scholarly journals Interlocking nailing without imaging: the challenges of locating distal slots and how to overcome them in SIGN intramedullary nailing

2009 ◽  
Vol 34 (6) ◽  
pp. 891-895 ◽  
Author(s):  
Johnson Dare Ogunlusi ◽  
R. St. George B. St. Rose ◽  
Tamunotoyen Davids
Keyword(s):  
Intramedullary Nailing ◽  
Interlocking Nailing

scholarly journals A study on fracture of femur shaft treatment with intramedullary interlocking nailing

2018 ◽  
Vol 4 (4) ◽  
pp. 562
Author(s):  
Shivashankarappa A. ◽  
Prasad N. C. ◽  
Shaik Hussain Saheb
Keyword(s):  
Surgical Treatment ◽  
Intramedullary Nailing ◽  
Femoral Shaft Fracture ◽  
Femoral Shaft ◽  
Shaft Fracture ◽  
Medical College ◽  
Interlocking Nailing ◽  
Shaft Fractures ◽  
Closed Intramedullary Nailing ◽  
Femur Shaft

<p class="abstract"><strong>Background:</strong> Rigid interlocking nailing for femoral shaft fracture is ideal for use in adolescents in terms of stability of the fracture and convenience for the patient. Closed reduction and intramedullary interlocking nailing is the surgical treatment of choice for the closed shaft fractures of femur. Present study conducted to study the principles of intramedullary interlocking nailing and to assess the outcome of the patient.</p><p class="abstract"><strong>Methods:</strong> The present study comprises of 28 cases of fracture shaft of the femur admitted in orthopaedics wards of JJM Medical College, Davangere. Total 28 cases considered for closed intramedullary nailing.<strong></strong></p><p class="abstract"><strong>Results:</strong> In 55% cases closed intramedullary nailing given excellent healing of fracture, in 25% cases healing was good, in 10% cases it was average and 5% cases poor healing was observed.</p><p class="abstract"><strong>Conclusions:</strong> It is concluded that closed intramedullary interlocking nailing method given good result in treatment of shaft fractures of femur.</p>

scholarly journals Retrograde intramedullary nailing for fractures of distal femur: a prospective study

2016 ◽  
Vol 2 (4) ◽  
pp. 276 ◽  
Author(s):  
Dileep K. S. ◽  
Mahesha K
Keyword(s):  
Range Of Motion ◽  
Functional Outcome ◽  
Intramedullary Nailing ◽  
Distal Femur ◽  
Rating Scale ◽  
X Rays ◽  
Fracture Union ◽  
Retrograde Intramedullary Nailing ◽  
Interlocking Nailing ◽  
Secondary Procedures

<p class="abstract"><strong>Background:</strong> The objective of the present study was <span lang="EN-IN">to evaluate the clinical and functional outcome of retrograde intramedullary interlocking nailing for fractures of distal femur.</span></p><p class="abstract"><strong>Methods:</strong> This two-year prospective observational study includes all patients with fractures of distal femur who underwent retrograde intramedullary interlocking nailing.  The patient was placed supine on fracture table with the affected limb flexed to 60<sup>o</sup>.  Through a transpatellar approach, the nail was introduced in a retrograde method after serial reaming. Postoperatively knee range of motion was started immediately and weight-bearing was progressed after signs of fracture union were noted on x-rays.  The outcome was evaluated for time taken for fracture union, complications and secondary procedures, knee range of motion and function at 1 year follow up using modified knee-rating scale of the hospital for special surgery.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">There were 21 patients who underwent retrograde intramedullary nailing for fractures of distal femur during the study period. According to AO/ASIF system, fractures were classified as A1 (n=15), A2 (n=3), and A3 (n=3). In 17 patients, fracture united without complications or secondary procedures. Fractures united at a mean time of 19.4 weeks. There were no varus or valgus malalignments but one patient had significant limb shortening. At the end of 1 year, excellent to good functional outcome was noted in 81% of patients. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Retrograde intramedullary nail fixation is a reliable method for treatment of fractures of distal femur. It promotes high rates of fracture union with minimal complications. This method does not interfere significantly with the knee function postoperatively.</span></p>

scholarly journals Primary interlocking nailing for open fractures of tibial shaft: a clinical study

