scholarly journals THE MISSING LINK IN THE HISTORY OF THE LOCKED INTRAMEDULLARY NAIL

2021 ◽  
Vol 29 (4) ◽  
pp. 228-231
Author(s):  
FLÁVIO PIRES DE CAMARGO ◽  
GUILHERME PELOSINI GAIARSA ◽  
OLAVO PIRES DE CAMARGO ◽  
PAULO ROBERTO DOS REIS ◽  
JORGE DOS SANTOS SILVA ◽  
...  
Keyword(s):  
Standard Treatment ◽  
Femoral Shaft ◽  
Reference Level ◽  
Intramedullary Nails ◽  
Level Of Evidence ◽  
Femoral Shaft Fractures ◽  
Interlocking Nail ◽  
Major Development ◽  
The World ◽  
History Of

ABSTRACT Femoral Shaft intramedullary nails were first described by the Aztecs in 16th century, but the modern use of intramedullary nails as the gold standard treatment for femoral shaft fractures began with Gerald Kuntcher in 1939. From the first Kuntcher’s study in 1939, to the creation of interlocking nail, a long and some minor developments were described around the world. However, a major development is missing: the first nail to have a rotational and vertical stability locking system was described by Flavio Godoy Moreira, but was never published on an indexed journal for the correct historical reference. Level of Evidence V, Therapeutics Studies, Expert Opinion.

scholarly journals Defining length stability in paediatric femoral shaft fractures treated with titanium elastic nails

2021 ◽  
pp. 1-7
Author(s):  
Alvin K. Shieh ◽  
Augustine M. Saiz Jr ◽  
Kelsey S. Hideshima ◽  
Brian M. Haus ◽  
Holly B. Leshikar
Keyword(s):  
Characteristic Curve ◽  
Treatment Success ◽  
Femoral Shaft ◽  
Intramedullary Nails ◽  
Level Of Evidence ◽  
Fracture Characteristics ◽  
Femoral Shaft Fractures ◽  
Shaft Fractures ◽  
Pattern Length ◽  
Flexible Intramedullary Nails

Introduction Optimal paediatric femoral shaft fracture patterns or lengths amenable to titanium elastic nail stabilization have not been well defined. The purpose of this study is to identify radiographic parameters predictive of treatment failure with flexible intramedullary nails based upon fracture morphology. Methods A retrospective review was performed of all femoral shaft fractures treated with flexible intramedullary nails over a five-year period. All patients with at least six weeks of postoperative radiographic imaging were included. Fracture characteristics included location, pattern, length, obliquity, angulation, translation and shortening. Postoperative radiographs were reviewed to determine shortening and angulation. Results There were 58 patients with 60 femoral shaft fractures stabilized with titanium nails, with 46 healing within acceptable parameters and 14 considered malunions. Six of the 14 malunions developed complications requiring early unplanned intervention. No patients in the treatment success group had a complication. Between the treatment success and failure groups, fracture pattern, location, length, obliquity, angulation, translation or shortening were not statistically different. Mean nail canal fill was significantly lower in the failure group (0.72 versus 0.81; p = 0.0146), with a receiver operating characteristic curve identifying canal fill 76% as the optimal threshold. Conclusion This is the first study to measure the length and obliquity of paediatric femoral shaft fractures and to determine their relationship to radiographic alignment after healing. None of the preoperative fracture characteristics were predictive of malalignment or shortening. We recommend the use of larger nail sizes in the treatment of paediatric femoral shaft fractures, especially if there is concern for residual instability. Level of evidence IV

scholarly journals Interlocking nail for femoral shaft fractures: is dynamization always necessary?

