Interlocking Intramedullary Nailing Versus Locked Dual-Plating Fixation for Femoral Shaft Fractures in Patients with Multiple Injuries: A Retrospective Comparative Study

2017 ◽  
Vol 32 (3) ◽  
pp. 245-254 ◽  
Author(s):  
Tao Cheng ◽  
Rong-Gang Xia ◽  
Shi-Kui Dong ◽  
Xiao-Yu Yan ◽  
Cong-Feng Luo
Keyword(s):  
Comparative Study ◽  
Intramedullary Nailing ◽  
Femoral Shaft ◽  
Multiple Injuries ◽  
Femoral Shaft Fractures ◽  
Shaft Fractures ◽  
Dual Plating ◽  
Retrospective Comparative Study

A Comparative Study between Intramedullary Fixation and External Fixation of Femur Shaft Fracture in Polytrauma Patients in Jharkhand

2021 ◽  
Vol 8 (32) ◽  
pp. 2933-2937
Author(s):  
Supantha Panja
Keyword(s):  
Comparative Study ◽  
External Fixation ◽  
Intramedullary Nailing ◽  
Complication Rate ◽  
Gold Standard ◽  
Femoral Shaft ◽  
High Energy ◽  
Definitive Treatment ◽  
Femoral Shaft Fractures ◽  
Shaft Fractures

BACKGROUND Femoral shaft fractures result from high energy trauma and maybe associated with life threatening conditions. Typical in younger people is associated with polytrauma. Though intramedullary nailing (IMN) is the gold standard option of treatment, external fixation (EF) can also be used temporarily or definitively, in such cases. The aim of this study was to compare the functional outcome of these two procedures. METHODS This prospective comparative study was conducted at our centre over a period of 6 years. Age, sex of the patients, laterality, type of fracture with mean follow up, union time, and complications such as delayed union, angular deformities, and limb length discrepancies were tabulated and compared. RESULTS There were more cases of open fractures in the EF group compared to IMN group. In the IMN group the average surgery duration was 95.76 minutes and it was 69.4 minutes in the EF group. The average time for bone union was 25.66 weeks in IMF group and 28.22 weeks in EF group. Complication rate was higher in EF group with 11 complications (7 major & 4 minor) compared to IMN group with only 6 cases presenting with complications (3 each of major & minor). CONCLUSIONS Though IMN is the gold standard in treatment of femoral shaft fractures, EF in polytrauma is an alternative method for definitive fracture stabilization, with minimal additional operative trauma and an acceptable complication rate. KEYWORDS Femoral Shaft Fractures, Intramedullary Nailing, External Fixation, Polytrauma, Definitive Treatment

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 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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