scholarly journals Femoral diaphysis fractures: treatment with unreamed intramedullary nailing and its results

Author(s):  
Murat Demiroğlu

<p class="abstract"><strong>Background:</strong> <span lang="TR">Femoral shaft fractures are an important cause of mortality and morbidity in the lower extremity injuries</span><span lang="EN-IN">.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="TR">21 femoral body fractures of 19 adult patients were treated with the unreamed intramedullary nailing. Of 19 patients 14 were males and 5 were females</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="TR">All fractures healed. Deep infection was not encountered. According to the Thoresen criteria, the rate of excellent-good results was 78%. In two patients, who had also cranial trauma, development of excessive callus was observed. None of the patients required a secondary operation</span><span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="TR">Unreamed intramedullary nailing, if it can be implemented with closed technique and with double lock screw at the distal side, provides satisfactory results in the femoral shaft fractures</span><span lang="EN-IN">.</span></p><p> </p>

Author(s):  
Murat Demiroğlu

<p class="abstract"><strong>Background:</strong> <span lang="TR">Femoral shaft fractures are an important cause of mortality and morbidity in the lower extremity injuries</span><span lang="EN-IN">.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="TR">21 femoral body fractures of 19 adult patients were treated with the unreamed intramedullary nailing. Of 19 patients 14 were males and 5 were females</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="TR">All fractures healed. Deep infection was not encountered. According to the Thoresen criteria, the rate of excellent-good results was 78%. In two patients, who had also cranial trauma, development of excessive callus was observed. None of the patients required a secondary operation</span><span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="TR">Unreamed intramedullary nailing, if it can be implemented with closed technique and with double lock screw at the distal side, provides satisfactory results in the femoral shaft fractures</span><span lang="EN-IN">.</span></p><p> </p>


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

1975 ◽  
Vol 106 ◽  
pp. 206-215 ◽  
Author(s):  
Indong Oh ◽  
Stanley H. Nahigian ◽  
James J. Rascher ◽  
John P. Farrali

2005 ◽  
Vol 54 (3) ◽  
pp. 480-483
Author(s):  
Ryuya Ochi ◽  
Tetsuo Nakano ◽  
Kazuki Miyazono ◽  
Tomohiro Fukuda ◽  
Daisuke Inaba ◽  
...  

1989 ◽  
Vol 38 (2) ◽  
pp. 555-557
Author(s):  
Kenya Ishiguro ◽  
Masamitsu Tsuchiya ◽  
Akiho Hoshino

Author(s):  
Ran Xiong ◽  
Qi-Guang Mai ◽  
Cheng-Liang Yang ◽  
Shu-Xi Ye ◽  
Xiao Zhang ◽  
...  

2020 ◽  
Author(s):  
Zhaofeng Jia ◽  
Shijin Wang ◽  
Tinghui Xiao ◽  
Wei Jiang ◽  
Tianjian Zhou ◽  
...  

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.


2007 ◽  
Vol 54 (2) ◽  
pp. 33-38 ◽  
Author(s):  
P.M. Stojiljkovic ◽  
Z.S. Golubovic ◽  
M.B. Mitkovic ◽  
D.S. Mladenovic ◽  
I.D. Micic ◽  
...  

Polytrauma remains a major social, economic and medicine affliction. Successful surgical treatment of polytrauma patient?s requires an approach predicated on prioritizing injuries. An isolated fractures rarely poses any threat but in association with multiple injuries, a fractures assumes greater significance. Proper management of femur fractures in polytrauma can greatly reduce the mortality and morbidity. In this work the results of the operative treatments of the femoral shaft fractures in polytrauma patients using Mitkovic type internal fixator (14 patients) and Kuntscher nail (9 patients) are compared. The average patients age was 28.43 years (range 16 to 61). Internal fixation using Mitkovic type internal fixator can be method of choose in treatment of femur fractures in polytrauma patient?s. Its application is relatively simple. It doesn?t damage the periosteal and meduullary bone vascularization, which favors osteosynthesis and provides considerable contribution in osteogensis. .


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