scholarly journals Clinical outcomes in the treatment of femoral fracture by using intramedullary femur nailing system

2021 ◽  
Author(s):  
Shashank Mishra ◽  
Mohit Kumar ◽  
Prashant Kumar ◽  
Gaurav Luthra
Keyword(s):  
Clinical Outcomes ◽  
Femoral Fracture ◽  
Femoral Fractures ◽  
Ao Classification ◽  
Femoral Nailing ◽  
Femoral Nail ◽  
American Society ◽  
Hospital Group

<p><strong>Background: </strong>Femoral fractures are frequently occurring fractures that are caused due to large force impaction. The purpose of this study was to clinically evaluate the outcomes of treating femoral fractures with the use of the intramedullary femoral nailing system.</p><p><strong>Methods:</strong> This retrospective clinical trial consists of 32 patients with femoral fracture and are treated by using an intramedullary femoral nailing system which consists of retrograde femoral nail, gamma nails, expert femoral nail, universal intramedullary cannulated femoral nails that are manufactured by Auxein medical Pvt. Ltd. Sonipat, Haryana, India. There were 32 patients from two different hospitals i.e., first hospital group consist of 15 patients (8 male and 7 female) with mean age of 32 years and the second hospital group consist of 17 patients (9 male and 8 female). The fracture categorization was done on the basis of AO Classification of fracture and physical fitness was categorized by American society of anaesthesiologists. VAS score and HHS was used as a criterion for assessing the clinical outcomes of the patients.</p><p><strong>Results: </strong>There were 32 patients to whom surgery was performed and follow up time was 1 month, 3 months, 6 months and 12 months. After the final follow up no patient in any group complaint about the complications or any hardware related problem, there were perfect bone union in every patient. Radiological outcomes also showed proper union at 6 months follow up.</p><p><strong>Conclusions: </strong>For femoral fractures, intramedullary femoral nail gives a better result with high union rate and post-operative composure.</p>

scholarly journals Outcomes of Subcapital Femoral Fracture after a Fixation of an Intertrochanteric Fracture with a Proximal Femoral Nail: Case Report

2021 ◽  
pp. 56-61
Author(s):  
Jorge H. Nuñez ◽  
Jordi Teixidor ◽  
Felipe Borim ◽  
Vicente Molero ◽  
Jordi Tomas
Keyword(s):  
Case Report ◽  
Femoral Fracture ◽  
Intertrochanteric Fracture ◽  
Rare Complication ◽  
Femoral Fractures ◽  
Proximal Femoral Nail ◽  
Femoral Nail ◽  
Number Of Patients ◽  
Neck Fracture

Proximal femoral fractures are a common injury that represents an important cause of hospitalization, morbidity, and mortality in elderly patients. Subcapital femoral neck fracture after fixation of an intertrochanteric fracture with a proximal femoral nail is an extremely rare complication. However, because of the large and steadily increase in the number of patients undergoing to proximal femoral nail fixation in recent years, we believe that the number of these cases could increase over time. We present a 78-year-old woman with a subcapital femoral fracture 11 months after a fixation of intertrochanteric fracture with a proximal femoral nail in the same hip. Five years of follow-up was presented. Also through our case report a review of literature of these rare cases was done, trying to evaluate the associated risk factors, the difficulties in their treatment and the final follow-up of these patients.

scholarly journals Clinical outcomes of intramedullary femoral nailing system to treat femoral fracture

2020 ◽  
Vol 6 (3) ◽  
pp. 618
Author(s):  
Pooja Rawat ◽  
Mohit Kumar ◽  
Gaurav Luthra
Keyword(s):  
Bone Fracture ◽  
Femoral Fractures ◽  
Gamma Nail ◽  
Fracture Site ◽  
Complication Rates ◽  
Non Union ◽  
Femoral Nailing ◽  
Operative Outcomes ◽  
Femoral Nail ◽  
American Society

