Outcome of proximal femur shaft fractures in school going children treated with locking compression plates

Objectives: To determine the clinical and radiological outcome of proximal femur shaft fractures in school going children treated with locking compression plates (LCP). Methods: This descriptive study was conducted in Orthopaedic Division Lady Ready Reading Hospital Peshawar from 25th June 2018 to 25th September 2020. Children of either gender and age 6 to 12 years old with subtrochanteric and proximal one third femur factures fulfilling the inclusion criteria were enrolled in this study. Open reduction and internal fixation with 4.5 mm narrow locking compression plates (LCP) were done in all. Post operative clinical outcome was evaluated by using Flynn scoring system and graded as excellent, satisfactory and poo results. Radiological assessment of fracture union was done through anteroposterior (AP) and lateral X-ray radiographs. Results: A total of 60 children with mean age 9.01±1.61 SD (range 6 to 12 years) were included in our study. Oblique fractures were present in 23(38.3%) children, spiral in 20(33.3%), transverse in 11(18.3%) and comminuted in 6 (10%) children. The radiological union time was 13.3±1.2 weeks (range 9.4 to 18 weeks). Majority (88.3%, n=53) of children had excellent clinical outcome according to Flynn’s scoring system while satisfactory outcome was noted in 7(11.6%) children. No cases of delayed union, mal union, nonunion and implant failure was reported. Conclusion: The results of our study indicated that proximal femoral shaft fractures in school going children treated with locking compression plates had excellent clinical and radiological outcome. We therefore recommend locking compression plate as the implant of choice to fix proximal femoral shaft fractures in school going children. doi: https://doi.org/10.12669/pjms.37.5.3938 How to cite this:Shah FA, Ali MA, Naeemullah. Outcome of proximal femur shaft fractures in school going children treated with locking compression plates. Pak J Med Sci. 2021;37(5):---------. doi: https://doi.org/10.12669/pjms.37.5.3938 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Safety and efficacy of a novel cephalomedullary nail in femoral shaft fractures: a retrospective observational cohort in 33 patients

10.21203/rs.3.rs-48809/v2 ◽

2020 ◽

Author(s):

Jorge Clint De Leon ◽

Cooper Benjamin Tye ◽

Connor Scott Breinholt ◽

Khang H Dang ◽

Ravi A. Karia

Keyword(s):

Failure Rate ◽

Femoral Shaft ◽

Implant Failure ◽

Cephalomedullary Nail ◽

Safety And Efficacy ◽

Femoral Shaft Fractures ◽

Shaft Fractures ◽

Observational Cohort ◽

Femur Shaft ◽

Femur Shaft Fractures

Abstract Background: Despite advances in femoral shaft fracture fixation, the nonunion rate remains relatively high; and there is limited data on the efficacy and failure rate of specific implants. A novel cephalomedullary nail that provides the ability to treat femur shaft fractures in isolation, with associated ipsilateral femur injuries, and provides various options for proximal and distal fixation exists on the market; but little is available on the safety and efficacy of this implant. The aim of this study is to evaluate the early failure rate of this cephalomedullary nail, while comparing the nonunion rate to what is currently presented in the literature. This study is the first of its kind in evaluation of a specific implant for treatment of femoral shaft fractures and ipsilateral pathology.Methods: Patients over 18 years of age, with traumatic femur shaft fractures, treated with this novel cephalomedullary nail and available for a minimum of 3-month follow-up were included for analysis. Retrospective chart review for this retrospective observational cohort study was performed. Demographic data, injury details, AO/OTA fracture classification, and implant details were recorded for each patient. Primary outcome measured was implant failures (screw or nail breakage). Secondary outcomes measured included malunion, nonunion, deep infection, post-operative complications, and need for reoperation. We hypothesize that the union and failure rate will be similar to that reported in the literature for femur shaft fractures.Results: Of the 33 patients included for analysis, 1 patient went on to non-union. There were no cases of implant failure. The single nonunion was a high-energy mechanism, open fracture, and higher level AO/OTA classification. The remaining 32 reached radiographic union at 3 months. Conclusion: The nonunion rate of this novel cephalomedullary nail is comparable to what is reported in the literature. This nail is a safe and effective implant to treat femoral shaft fractures with a variety of ipsilateral femoral shaft injuries and reliably leads fracture union. Further studies are needed analyzing implant failure and comparing specific implants.

