scholarly journals Removal of locked intramedullary nails with the aid of bolts

2020 ◽  
Vol 8 (4) ◽  
pp. 1397
Author(s):  
Richard C. Echem ◽  
Phillip D. Eyimina
Keyword(s):  
Intramedullary Nail ◽  
Tibial Fracture ◽  
Femoral Fractures ◽  
Extraction System ◽  
Intramedullary Nails ◽  
Background Removal ◽  
Heterotopic Calcification ◽  
Port Harcourt ◽  
Duration Of Surgery ◽  
A Prospective Study

Background: Removal of an intramedullary nail would require the extraction system of the inserted nail to be available. Sometimes the system is not available, and an alternative system would have to be utilised. Aim of the study was to document the removal of interlocked nails using bolts in the absence of appropriate fitting extraction system.Methods: A prospective study of consecutive patients seen by the authors between September 2016 and September 2018 in private clinics in Port Harcourt where the authors were invited to remove intramedullary nails. Bolts fitted to the proximal tips of the nails were utilized. With the aid of plier applied to the bolts and mallet, the nails were extracted. The patients’ socio-demographic and information relevant to the injury were obtained. Data was analysed using SPSS version 23.Results: Fifteen patients were seen. Ages ranged from 29 to 72 years, consisting of 10 males and five females. The tibia was affected in six and the femur in nine. There were five united tibial fractures and one non-united tibial fracture, six united femoral fractures and three non-united femoral fractures. Indication for removal was mostly patients’ request. Duration of surgery ranged from 1 to 4 hours. All the nails were extracted. Complications included broken nail, heterotopic calcification, bony overgrowth/ ingrowth/ongrowth around the nail and interlocking screws. There was no mortality.Conclusions: In the absence of conventional intramedullary nail extraction system, appropriate size bolts can be applied to the threaded proximal tip of nails and used for nail extraction.

scholarly journals Intramedullary nail in the treatment of pertrochanteric fractures in elderly patients

2015 ◽  
Vol 62 (1) ◽  
pp. 39-44 ◽  
Author(s):  
Gabriele Falzarano ◽  
Antonio Medici ◽  
Predrag Grubor ◽  
Milan Grubor ◽  
Elizabeth Barron ◽  
...  
Keyword(s):  
Intramedullary Nail ◽  
Elderly Population ◽  
Femoral Fractures ◽  
Empty Space ◽  
Proximal Femoral Fractures ◽  
Risk Of Infection ◽  
Intramedullary Nails ◽  
Pertrochanteric Fractures ◽  
Femur Fractures ◽  
Pertrochanteric Femur Fractures

Introduction. Intramedullary nail is an important component of modern treatment of pertrochanteric femur fractures. Objective. In elderly population, pertrochanteric fractures treated with unreamed intramedullary nails cause less deep infections when compared to reamed intramedullary nails. Patients and Methods. From April, 2010 to May, 2012 at the Department of Orthopedics and Traumatology, Gaetano Rummo Hospital (Benevento, Italy), 156 patients with pertrochanteric fracture, average age 82.7 years (75-102 years), were treated. In the analyzed case, there were 90 females and 66 males with pertrochanteric fractures. The respondents were divided into two groups. The first group consisted of 78 respondents who were treated with reamed intramedullary nails and the second group of 78 respondents treated with unreamed intramedullary nails. Discussion. Infections are not the most common postoperative complications. The risk of infection is increased in patients with comorbidity and in cases when there is an empty space between the intramedullary nail fixation and bone. Proximal femoral fractures carry a high mortality, but its causes are unclear. Conclusion. Our research has shown that the application of unreamed intramedullary nails in the treatment of pertrochanteric femoral fractures reduces a mortality risk and risk of infection.

scholarly journals UNSTABLE FEMORAL FRACTURES TREATED WITH TITANIUM ELASTIC INTRAMEDULLARY NAILS, IN CHILDREN

2012 ◽  
Vol 47 (5) ◽  
pp. 575-580
Author(s):  
Jamil Faissal Soni ◽  
Gisele Schelle ◽  
Weverley Valenza ◽  
Anna Carolina Pavelec ◽  
Camila Deneka Arantes Souza
Keyword(s):  
Femoral Fractures ◽  
Intramedullary Nails

FUNCTIONAL OUTCOME OF DISTAL FEMORAL FRACTURES AND THEIR MANAGEMENT

2021 ◽  
Vol 5 (6) ◽  
Author(s):  
Raman Shrivastava ◽  
Namita Shrivastava
Keyword(s):  
Functional Outcome ◽  
Surgical Techniques ◽  
Femoral Fractures ◽  
Railway Track ◽  
Distal Femoral Fractures ◽  
Minimally Invasive Surgical ◽  
Fall From Height ◽  
Classification Management ◽  
A Prospective Study ◽  
Jawaharlal Nehru

Background: Fractures of distal end of femur are complex injuries which are difficult to manage. These fractures often are unstable and comminuted. Despite advances in surgical techniques and improvement in implants, treatment of distal femoral fractures remains a challenge in many situations. This study was done to analyse the functional outcome and this management of distal femoral fractures. Material & Methods: This study has been done between August 2008 to March 2010 on patients coming to Orthopaedics Department at Jawaharlal Nehru Hospital and Research Center, Bhilai. It is a prospective study which includes 25 patients with 10 Type A, 7 Type B and 8 Type C fractures of distal femur after fulfilling the inclusion and exclusion criteria. Results: Mean age of 47.08 years with sex incidence of 3.17:1(M:F). Mode of injury was RTA in 16, simple fall in 6, fall from height in 2 and railway track accident in 1 patient. There were 5-A1, 1-A2, 4-A3, 3-B1, 1-B2, 3-B3, 1-C1, 4-C2 and 3-C3 fractures. Results were found to be excellent in 17, good in 1, moderate in 3 and poor in 4 patients. Conclusion: We conclude that minimally invasive surgical techniques and with the availability of locking type of plates distal femoral fractures can now be dealt with more precessions and more satisfactory results can be produced. Keywords: Distal fractures, Muller Classification, Management, Femoral fractures