2005 ◽  
Vol 29 (2) ◽  
pp. 101-104 ◽  
Author(s):  
D. Tigani ◽  
M. Fravisini ◽  
C. Stagni ◽  
R. Pascarella ◽  
S. Boriani
Keyword(s):  
Femoral Shaft ◽  
Femoral Shaft Fractures ◽  
Interlocking Nail ◽  
Shaft Fractures

Fatigue Fracture of the Interlocking Nail in the Treatment of the Distal Part of the femoral Shaft Fractures

1997 ◽  
Vol 10 (3) ◽  
pp. 522
Author(s):  
Won Sik Choy ◽  
Hwan Jung Kim ◽  
Kwag Won Lee ◽  
Young Sik Min ◽  
Ha Yong Kim ◽  
...  
Keyword(s):  
Fatigue Fracture ◽  
Distal Part ◽  
Femoral Shaft ◽  
Femoral Shaft Fractures ◽  
Interlocking Nail ◽  
Shaft Fractures

Failure of Exchange Reamed Intramedullary Nails for Ununited Femoral Shaft Fractures

2000 ◽  
Vol 14 (5) ◽  
pp. 335-338 ◽  
Author(s):  
Matthew J. Weresh ◽  
Robyn Hakanson ◽  
Michael D. Stover ◽  
Stephen H. Sims ◽  
James F. Kellam ◽  
...  
Keyword(s):  
Femoral Shaft ◽  
Intramedullary Nails ◽  
Femoral Shaft Fractures ◽  
Shaft Fractures

Femoral-shaft fractures and nonunions treated with intramedullary nails: The role of dynamisation

Injury ◽  
2011 ◽  
Vol 42 (11) ◽  
pp. 1353-1361 ◽  
Author(s):  
Costas Papakostidis ◽  
Ioannis Psyllakis ◽  
Demetrios Vardakas ◽  
Anastasios Grestas ◽  
Peter V. Giannoudis
Keyword(s):  
Femoral Shaft ◽  
Intramedullary Nails ◽  
Femoral Shaft Fractures ◽  
Shaft Fractures

scholarly journals Role of Open Cerclage Wires Used in Patients with Comminuted Fractures of Femoral Shaft Treated with Intramedullary Nails

2020 ◽  
Author(s):  
Tzu-Hao Wang ◽  
Hao-Chun Chuang ◽  
Fa-Chuan Kuan ◽  
Chih-Kai Hong ◽  
Ming-Long Yeh ◽  
...  
Keyword(s):  
Femoral Shaft Fracture ◽  
Femoral Shaft ◽  
Shaft Fracture ◽  
Fracture Treatment ◽  
Union Rate ◽  
Intramedullary Nails ◽  
Femoral Shaft Fractures ◽  
Shaft Fractures ◽  
Significant Difference ◽  
Cerclage Wiring

Abstract IntroductionThe role of open cerclage wiring in comminuted femoral shaft fracture treatment with intramedullary nails remains unclear. Here, we analyzed the effect of open cerclage wiring and the risk factors for nonunion after interlocking nailing in comminuted femoral shaft fracture treatment. We hypothesize that open cerclage wiring is applicable to patients with severe comminuted femoral shaft fractures without affecting bone healing.Patients and MethodsThis retrospective cohort study used data of consecutive patients who underwent interlocking nail fixation of a comminuted femoral shaft fracture between January 1, 2009, and December 31, 2016. First, eligible patients were divided into wire and no wire groups according to the surgical technique used and their union rate was recorded. The patients were then divided into union and nonunion groups and their perioperative data were analyzed.ResultsIn total, 71 comminuted femoral shaft fractures treated with interlocking nail fixation were included: 38 fractures (53.5%) augmented with the open wiring technique and 33 reduced with closed or mini–open wound without wiring. The wire group demonstrated significant improvements in fracture reduction compared with the no wire group, whereas no significant difference was observed in the union rate between the wire and no wire groups (p = 0.180). Moreover, 46 (65%) of 71 fractures united smoothly, and no significant difference was observed in any perioperative data between union and nonunion groups.DiscussionAugmented open cerclage wiring is indicated for comminuted femoral shaft fractures treated with intramedullary nails, even when the fragments are large or far displaced. Thus, open cerclage wiring can be used for fracture treatment, without decreasing the union rate.

Sign in / Sign up

Export Citation Format

Share Document