<p class="abstract"><strong>Background:</strong> Femoral fractures are bone fracture involve femur, common injuries in adults. Intramedullary femoral nailing system is the recommended solution or treatment for fractures due to its high union rates.</p><p class="abstract"><strong>Methods:</strong> In this clinical inspection 30 patients were selected with bone fracture of femur, and treated by using intramedullary femoral nailing system (universal intramedullary cannulated femoral nail, expert femoral nail, gamma nail and retrograde femoral nail) manufactured by Auxein Medical Private Limited, Sonepat, Haryana, India. There are two types of patients used in this study, one is male (n=18) and another female (n=12). Patients physical fitness was also observed through American Society of Anesthesiologist.<strong></strong></p><p class="abstract"><strong>Results:</strong> Outcomes record from the patients using visual analog scale. Follow up of the patients were taken on 1<sup>st</sup> month, 6<sup>th</sup> month, and 12 months. Post-operative outcomes were good with none of the patients showing non-union of fracture site. There were no complications noticed related to intramedullary femoral nailing system in this study and hardware related complications were not encountered in this study also.</p><p class="abstract"><strong>Conclusions:</strong> Intramedullary nailing system provide excellent outcomes with high union and low complication rates in the management of bone fracture involve femoral in patients.</p>

Necrosis avascular

2020 ◽  
Vol 63 (2) ◽  
pp. 18-23
Author(s):  
Alejandro Jardón Gómez ◽  
Ana Cristina King ◽  
Carlos Pacheco Díaz
Keyword(s):  
Femoral Head ◽  
Avascular Necrosis ◽  
Femoral Fracture ◽  
Open Fracture ◽  
Clinical Presentation ◽  
Femoral Fractures ◽  
Proximal Femoral Fracture ◽  
Young Population ◽  
Steroid Use

The clinical presentation of a proximal femoral fracture is completely different between young and adult patients. Unlike closed proximal femoral fractures, the incidence of exposed fractures is found in the young population between 15 and 30 years of age. Osteonecrosis of the femoral head is one the complications we can find in this type of fractures. Avascular necrosis (AVN or osteonecrosis) is defined as the interruption of blood supply to the femoral head due to trauma, infectionalcohol or steroid use, resulting in bone necrosis, joint collapse and osteoarthrosis. The treatment will depend on the clinical presentation, age of the patient and when the diagnosis is made. This is a case report of a 16-year-old patient with a gunshot wound on the hip. Surgical cleansing and closed reduction plus internal fixation with a nail in the center of the spine were performed. A 3-year clinical and radiographic follow up was made, observing the evolution of the fracture and the subsequent avascular necrosis that the patient presented. Key words: Proximal femoral fracture; hip; avascular necrosis (AVN, osteonecrosis); open fracture; osteoarthritis.

“FUNCTIONAL OUTCOME OF RETROGRADE NAILING IN THE MANAGEMENT OF SUPRACONDYLAR AND DISTAL FEMORAL FRACTURE”

2021 ◽  
pp. 107-109
Author(s):  
Avinash Kumar Choudhary ◽  
M.K Aseri ◽  
Sumit Machra ◽  
Devendra Singh
Keyword(s):  
Femoral Fracture ◽  
Distal Femur ◽  
Femoral Fractures ◽  
High Energy ◽  
Valgus Deformity ◽  
Minor Trauma ◽  
Rating Score ◽  
Joint Congruency ◽  
Distal Femoral Fractures

INTRODUCTION: Fractures of the Distal femur are complex injuries that pose a challenge to the orthopaedic surgeon. It constitutes about 6 % of all femoral fractures. It usually occurs during high energy trauma in younger patients and frequently are associated with concomitant injuries. In contrast, elderly patients with severe osteopenia might sustain solitary distal femoral fractures from minor trauma such as a simple fall. Proper diagnosis and treatment leads to early mobilization and rehabilitation of patients. MATERIAL AND METHODS :This prospective study was conducted in Department of Orthopedics at Dr. S. N. Medical College and Associated group of Hospital, Jodhpur ,Rajasthan ,India on 30 patients who underwent the surgery with retrograde intramedullary interlocking nail in the management of extra-articular supracondylar femoral fracture from August 2019 to November 2020. On follow up axial alignment was assessed and functional analysis was quantied using NEERS RATING SYSTEM, Radiographs was analyzed for correction, maintenance of position or loss of reduction. function around knee was accessed according to Schatzker and Lambert Criteria, measures the exion/extension , varus/valgus deformity , joint congruency and pain in operated patients. RESULTS: In our study 30 patients with supracondylar & distal femoral fractures based on AO Classication on MULLER ET AL underwent retrograde supracondylar nail, long term nal result were rated using NEER'S RATING SCORE , which gives point for pain, function, working, joint movement ,gross and radiological appearance. NEER'S RATING SCORE assigned for each patient after 24 weeks of follow up. After accessing this score out of total 30 patients, 10 have excellent score, 10 have good score, 8 have fair score and next 2 have poor score. Function around knee was accessed according to Schatzker and Lambert Criteria, measures the exion/extension , varus/valgus deformity , joint congruency and pain in operated patients,out of 30 patients 9 patients have an excellent result , 8 have good ,12 have fair and only 1 patient have poor result CONCLUSION:The retrograde intramedullary locked nail provides the surgeon with a different option in treatment of specic supracondylar fracture patterns. It offers a practical advantages of simple and efcient technique for patients with polytrauma, oating knee injuries and in elderly. this technique is very useful in distal femur fracture where antegrade nailing does not provide stability and also where plate xation is not suitable due to soft tissue condition.

