar nonunion of the femur, which was successfully treated using staged Ilizarov techniques and dual plating. Case Presentation: An 84-year-old female patient was admitted to our orthopedic department for her pain and soft-tissue swelling around the right knee with claudication and shortening deformity of the affected extremity. She denied any specific history of trauma and had sought traditional Chinese medical attention for 6 months before she presented to our hospital. Diagnosis of the right femoral supracondylar nonunion was made based on the X-ray and computed tomography. Ilizarov external fixator was carried out for successive and slow distraction and gradual correction of the shortening deformity, in consideration of the nonunion was still present. Subsequently, internal fixation with dual plating of the distal femur was performed. Excellent function and patient satisfaction were observed at 6 months of follow-up. Conclusion: The protocol of Ilizarov technique with subsequent internal fixation of dual plating seems to be an efficient solution to the supracondylar nonunion of femur in elderly patients with osteoporosis. The advantage of the protocol is that it allows knee joint motion, avoids neurovascular complications, and gentle correction of soft-tissue contractures.

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Section: Discussionmentioning

confidence: 99%

The Old Supracondylar Fracture of Femur Treated by Gradual Deformity Correction Using the Ilizarov Technique Followed by the Second-Stage Internal Fixation in an Elderly Patient With Osteoporosis

Hou

Zhang

Bai

et al. 2020

Geriatr Orthop Surg Rehabil

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“…T he delayed femoral fracture with limb shortening and callus formation is still difficult to handle even for the most experienced clinicians 1 . It is an uncommon circumstance when the fracture is not managed in a timely manner in cases of life-threatening polytrauma [2][3][4] .…”

Section: Introductionmentioning

confidence: 99%

One‐Stage Closed Intramedullary Nailing for Delayed Femoral Fracture in Multiple Injured Patients

Yan

et al. 2022

Orthopaedic Surgery

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Objective: To tackle the challengeable dilemma of delayed femoral fracture, a technique of fixator-assisted closed reduction and intramedullary nailing at one stage was introduced herein and its clinical results were investigated.Methods: A retrospective study was conducted on delayed femoral shaft fracture between February 2008 and January 2017. The multiple injured patients aged from 18 to 60 years with delayed femoral fracture was included. All patients were treated by one-stage internal fixation technique and followed up for more than 1 year. Outcome measures including the operation time, intraoperative blood loss and limb alignment, healing time of fracture, visual analog scale (VAS), and range of knee motion were recorded and evaluated.Results: A total of 13 patients (16 sides) with a mean injury severity score (ISS) of 32.77 AE 9.98 (range, 19 to 52) participated in the investigation. The median length of time-after-fracture was 38 days (range, 21 to 110 days). The average shortening distance of the fracture ends was 35.48 AE 19.24 mm (range, 10.00 to 79.00 mm). The average surgery time was 192.19 AE 29.38 min for unilateral femoral fracture, with blood loss of 587.50 AE 232.02 ml. The postoperative discrepancy of lower limb was 3.87 AE 2.52 mm. No patient had vascular and neurologic complications due to the lengthening. All fractures healed successfully with a mean time of 2.98 AE 0.57 months. The mean VAS and maximal knee flexion were 1.63 AE 1.09 and 131.25 AE 5.32 at final follow-up, respectively. Conclusions: Our findings indicated that fixator-assisted closed reduction and intramedullary nailing at one stage is an effective treatment for delayed femoral fracture with satisfactory functional recovery.

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Neglected infected floating knee injury: evaluation of closed reduction techniques

Hosny

Ahmed

Tabl

2021

Eur J Trauma Emerg Surg

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Supracondylar skeletal traction and open interlocking nailing for neglected fracture of the shaft of femur – Retrospective study

Abstract: a b s t r a c tBackground: Neglected trauma is a common problem faced by Orthopaedic surgeons prac-

Cited by 3 publications

References 2 publications

The Old Supracondylar Fracture of Femur Treated by Gradual Deformity Correction Using the Ilizarov Technique Followed by the Second-Stage Internal Fixation in an Elderly Patient With Osteoporosis

The Old Supracondylar Fracture of Femur Treated by Gradual Deformity Correction Using the Ilizarov Technique Followed by the Second-Stage Internal Fixation in an Elderly Patient With Osteoporosis

One‐Stage Closed Intramedullary Nailing for Delayed Femoral Fracture in Multiple Injured Patients

Neglected infected floating knee injury: evaluation of closed reduction techniques

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