Treatment of Femoral Shaft Fracture Using Unreamed Interlocked Nails

Herscovici, Dolfi; Ricci, William M.; McAndrews, Peter; DiPasquale, Tom; Sanders, Roy

doi:10.1097/00005131-200001000-00003

Cited by 24 publications

(15 citation statements)

References 25 publications

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“…Over the past 2 decades, RN of the femur has evolved to address some of these limitations of antegrade nailing. For femoral shaft fractures, it achieves union rates varying from 88 to 98%, 1,16,17 which are comparable to those of antegrade nailing.…”

Section: Discussionmentioning

confidence: 86%

Retrograde Nailing for Distal Third Femoral Shaft Fractures: A Prospective Study

Acharya

Rao²

2006

J Orthop Surg (Hong Kong)

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Purpose. To evaluate the postoperative knee function and results of unreamed retrograde nailing for distal third femoral shaft fractures. Methods. Between January 2002 and 2003 inclusive, a consecutive series of 27 patients (with 28 fractures) who underwent retrograde nailing were prospectively evaluated. Outcome measures were union time, initiation of weight bearing, deformity and shortening, functional length of the nail, knee function assessed using a modified Knee Society Knee Score. Correlations between union time and other variables were also studied. Results. In these patients 26 (93%) of the 28 fractures achieved union, of which 5 underwent dynamisation; the mean union time for the other 21 fractures was 4.4 months. Angular malalignment was present in 4 patients and shortening in 4 others. There was negligible correlation between union time and variables of nail-canal diameter mismatch, functional length of nail, fracture geometry, or initiation of partial weightRetrograde nailing for distal third femoral shaft fractures: a prospective study KN AcharyaDepartment of Orthopaedics, SDM College of Medical Sciences, Dharwad, Karnataka, India MR RaoDepartment of Orthopaedics, Jubilee Mission Hospital, Thrissur, Kerala, India Address correspondence and reprint requests to: Dr K Narayana Acharya, Meenakshi Nilaya, BMA Road, Gandhinagar, Bellary, 583103, Karnataka, India. E-mail: knacharya@hotmail.com 2006;14(3):253-8 bearing ambulation. Knee flexion of more than 100 degrees was achieved in 26 patients. 19 patients had anterior knee pain and 10 had instability. By the end of one year, excellent or good scores for pain and function were recorded in 77% and 73% respectively, of the 26 patients. Conclusion. In view of such favourable union rates but significant deterioration in overall knee joint function, at best retrograde nailing is a reliable alternative in the management of selected complicated fractures of the distal femoral shaft. Journal of Orthopaedic Surgery

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Section: Discussionmentioning

confidence: 86%

Retrograde Nailing for Distal Third Femoral Shaft Fractures: A Prospective Study

Acharya

Rao²

2006

J Orthop Surg (Hong Kong)

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“…Several authors have described promising results with this type of nail. [100][101][102] We could not identify direct comparisons between reamed and unreamed nailing in open femoral fractures. However, there are a few randomised, prospective trials as well as retrospective comparisons of these two techniques, mainly in closed fractures.…”

Section: Open Fractures Of the Femoral Shaftmentioning

confidence: 99%

A review of the management of open fractures of the tibia and femur

Giannoudis

Papakostidis

Roberts

2006

The Journal of Bone and Joint Surgery. British volume

228

153

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“…As nonunion or delayed union is caused by multiple complicated factors, the strategy of reducing their incidence or preventing their occurrence merely by addressing the issues related to physicians' techniques will only be partially successful [Herscovici et al, 2000]. Adding a simple technique that can prevent nonunion would ensure a higher degree of confidence and satisfaction regarding the surgery without any particular cost for the doctor or the patient.…”

Section: Discussionmentioning

confidence: 99%

Enhancement of Healing of Long Tubular Bone Defects in Rabbits Using a Mixture of Atelocollagen Gel and Bone Marrow Aspirate Concentrate

Park

Shetty

Kim

et al. 2017

Cells Tissues Organs

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We evaluated the bone-forming potential of a mixture of atelocollagen and bone marrow aspirate concentrate which was transplanted into bone defects. Radial shaft defects of about 10 mm in size were created in 30 New Zealand white rabbits. Ten rabbits in the control group were not treated further, 10 rabbits in the first experimental group (E1) received an atelocollagen injection, and 10 rabbits in the second experimental group (E2) received an injection of a mixture of atelocollagen and bone marrow aspirate concentrate. The groups were compared radiologically at 8 weeks. Osteogenesis in group E2 progressed more rapidly than that in the other groups, and osteogenesis in group E1 progressed faster than that in the control group. Thus, the administration of a mixture of atelocollagen and bone marrow aspirate concentrate in bone defects was found to enhance bone defect healing.

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Treatment of Femoral Shaft Fracture Using Unreamed Interlocked Nails

Cited by 24 publications

References 25 publications

Retrograde Nailing for Distal Third Femoral Shaft Fractures: A Prospective Study

Retrograde Nailing for Distal Third Femoral Shaft Fractures: A Prospective Study

A review of the management of open fractures of the tibia and femur

Enhancement of Healing of Long Tubular Bone Defects in Rabbits Using a Mixture of Atelocollagen Gel and Bone Marrow Aspirate Concentrate

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