Case 102: Fracture of the Humerus Treated Initially with a Flexible Intramedullary Nail and Later Converted to Circular External Fixation due to Non-union

2015 ◽  
pp. 703-709
Author(s):  
Lane Wimberly ◽  
Alexander Cherkashin ◽  
Mikhail Samchukov
Keyword(s):  
External Fixation ◽  
Intramedullary Nail ◽  
Non Union ◽  
Flexible Intramedullary Nail

scholarly journals Result of closed interlocking intramedullary nail in tibial shaft fracture

2012 ◽  
Vol 44 (1-2) ◽  
pp. 15-17
Author(s):  
AHSM Kamruzzaman ◽  
S Islam
Keyword(s):  
Intramedullary Nail ◽  
Joint Stiffness ◽  
Shaft Fracture ◽  
Autogenous Bone ◽  
Tibial Shaft Fracture ◽  
Early Mobility ◽  
Non Union ◽  
Orthopedic Surgeons ◽  
Interlocking Intramedullary Nail ◽  
Diaphyseal Fractures

The management of tibial diaphyseal fractures has always held a particular interest for orthopedic surgeons. Not only they are relatively common but also they are often difficult to treat. This prospective study was carried out at Rangpur from April 2008 to November 2009. 34 patients were treated by closed interlocking intramedullary nail. Goal of this study was to find out a safe & effective management of fracture, early mobility of patient, functional joint motion and short stay in hospital. Routine follow up was carried out in 29 patients. In 24 cases, fracture (81.76%) were united, 4 cases (13.79%) needed dynamisation with autogenous bone grafting and 1 case devoloped non union. Study showed interlocking nailing in tibia provides early mobility of patients, reduces hospital stay and fracture unites without joint stiffness and less complication.DOI: http://dx.doi.org/10.3329/bmjk.v44i1-2.10470Bang Med J (Khulna) 2011: 44(1&2) 15-17

Ilizarov treatment for femoral mal-union or non-union associated with fatigue fracture of an intramedullary nail

Injury ◽  
2008 ◽  
Vol 39 (2) ◽  
pp. 256-259 ◽  
Author(s):  
Johan Lammens ◽  
Marie Van Laer ◽  
Robrecht Motmans
Keyword(s):  
Fatigue Fracture ◽  
Intramedullary Nail ◽  
Non Union

Treatment of a nonunion, secondary to gunshot fracture, of the distal radius with circular external fixation and rhBMP-2 in a cat

2011 ◽  
Vol 24 (04) ◽  
pp. 289-293 ◽  
Author(s):  
P. Maitre ◽  
T. Cachon ◽  
C. Carozzo ◽  
D. Fau ◽  
J-. P. Genevois ◽  
...  
Keyword(s):  
External Fixation ◽  
Bone Healing ◽  
Individual Case ◽  
Skin Wound ◽  
Bone Morphogenetic Protein 2 ◽  
Radiographic Evaluation ◽  
Bony Union ◽  
Non Union ◽  
Morphogenetic Protein ◽  
Human Bone Morphogenetic Protein

SummaryObjective: To report the successful use of recombinant human bone morphogenetic protein-2 (rhBMP-2) in the treatment of an ante-brachial non-union, secondary to gunshot fracture, stabilized with circular external fixation in a cat.Procedure: Following a diagnosis of a highly comminuted gunshot fracture of the distal right radius and ulna, the fracture was stabilized with a circular external fixation. A two-ring frame was placed in closed fashion.Results: The skin wound healed uneventfully by second intention in 21 days. Twenty-eight weeks after external fixation, bone healing was absent. 0.8mL of 0.2mg/mL of rhBMP-2 in two collagen sponges was placed in the bone defect. Eight weeks after rhBMP-2 implantation, an early bone healing response was noted on radiographic evaluation. Sixteen weeks after rhBMP-2 implantation, fracture union was achieved.Discussion: To the authors’ knowledge, 160 ±g is the lowest reported dose of rhBMP-2 that leads to bony union in a cat. However as an individual case study, this report can not be used as evidence that rhBMP-2 at this lower dose is appropriate for use in all cats. Further studies are needed to establish the minimum efficient dose of rhBMP-2 in cats.

scholarly journals Lower limbs lengthening over the intramedullary nail versus lengthening by Ilizarov technique

2021 ◽  
Vol 28 (1) ◽  
pp. 40-51
Author(s):  
E. A. Shchepkina ◽  
I. V. Lebedkov ◽  
L. N. Solomin ◽  
K. L. Korchagin ◽  
F. K. Sabirov ◽  
...  
Keyword(s):  
External Fixation ◽  
Ankle Joint ◽  
Intramedullary Nail ◽  
Clinical Applications ◽  
Joint Contracture ◽  
Lower Limbs ◽  
Ilizarov Technique ◽  
Tibial Lengthening

Introduction. Lengthening over the nail (LON) combines the advantages of external and internal fixations.The objective was to compare the effectiveness of the application, to assess the structure and frequency of complications in patients treated with lengthening by Ilizarov technique and lengthening over the nail.Methods and materials. We analyzed 55 LON cases and 64 cases lengthening by Ilizarov technique. The duration of the external fixation period, complications and quality of the patient life were compared.Results. The external fixation period in LON group was 4 times less than in the Ilizarov technique group. There were 25 complications (45.5 %) in LON group and 54 complications (84.4 %) in the Ilizarov technique group. Femur lengthening was associated with a greater number of complications in both groups. Pin infections were 2.5 times less frequently in the femur LON group. Knee contractures were only in Ilizarov technique group (11.4 %). Ankle joint contracture was noted with the same frequency during tibial lengthening in both groups. Disorders of the consolidation were 2 times more often in the femur LON group and 5 times more often in the tibial lengthening with Ilizarov technique. Premature fusion was observed only in the LON group. There were 2 times less fractures of the half-pins and wires in the LON group.Conclusions. A reduction of external fixation period in LON group correlates with the 2-fold decrease of complications and an increase of the treatment comfort. LON is promising for wider clinical applications.

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