Effects of Proximal Femoral Nail Anti-Rotation (PFNA-II) and Artificial Total Hip Arthroplasty (THA) on Unstable Intertrochanteric Femoral Fracture Combined with Severe Osteoporosis

2020 ◽  
Vol 10 (3) ◽  
pp. 413-417
Author(s):  
Xiaosong Chen ◽  
Xunsheng Cheng ◽  
Wuxiu Ma ◽  
Congcong Chen ◽  
Gan Zhang
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Femoral Fracture ◽  
Proximal Femoral Nail ◽  
Therapeutic Effects ◽  
Severe Osteoporosis ◽  
Total Hip ◽  
Femoral Nail ◽  
Intertrochanteric Femoral Fracture

The current study was conducted to compare the therapeutic effects of proximal femoral nail antirotation (PFNA-II) and artificial total hip arthroplasty (THA) on elderly Chinese patients with unstable intertrochanteric femoral fracture combined with severe osteoporosis. There were 60 people in each group. The duration of surgery, blood loss, and weight-bearing period when standing on the floor were compared between the two groups (P > 0.05). Harries function scores of both groups increased over time. Scores of THA group were significantly higher than those of PFNA-II group during six- and twelve-months follow-up visit (P < 0.05). In addition, excellent and good rates of hip joint function in THA group were higher than those of PFNA-II group during twelve-month follow-up visit (P < 0.05). The occurrence rates of follow-up complications in both groups showed no statistical significance (P > 0.05). Thus, both PFNA-II and THA have good effects on Chinese elderly patients with unstable intertrochanteric femoral fracture combined with severe osteoporosis.

Simultaneous Bilateral Extensor Mechanism Disruptions: More Than Double the Trouble?

2019 ◽  
Vol 33 (09) ◽  
pp. 899-902 ◽  
Author(s):  
Christina Seifert ◽  
Jordan Vokes ◽  
Aaron Roberts ◽  
John Gorczyca ◽  
Kyle Judd
Keyword(s):  
Clinical Outcomes ◽  
Average Length ◽  
Rare Condition ◽  
Extensor Mechanism ◽  
Measurement Information ◽  
Current Series ◽  
Patient Reported ◽  
Student’S T ◽  
American Society

AbstractSimultaneous bilateral extensor mechanism disruption (BEMD) is a rare condition, for which the relationship between comorbid conditions, complications, and clinical outcomes has not been well defined. We hypothesized that patients with BEMD would have more comorbidities, more repair failures, and worse clinical outcomes compared with patients with unilateral extensor mechanism disruption (UEMD). We performed a retrospective review of all adult patients seen at our institution for either a quadriceps or patellar tendon rupture between 2012 and 2017. Statistical analysis was conducted using Student's t-tests and Fisher's exact tests. Significance was defined as p < 0.05. Fourteen patients with BEMD and 221 patients with UEMD were included for comparison. The average length of follow-up was 268 days. Patients with BEMD had higher body mass indexes and higher American Society of Anesthesiologists scores than patients with UEMD. They also had worse Patient-Reported Outcomes Measurement Information System physical function scores, nearly four times the length of stay, and three times the rate of repair failures as patients with UEMD. At final follow-up, all 14 patients in the BEMD group were ambulatory and 9 of the 10 patients who were working prior to injury had returned to work. Simultaneous BEMD are rare injuries, occurring in only 6% of the current series. When treating these patients, orthopaedic surgeons should have a heightened awareness that they have more comorbidities, more failures, and worse functional outcomes than their unilateral counterparts.

scholarly journals Clinical treatment of humerus fracture using intramedullary humerus nailing system

