The role and efficacy of retrograding nailing for the treatment of diaphyseal and distal femoral fractures: a systematic review of the literature

Papadokostakis, George; Papakostidis, Costas; Dimitriou, Rozalia; Giannoudis, Peter V.

doi:10.1016/j.injury.2004.11.029

Cited by 116 publications

(71 citation statements)

References 45 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The rate of complications in our study is comparable to that reported for diaphyseal femur fractures in the elderly [18,25,26] . Fortunately, our small cohorts achieved union, both clinically and radiologically, and regained a similar level of function post-operatively.…”

Section: Discussionsupporting

confidence: 88%

“…There are several surgical options, such as an angled blade plate, a locking plate or retrograde intramedullary nailing. In biomechanical studies, intramedullary nails showed significantly higher stiffness and significantly lower micromotion across the fracture gap with axial compression than when using locked plates [7,17,18] . Therefore, intramedullary nailing of diaphyseal femur fractures provides a stable fixation construct that can be applied using indirect reduction techniques.…”

Section: Discussionmentioning

confidence: 98%

See 1 more Smart Citation

Retrograde Intramedullary Nailing for Femoral Shaft Fractures in Elderly Patients with Previous Ipsilateral Dynamic Hip Screw Fixation

Iyengar

Matar²,

Nadkarni³

2015

Gerontology

View full text Add to dashboard Cite

Purpose: We present our experience in managing femoral shaft fractures in elderly patients with previous ipsilateral dynamic hip screw fixation for extracapsular neck of femur fractures using retrograde intramedullary nailing implants. Methods: This was a prospective consecutive study of patients presenting with a femoral shaft fracture and an ipsilateral dynamic hip screw fixation treated with unreamed retrograde femoral nailing. The Wilde modification of the Neer knee score was used as a primary outcome measure. Results: A total of 16 patients were included (5 males, 11 females), with a mean age of 82 years (range 74-101). All fractures were closed and were due to low-energy trauma. There were 7 patients with 32-A1 fractures, 5 patients with 32-A2 fractures and 4 patients with 32-B1 fractures. All patients had an ipsilateral 4-hole plate dynamic hip screw implant. Minor surgical complications were recorded in 5 patients. Two patients died due to medical complications and were excluded from the final analysis. All remaining 14 patients achieved satisfactory outcomes at 12 months of follow-up with a mean Wilde modification of the Neer knee score of 15.5 (SD 2.53; range 13-20). Conclusions: Unreamed retrograde femoral nailing can achieve good functional recovery in elderly patients with a femoral shaft fracture and a previous ipsilateral dynamic hip screw fixation.

show abstract

Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 98%

Retrograde Intramedullary Nailing for Femoral Shaft Fractures in Elderly Patients with Previous Ipsilateral Dynamic Hip Screw Fixation

Iyengar

Matar²,

Nadkarni³

2015

Gerontology

View full text Add to dashboard Cite

show abstract

“…These nonunions required revision surgery and, in a number of cases, more than two revision surgeries, which further compromised the soft tissues. Additionally, there has yet to be a report in the literature of prosthetic infection rates substantially greater than those seen with ORIF in this subset of patients [16]. In this small cohort, the high rates of persistent nonunion, reoperation, and infection make ORIF the more dangerous procedure.…”

Section: Discussionmentioning

confidence: 84%

Site-dependent Replacement or Internal Fixation for Postradiation Femur Fractures After Soft Tissue Sarcoma Resection

Kim

Healey

Morris

et al. 2010

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

Background High-dose radiation retards bone healing, compromising the surgical results of radiation-induced fractures. Prosthetic replacement has traditionally been reserved as a salvage option but may best achieve the clinical goals of eliminating pain, restoring function and avoiding complications. Questions/purposes We asked whether patients undergoing prosthetic replacement at index surgery for radiationrelated subtrochanteric or diaphyseal fractures of the femur had fewer complications than those undergoing open reduction internal fixation at index operation. Methods We retrospectively reviewed records from 1045 patients with soft tissue sarcomas treated with surgical resection and high-dose radiation therapy between 1982 and 2009 and identified 37 patients with 39 fractures. We recorded patient demographics, diagnosis, type of surgical resection, total radiation dose, fracture location and pattern, years after radiation the fracture occurred, type of surgical fixation, and associated complications. Results Patients undergoing prosthetic replacement at index surgery had a lower number of major complications and revision surgeries than those undergoing index open reduction internal fixation. Patients undergoing open reduction internal fixation at index surgery had a nonunion rate of 63% (19 of 30). Fractures located in the metaphysis were more likely to heal than those located in the subtrochanteric or diaphyseal regions. Conclusions Radiation-induced fractures have poor healing potential. Our data suggest an aggressive approach to fracture treatment with a prosthetic replacement can minimize complications and the need for revision surgery.

show abstract

“…[22][23][24][25] In a systematic review of the literature by Papadokostakis et al, [24] it was concluded that retrograde IM nailing was a reliable treatment method with less complications for distal femoral fractures, while similar judgments were made by Handolin et al [25] Retrograde IM nails have been shown to achieve good results in osteoporotic bone as well. [22,23] The study of Zlowodzki et al [26] discussed that Less Invasive Stabilization System provided improved distal fixation compared to the retrograde nail in osteoporotic bones because of higher axial loads, load to failure and a lower incidence of fixation failure.…”

Section: Discussionmentioning

confidence: 99%

Combination of anatomical locking plate and retrograde intramedullary nail in distal femoral fractures: comparison of mechanical stability

Başçı

Karakaşlı

Kumtepe

et al. 2015

Eklem Hastalik Cerrahisi

View full text Add to dashboard Cite

The role and efficacy of retrograding nailing for the treatment of diaphyseal and distal femoral fractures: a systematic review of the literature

Cited by 116 publications

References 45 publications

Retrograde Intramedullary Nailing for Femoral Shaft Fractures in Elderly Patients with Previous Ipsilateral Dynamic Hip Screw Fixation

Retrograde Intramedullary Nailing for Femoral Shaft Fractures in Elderly Patients with Previous Ipsilateral Dynamic Hip Screw Fixation

Site-dependent Replacement or Internal Fixation for Postradiation Femur Fractures After Soft Tissue Sarcoma Resection

Combination of anatomical locking plate and retrograde intramedullary nail in distal femoral fractures: comparison of mechanical stability

Contact Info

Product

Resources

About