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Safety and efficacy of a novel cephalomedullary nail femoral shaft fractures: a retrospective observational cohort in 33 patients

Patient Safety in Surgery ◽

10.1186/s13037-020-00269-z ◽

2020 ◽

Vol 14 (1) ◽

Author(s):

Jorge C. De Leon ◽

Cooper B. Tye ◽

Connor S. Breinholt ◽

Khang H. Dang ◽

Ravi A. Karia

Keyword(s):

Failure Rate ◽

Femoral Shaft ◽

High Energy ◽

Implant Failure ◽

Cephalomedullary Nail ◽

Safety And Efficacy ◽

Femoral Shaft Fractures ◽

Shaft Fractures ◽

Femur Shaft ◽

Femur Shaft Fractures

Abstract Background Despite advances in femoral shaft fracture fixation, the nonunion rate remains relatively high; and there is limited data on the efficacy and failure rate of specific implants. A novel cephalomedullary nail provides the ability to treat femur shaft fractures in isolation, with associated ipsilateral femur injuries, and provides various options for proximal and distal fixation exists on the market; but literature remains limited on the safety and efficacy of this implant. The aim of this study is to evaluate the early failure rate of this cephalomedullary nail, while comparing the nonunion rate to what is currently presented in the literature. This study is the first of its kind in evaluation of a specific implant for treatment of femoral shaft fractures and ipsilateral pathology. Methods Patients over 18 years of age, with traumatic femur shaft fractures, treated with this particular cephalomedullary nail and available for a minimum of 3-month follow-up were included for analysis. Data was collected by retrospective chart review and review of existing radiographs. Demographic data, injury details, AO/OTA fracture classification, and implant details were recorded for each patient. Primary outcome measured was implant failures (screw or nail breakage). Secondary outcomes measured included malunion, nonunion, deep infection, post-operative complications, and need for reoperation. Results Of the 33 patients included for analysis, 1 patient went on to non-union. There were no cases of implant failure. The single nonunion was a high-energy mechanism, open fracture, and higher level AO/OTA classification. The remaining 32 reached radiographic union at 3 months. Conclusion The nonunion rate of this novel cephalomedullary nail is comparable to what is reported in the literature. This nail is a safe and effective implant to treat femoral shaft fractures with a variety of ipsilateral femoral shaft injuries and reliably leads fracture union. Further studies are needed analyzing implant failure and comparing specific implants.

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Safety and Efficacy of the META-TAN in Femoral Shaft Fractures: A Retrospective Case Series of 33 Patients

10.21203/rs.3.rs-48809/v1 ◽

2020 ◽

Author(s):

Jorge Clint De Leon ◽

Khang H Dang ◽

Cooper Benjamin Tye ◽

Connor Scott Breinholt ◽

Ravi A. Karia

Keyword(s):

Failure Rate ◽

Demographic Data ◽

Case Series ◽

Femoral Shaft ◽

High Energy ◽

Implant Failure ◽

Femoral Shaft Fractures ◽

Shaft Fractures ◽

Femur Shaft ◽

Femur Shaft Fractures

Abstract Introduction: Despite advances in femoral shaft fracture fixation, the nonunion rate remains relatively high; and there is limited data on the efficacy and failure rate of specific implants. The Smith & Nephew TRIGEN META-TAN provides the ability to treat femur shaft fractures in isolation, with associated ipsilateral femur injuries, and provides various options for proximal and distal fixation. The aim of this study is to evaluate the early failure rate of the META-TAN, while comparing the nonunion rate to what is currently presented in the literature. This study is the first of its kind in evaluation of a specific implant for treatment of femoral shaft fractures and ipsilateral pathology.Material and Methods: Patients over 18 years of age, with traumatic femur shaft fractures, treated with the META-TAN and available for a minimum of 3-month follow-up were included for analysis. Data was collected by retrospective chart review and review of existing radiographs. Demographic data, injury details, AO/OTA fracture classification, and implant details were recorded for each patient. Primary outcome measured was implant failures (screw or nail breakage). Secondary outcomes measured included malunion, nonunion, deep infection, post-operative complications, and need for reoperation.Results: Of the 33 patients included for analysis, 1 patient went on to non-union. There were no cases of implant failure. The single nonunion was a high-energy mechanism, open fracture, and higher level AO/OTA classification. The remaining 32 reached radiographic union at 3 months. Conclusion: The nonunion rate of the META-TAN nail is comparable to what is reported in the literature. The META-TAN is a safe and effective implant to treat femoral shaft fractures with a variety of ipsilateral femoral shaft injuries and reliably leads fracture union. Further studies are needed analyzing implant failure and comparing specific implants.

