scholarly journals Effects of third fragment size and displacement on non-union of femoral shaft fractures after locking for intramedullary nailing

2016 ◽  
Vol 102 (2) ◽  
pp. 175-181 ◽  
Author(s):  
J.R. Lee ◽  
H.-J. Kim ◽  
K.-B. Lee
Keyword(s):  
Intramedullary Nailing ◽  
Fragment Size ◽  
Femoral Shaft ◽  
Femoral Shaft Fractures ◽  
Non Union ◽  
Shaft Fractures

Determine the Mean Duration of Union in Femoral Shaft Fracture in Children Treated with Elastic Intra-Medullary Nailing

2021 ◽  
Vol 15 (5) ◽  
pp. 1338-1340
Author(s):  
M. S. Zardad ◽  
M. Younas ◽  
S. A. Shah ◽  
I. Muhammad ◽  
M. Ullah ◽  
...  
Keyword(s):  
Intramedullary Nailing ◽  
Functional Outcomes ◽  
Femoral Shaft Fracture ◽  
Femoral Shaft ◽  
Shaft Fracture ◽  
Femoral Shaft Fractures ◽  
Non Union ◽  
Shaft Fractures ◽  
Fractures In Children ◽  
Medullary Nailing

Objective: The aim of this study is to determine the functional outcomes and mean duration of union in femoral shaft fracture in children treated with elastic intra-medullary nailing. Study Design:Retrospective Place and Duration: Conducted at Orthopaedic Unit Ayub Medical Teaching Institute Abbottabad and District Headquarter Teaching Hospital Gomal Medical College Dera Ismail Khan for duration from May 2020 to January 2021 (09 months). Methods: Total sixty eight patients with age ranges between 5-12 years were presented in this study. Patients detailed demographics age, sex and BMI were calculated after taking informed written consent. Complete patients were treated with elastic intramedullary nailing. Radiological assessment was done. Mean union time and complications associated to procedure were examined. Functional outcomes were analyzed according to the Flyn’s criteria. Follow-up was taken at 8 months postoperatively. Complete data was analyzed by SPSS 22.0 version. Results: Out of 68 patients, there were 48 (68.6%) males and 20 (31.4%) females. Most of the patients 41 (60.35) were aged between 8-12 years and the rest 27 (39.65%) were between 5-8 years.34 (50%) fractures were caused because of road accidents, falling from height were 20 (29.41%), due to sports were 10 (14.70%) and 4 (5.9%) were due to simple fall. 32 (47.06%) patients had left side fracture and 36 (52.94%) had right side fracture. Mean union time among patients was 4.14±2.72 months and there was no any case of non union. According to Flyn’s criteria, 50 (73.53%) cases had excellent results, 14 (20.6%) patients had good and fair results were among 4 (5.9%) cases. Complications were observed bone stiffness, delayed union and varus deformity among all cases. Conclusion: We concluded in this study thatElastic intramedullary nailing for femoral shaft fractures in children is safe and effective treatment modality. Union of bone achieved all the patients and majority of patients had excellent functional outcomes. Keywords: Femoral shaft fractures, Children, Elastic intra-medullary nail

The incidence of non-union following unreamed intramedullary nailing of femoral shaft fractures

Injury ◽  
2009 ◽  
Vol 40 (2) ◽  
pp. 205-208 ◽  
Author(s):  
M. el Moumni ◽  
P.A. Leenhouts ◽  
H.J. ten Duis ◽  
K.W. Wendt
Keyword(s):  
Intramedullary Nailing ◽  
Femoral Shaft ◽  
Femoral Shaft Fractures ◽  
Non Union ◽  
Shaft Fractures

Flexible intramedullary nailing of femoral shaft fractures

2019 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Spencer M. Richardson ◽  
J. Houston Dove ◽  
James H. Beaty ◽  
Benjamin W. Sheffer ◽  
David D. Spence ◽  
...  
Keyword(s):  
Intramedullary Nailing ◽  
Femoral Shaft ◽  
Femoral Shaft Fractures ◽  
Flexible Intramedullary Nailing ◽  
Shaft Fractures

Closed Intramedullary Nailing for Ununited Femoral Shaft Fractures

1975 ◽  
Vol 106 ◽  
pp. 206-215 ◽  
Author(s):  
Indong Oh ◽  
Stanley H. Nahigian ◽  
James J. Rascher ◽  
John P. Farrali
Keyword(s):  
Intramedullary Nailing ◽  
Femoral Shaft ◽  
Femoral Shaft Fractures ◽  
Shaft Fractures ◽  
Closed Intramedullary Nailing

scholarly journals Treatment of Oblique Femoral Shaft Fractures in Aged Patients with Intramedullary Nailing Together with Cerclage Wiring

2005 ◽  
Vol 54 (3) ◽  
pp. 480-483
Author(s):  
Ryuya Ochi ◽  
Tetsuo Nakano ◽  
Kazuki Miyazono ◽  
Tomohiro Fukuda ◽  
Daisuke Inaba ◽  
...  
Keyword(s):  
Intramedullary Nailing ◽  
Femoral Shaft ◽  
Aged Patients ◽  
Femoral Shaft Fractures ◽  
Shaft Fractures ◽  
Cerclage Wiring

scholarly journals Intramedullary nailing in the treatment of reoperated femoral shaft fractures.