2019 ◽  
Vol 5 (5) ◽  
pp. 811
Author(s):  
Talluri V. G. Krishna
Keyword(s):  
Intramedullary Nailing ◽  
Open Fractures ◽  
Type I ◽  
Type Ii ◽  
Tibial Shaft ◽  
Non Union ◽  
Interlocking Nailing ◽  
Type Iiia ◽  
Open Injury ◽  
Closed Intramedullary Nailing

<p class="abstract"><strong>Background:</strong> The excellent method for treating fractures of the tibial shaft was the closed intramedullary nailing technique. But because of limited references related to the results, incidence of infection, non-union of open injury. Hence, it was decided to analyse open tibial fractures treatment by primary interlocking nailing.</p><p class="abstract"><strong>Methods:</strong> 50 Patients with open fractures of the tibial shaft which were treated with primary interlocking nail were studied in the period of 14 months.<strong></strong></p><p class="abstract"><strong>Results:</strong> In present study 18 (36%) type I, 22 (44%) type II and 10 (20%) type IIIA Gustilo open fractures were treated. The average duration of time between injury and nailing was 3.5 hours (range was 1.5 hours to 4 hours). After reaming, 40 (80%) fractures were fixed, without reaming, 10 (20%) of fractures were fixed. The average time to union was 27 weeks for type I fractures, 30 weeks for type II fractures and 33 weeks for type IIIA fractures. There was 1 non-union. There were 4 deep infections.</p><p class="abstract"><strong>Conclusions:</strong> The best mode of therapy was primary interlocking intramedullary nailing for open fractures.</p>

COMPARATIVE ANALYSIS OF CLOSED REDUCTION AND EXPERT TIBIA NAILING WITH OPEN REDUCTION AND PLATE & SCREW FIXATION IN THE TREATMENT OF PROXIMAL TIBIA EXTRAARTICULAR FRACTURES

2018 ◽  
Author(s):  
Anil Pandey ◽  
Setul Shah ◽  
Deepak S Maravi ◽  
S Uikey
Keyword(s):  
Intramedullary Nailing ◽  
Closed Reduction ◽  
Proximal Tibia ◽  
Plate Fixation ◽  
Surgical Site Infections ◽  
Delayed Union ◽  
Large Sample Size ◽  
Multicentric Study ◽  
Group A ◽  
Group B

Introduction:- Extra-articular proximal tibial fractures account for 5–10 % of all tibial shaft fractures and it result from high-velocity trauma. Closed reduction with minimally invasive plating and locked intramedullary  nailing have been widely used for treatment of proximal tibia extraarticular fractures. Our pupose is to compare the pros and cons of these two methods. Materials and methods:- 22 patients were included in this study for a period of 2 years. Patients treated with IMN were kept in group A patients treated with percutaneus plating were kept in group B. Standard approach of nailing and plating were used and proper follow up were taken for next upcoming 1 year. Results:- Combined average age was 38years. Male were more commonly affected than female (13:8). Majority of fracture were of type A33. Operative time was < 2 hours in both groups. Less blood loss occurred during intramedullary nailing as compared to locking plate fixation. Surgical site infections (SSIs) were seen in two patients in the PTP group. Delayed union occurred in two patients in the IMN group. The average range of motion was 119.7(range 90-150, SD= 19.18) in group A and 115.2(range 80-150, SD = 17.28) in group B. Conclusion:- in treatment of proximal tibia extra articular fracture use of IMN and PTLCP gives comparable results. To validate this issue further a large sample size multicentric study is recommended   Key words: intramedullary nailing (IMN), Extraarticular tibialn fracture, Surgical site infection.

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