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Civilian Ballistic Femoral Shaft Fractures Compared with Blunt Femur Shaft Fractures

Journal of Orthopaedic Trauma ◽

10.1097/bot.0000000000002317 ◽

2021 ◽

Vol Publish Ahead of Print ◽

Author(s):

David A Patch ◽

Eli B Levitt ◽

Nicholas A Andrews ◽

Alex R Heatherly ◽

Henry V Bonner ◽

...

Keyword(s):

Femoral Shaft ◽

Femoral Shaft Fractures ◽

Shaft Fractures ◽

Femur Shaft ◽

Femur Shaft Fractures

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Subtrochanteric femur and proximal femur shaft fractures

The Double Dynamic Martin Screw (DMS) ◽

10.1007/978-3-7985-1842-1_12 ◽

2009 ◽

pp. 85-93

Author(s):

M. Rapp

Keyword(s):

Proximal Femur ◽

Shaft Fractures ◽

Femur Shaft ◽

Femur Shaft Fractures

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Clinical Outcome of Ream Versus Unream Intramedullary Nailing for Femoral Shaft Fractures

Iranian Red Crescent Medical Journal ◽

10.5812/ircmj.4631 ◽

2013 ◽

Vol 15 (5) ◽

pp. 432-435 ◽

Cited By ~ 2

Author(s):

Farshid Bagheri ◽

Seyed Reza Sharifi ◽

Navid Reza Mirzadeh ◽

Alireza Hootkani ◽

Mohamad Hosein Ebrahimzadeh ◽

...

Keyword(s):

Clinical Outcome ◽

Intramedullary Nailing ◽

Femoral Shaft ◽

Femoral Shaft Fractures ◽

Shaft Fractures

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Incidence of Varus Malalignment Post Interlocking Nail in Proximal Femur Shaft Fractures Comparing Two Types of Entry Points

Malaysian Orthopaedic Journal ◽

10.5704/moj.1711.013 ◽

2017 ◽

Vol 11 (3) ◽

pp. 31-35 ◽

Cited By ~ 1

Author(s):

Sadagatullah AN ◽

◽

Nazeeb MN ◽

Ibrahim S ◽

◽

...

Keyword(s):

Proximal Femur ◽

Varus Malalignment ◽

Interlocking Nail ◽

Shaft Fractures ◽

Entry Points ◽

Femur Shaft ◽

Femur Shaft Fractures

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Safety and efficacy of a novel cephalomedullary nail in femoral shaft fractures: a retrospective observational cohort in 33 patients

10.21203/rs.3.rs-48809/v3 ◽

2020 ◽

Author(s):

Jorge Clint De Leon ◽

Khang H Dang ◽

Cooper Benjamin Tye ◽

Connor Scott Breinholt ◽

Ravi A. Karia

Keyword(s):

Failure Rate ◽

Fracture Fixation ◽

Femoral Fracture ◽

Femoral Shaft ◽

Cephalomedullary Nail ◽

Safety And Efficacy ◽

Femoral Shaft Fractures ◽

Shaft Fractures ◽

Observational Cohort ◽

Femur Shaft

Abstract Background: There is limited data on the efficacy and failure rate ofspecific implants for femoral fracture fixation. A novel cephalomedullary nail that provides various options for proximal and distal fixation is available on the market. However, limited information is available on the safety and efficacy of the specific implant. The aim of this study is to evaluate the postoperative complication rates related to the use of the novel cephalomedullary nail for femoral fracture fixation.Methods: Patients over 18 years of age, with traumatic femur shaft fractures, treated with this novel cephalomedullary nail and available for a minimum of 3-month follow-up were included for analysis. Retrospective chart review for this retrospective observational cohort study was performed. Demographic data, injury details, AO/OTA fracture classification, and implant details were recorded for each patient. Primary outcome measured was implant failures (screw or nail breakage). Secondary outcomes measured included malunion, nonunion, deep infection, post-operative complications, and need for reoperation. We hypothesize that the union and failure rate will be similar to that reported in the literature for femur shaft fractures.Results: Of the 33 patients included for analysis, 1 patient went on to non-union. There were no cases of implant failure. The single nonunion was a high-energy mechanism, open fracture, and higher level AO/OTA classification. The remaining 32 reached radiographic union at 3 months. Conclusion: The nonunion rate of this novel cephalomedullary nail is comparable to what is reported in the literature. This nail is a safe and effective implant to treat femoral shaft fractures with a variety of ipsilateral femoral shaft injuries and reliably leads fracture union. Further studies are needed analyzing implant failure and comparing specific implants.

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