Clinical outcomes of proximal femoral fractures treated with a novel carbon fiber-reinforced polyetheretherketone intramedullary nail

Injury ◽  
2020 ◽  
Vol 51 (3) ◽  
pp. 678-682 ◽  
Author(s):  
Kazuma Takashima ◽  
Ichiro Nakahara ◽  
Keisuke Uemura ◽  
Hidetoshi Hamada ◽  
Wataru Ando ◽  
...  
Keyword(s):  
Carbon Fiber ◽  
Clinical Outcomes ◽  
Intramedullary Nail ◽  
Femoral Fractures ◽  
Proximal Femoral Fractures ◽  
Fiber Reinforced ◽  
Carbon Fiber Reinforced

scholarly journals A prospective study on appendicular mass

2021 ◽  
Vol 8 (4) ◽  
pp. 1114
Author(s):  
K. Ravichandran ◽  
R. Jayaraman ◽  
K. Nithya
Keyword(s):  
Prospective Study ◽  
Conservative Management ◽  
Enterocutaneous Fistula ◽  
Wound Dehiscence ◽  
Final Diagnosis ◽  
College Hospital ◽  
Duration Of Surgery ◽  
Interval Appendicectomy ◽  
A Prospective Study ◽  
Appendicular Mass

Background: The immediate management of appendicular mass have always been controversial. Early appendicectomy (within 72 hours of presentation) is preferred in some cases, while in others non operative conservative management is advocated. Usually successful conservative management (Ochsner Sherren regimen) is followed by interval appendicectomy (6-8 weeks later). This study determines the outcome of different modalities of intervention in patients with appendicular mass.Methods: A prospective study was conducted in Rajah Muthiah medical college hospital in department of general surgery from June 2018 to December 2020, in cases diagnosed to have appendicular mass. A total of 116 patients were included. After taking detailed history and clinical examination, relevant blood and radiological investigations, were done to achieve the final diagnosis. Presentation, examination findings, investigations, type of surgery, duration of surgery, post-operative complications and duration of hospital stay were studied. Data was collected, compiled, tabulated and analysed.Results: Conservative management followed by interval appendicectomy had lesser incidence of complications like Intraoperative adhesions, surgical site infection, wound dehiscence and enterocutaneous fistula. It also had relatively lesser operative time and lesser period of hospital stay.Conclusions: On comparing the different modalities of intervention, conservative management followed by interval appendicectomy is quite effective and safe method of treatment, with less operative difficulties and better outcome.

scholarly journals Biomechanical comparison of a new expandable intramedullary nail and conventional intramedullary nails for femoral osteosynthesis in dogs

PLoS ONE ◽  
2020 ◽  
Vol 15 (5) ◽  
pp. e0231823
Author(s):  
T. Plenert ◽  
G. Garlichs ◽  
I. Nolte ◽  
L. Harder ◽  
M. Hootak ◽  
...  
Keyword(s):  
Intramedullary Nail ◽  
Intramedullary Nails ◽  
Biomechanical Comparison

scholarly journals Caudal Epidural Block for Ureteroscopic Lithotripsy (Ursl): A Prospective Study

2020 ◽  
Vol 5 (1) ◽  
pp. 942-945
Author(s):  
Rupak Bhattarai ◽  
Bandana Paudel ◽  
Sangeeta Subba ◽  
Chitta Ranjan Das
Keyword(s):  
College Teaching ◽  
Sensory Block ◽  
Epidural Block ◽  
Anesthetic Technique ◽  
Ureteroscopic Lithotripsy ◽  
Caudal Anesthesia ◽  
Duration Of Surgery ◽  
Caudal Epidural Block ◽  
A Prospective Study ◽  
Caudal Epidural

Introduction: Ureteroscopic lithotripsy (URSL) is the surgical treatment of choice for ureter stones. There are lots of anesthetic considerations for removal of such stones. Generally, ureteroscopic lithotripsy are done under general anesthesia and spinal anesthesia. Objectives: The purpose of this study is to assess whether ureteroscopic lithotripsy can be done under caudal anesthesia. Methodology: This prospective observational study was conducted in Nobel Medical college Teaching hospital, Nepal over a period of one and half year from May 2018 to October 2019. All the 100 patients posted for ureteroscopic lithotripsy was given caudal anesthesia. Location of stone, duration of surgery, time of onset of caudal anesthesia, time and level of maximum block spread, Intensity of block was assessed. Result: Out of 100 patients, 56 were male and 44 were female. The mean age and weight was 58±13.182 and 62±18.42 respectively. Time of onset of sensory block, 26 patients in 0- 5 minutes, 26 patients in 5-10 minutes, 56 patients in 10-15 minutes, 12 patients in 15-20 minutes, 4 patients in 20-25 minutes & 2 patients in more than 25 minutes. Maximum spread of block was seen at T6 level in 4 patients, at T8 level in 36 patients and at T10 level in 56 patients. Conclusion: Caudal epidural block is a safe, effective anesthetic technique for ureteroscopic lithotripsy.

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