1989 ◽  
Vol 38 (2) ◽  
pp. 555-557
Author(s):  
Kenya Ishiguro ◽  
Masamitsu Tsuchiya ◽  
Akiho Hoshino
Keyword(s):  
Intramedullary Nailing ◽  
Femoral Shaft ◽  
Femoral Shaft Fractures ◽  
Shaft Fractures

scholarly journals Incidence, Costs and Predictors of Non-Union, Delayed Union and Mal-Union Following Long Bone Fracture

2018 ◽  
Vol 15 (12) ◽  
pp. 2845 ◽  
Author(s):  
Christina Ekegren ◽  
Elton Edwards ◽  
Richard de Steiger ◽  
Belinda Gabbe
Keyword(s):  
Fracture Healing ◽  
Hospital Admissions ◽  
Femoral Shaft ◽  
Hospital Length Of Stay ◽  
Long Bone ◽  
Future Research ◽  
Related Factors ◽  
Femoral Shaft Fractures ◽  
Non Union ◽  
Shaft Fractures

Fracture healing complications are common and result in significant healthcare burden. The aim of this study was to determine the rate, costs and predictors of two-year readmission for surgical management of healing complications (delayed, mal, non-union) following fracture of the humerus, tibia or femur. Humeral, tibial and femoral (excluding proximal) fractures registered by the Victorian Orthopaedic Trauma Outcomes Registry over five years (n = 3962) were linked with population-level hospital admissions data to identify two-year readmissions for delayed, mal or non-union. Study outcomes included hospital length-of-stay (LOS) and inpatient costs. Multivariable logistic regression was used to determine demographic and injury-related factors associated with admission for fracture healing complications. Of the 3886 patients linked, 8.1% were readmitted for healing complications within two years post-fracture, with non-union the most common complication and higher rates for femoral and tibial shaft fractures. Admissions for fracture healing complications incurred total costs of $4.9 million AUD, with a median LOS of two days. After adjusting for confounders, patients had higher odds of developing complications if they were older, receiving compensation or had tibial or femoral shaft fractures. Patients who are older, with tibial and femoral shaft fractures should be targeted for future research aimed at preventing complications.

scholarly journals Intramedullary nailing for femoral shaft fractures in adults

2018 ◽  
Author(s):  
Ran Xiong ◽  
Qi-Guang Mai ◽  
Cheng-Liang Yang ◽  
Shu-Xi Ye ◽  
Xiao Zhang ◽  
...  
Keyword(s):  
Intramedullary Nailing ◽  
Femoral Shaft ◽  
Femoral Shaft Fractures ◽  
Shaft Fractures

scholarly journals The design of an “H” joystick for closed reduction and its application in segmental and comminuted femoral shaft fractures: an innovative technique

2020 ◽  
Author(s):  
Zhaofeng Jia ◽  
Shijin Wang ◽  
Tinghui Xiao ◽  
Wei Jiang ◽  
Tianjian Zhou ◽  
...  
Keyword(s):  
Intramedullary Nailing ◽  
Closed Reduction ◽  
Lateral Displacement ◽  
Femoral Fractures ◽  
Femoral Shaft ◽  
Limb Length Discrepancy ◽  
Bony Union ◽  
Femoral Shaft Fractures ◽  
Shaft Fractures ◽  
Lateral Displacements

Abstract Background: Closed reduction and locked intramedullary nailing has become a common surgical method in the treatment of femoral shaft fractures. Overlap and rotation displacements can usually be corrected through the use of an orthopaedic traction table. However, lateral displacement and angulation persist. Methods: In this paper, we describe a joystick that can be used in the closed reduction of a fracture. It can correct lateral displacement and angulation and has the advantage of multi-direction reduction. The device described in this paper includes two parallel horizontal joysticks, one vertical main joystick and four assistant rods. Moreover, there are many specific spacing holes in the two parallel horizontal joysticks and a groove structure in the vertical main joystick. When the main “H” joystick is pressed, it can adjust lateral displacements and angulation because of the lever principle. The distance between parallel horizontal joysticks and assistant rods can be adjusted to the fracture position and body mass index of different patients. Results: The study participants consisted of 11 males and 5 females with a mean age of 31.0 years. All participants had good closed reduction and achieved bony union without any complications such as infection, nerve injury, nonunion, malunion and limb length discrepancy. By using an “H” joystick, closed femoral shaft fracture reduction and locked intramedullary nailing becomes simpler and faster. Conclusion: Based on the use of this instrument, we can easily and conveniently obtain the correct reduction situation, which leads to better surgical results. This device can be applied in the reduction of clinical femoral fractures and gradually extended to the reduction of other fractures.

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