2020 ◽  
Vol 6 (2) ◽  
pp. 266
Author(s):  
Pooja Rawat ◽  
Mohit Kumar ◽  
Gaurav Luthra
Keyword(s):  
Humeral Fracture ◽  
Clinical Results ◽  
Pain Scale ◽  
Humerus Fracture ◽  
Ao Classification ◽  
Reconstruction Nail ◽  
American Society ◽  
Fracture Compression ◽  
Type Of Fracture

<p class="abstract"><strong>Background:</strong> The clinical results of intramedullary humerus nailing system of humeral fracture is controversial variation in implants, and follow up factor and operative technical studies. Humerus fracture is the third long fracture after femoral and tibia bone fracture.</p><p class="abstract"><strong>Methods:</strong> In this prospective study, 45 patients (24 female and 21 male) between the age group of 18-75 years with humerus fracture were taken who did not get conservative management. Type of fracture was categorized according to AO classification. Intramedullary humeral nailing system (compression intramedullary humerus nail, reconstruction nail and reconstruction intramedullary humerus nail) manufactured at Auxein Medical Pvt. Ltd., was used to treatment of humerus fracture. Patient physical fitness was observed according to American Society of Anesthesiologist. Pain scale and outcomes was record from the patients using visual analog scale. Follow up of the patients were taken on 3-week, 8-week, 16-week, 1-year and 2-year.<strong></strong></p><p class="abstract"><strong>Results:</strong> At 2 years follow up, bone consolidation was present in 44 cases. Only one case has reported of mortality but that was not due to implant related. No clinical and biomechanical complications were reported.  Proper healing of implant was achieved.</p><p class="abstract"><strong>Conclusions:</strong> Intramedullary humeral nailing system is the best treatment option to treat the humerus fracture. Compression intramedullary humerus nail can minimize the gap and increase the biomechanical stiffness.</p>

scholarly journals Fraturas Atípicas do Fémur Associadas a Terapêutica Prolongada com Bisfosfonatos

2013 ◽  
Vol 26 (6) ◽  
pp. 746
Author(s):  
Francisco Flores Santos ◽  
José Pinheiro da Silva ◽  
Paulo Felicíssimo
Keyword(s):  
Femoral Fracture ◽  
Scientific Evidence ◽  
Femoral Fractures ◽  
Osteoporotic Fractures ◽  
Femoral Shaft ◽  
Term Treatment ◽  
Atypical Femoral Fractures ◽  
Long Term Treatment

Introduction: Long-term treatment with bisphosphonates has been associated to atypical femoral fractures whose features are now clearly defined.Clinical Cases: We present two cases of female patients under bisphosphonate treatment for over 10 years who were admitted to our institution for subtrochanteric and femoral shaft fractures after low-energy trauma. They presented, respectively, a transverse and a short oblique femoral fracture, with thickening of the lateral cortex. They underwent surgical treatment obtaining good functional and imaging result.Discussion: These cases fulfill the established criteria for atypical femoral fracture, thereby illustrating a serious adverse event of long-term treatment with bisphosphonates. Such relationship has still not been clearly established by scientific evidence. However, its effectiveness in preventing osteoporotic fractures is well proven.Conclusion: The atypical femoral fractures are possibly a serious adverse effect of the long-term treatment with bisphosphonates. Scientific evidence still supports its use, however, the physician must be aware of these events and closely follow-up these patients.

scholarly journals Spontaneous fetal femoral fracture: a case report and literature review

2018 ◽  
Vol 46 (3) ◽  
pp. 1282-1287 ◽  
Author(s):  
Mingming Yu ◽  
Dapeng Xu ◽  
Aiguo Zhang ◽  
Jun Shen
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Femoral Fracture ◽  
Femoral Fractures ◽  
Timely Manner ◽  
Left Femur ◽  
X Ray ◽  
Clinical Presentations ◽  
The Right

Spontaneous fetal femoral fractures are uncommon in the paediatric setting. The major clinical presentations of a spontaneous fetal femoral fracture are femoral angulation, shortness of the femur and even a marked fracture line. This case report describes a spontaneous fetal femoral fracture of the right femur, which was detected by routine ultrasonography during the 19th week of gestation in a 24-year-old woman. On routine follow-up visits, the angulation of the right femur in the fetus gradually improved. A caesarean section was undertaken at 39 weeks +5 days of gestation and an X-ray was taken on the second day after birth, which showed that the fracture had healed and the callus had been absorbed. The lengths of the two femurs of the baby were not equal; the right femur was 84 mm, which was 11 mm shorter than the left femur. In cases like this, postnatal follow-up is essential so that an operation can be carried out in a timely manner when the deformity is apparent.

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