scholarly journals A prospective study of retrograde nailing for distal third femoral shaft fractures

2021 ◽  
Vol 7 (5) ◽  
pp. 1021
Author(s):  
Nikil Sanaba Paramesh ◽  
Pradeep Kumar Munirathnaiah
Keyword(s):  
Weight Bearing ◽  
Femoral Shaft ◽  
Consecutive Series ◽  
Retrograde Nailing ◽  
Partial Weight Bearing ◽  
Significant Deterioration ◽  
Femoral Shaft Fractures ◽  
Shaft Fractures ◽  
Canal Diameter ◽  
Partial Weight

<p><strong>Background: </strong>To evaluate the postoperative knee range of motion and results of unreamed retrograde nailing for distal third femoral shaft fractures.</p><p><strong>Methods: </strong>Between June 2019 and June 2021 inclusive, a consecutive series of 20 patients who underwent retrograde nailing were prospectively evaluated. Outcome measures were union time, initiation of weight bearing, deformity and shortening, functional length of the nail, knee function assessed using a modified knee society knee score. Correlations between union time and other variables were also studied.</p><p><strong>Results: </strong>In these patients 18 (90%) of the 20 fractures achieved union, of which 4 underwent dynamisation; the mean union time for the other 18 fractures was 3.1 months. Angular malalignment was present in 2 patients and shortening in 3 others. There was negligible correlation between union time and variables of nail-canal diameter mismatch, functional length of nail, fracture geometry, or initiation of partial weight bearing ambulation. Knee flexion of more than 100 degrees was achieved in 19 patients. 14 patients had anterior knee pain and 7 had instability in early phases of ambulation. By the end of one year, excellent or good scores for pain and function were recorded in 95% and 86% respectively of the 20 patients.</p><p><strong>Conclusions: </strong>In view of such favourable union rates and no significant deterioration in overall knee joint function, at best retrograde nailing is a reliable alternative in the management of selected complicated fractures of the distal femoral shaft.</p>

scholarly journals Flexible intramedullary nails with traction versus plaster cast for treating femoral shaft fractures in children: comparative retrospective study

2013 ◽  
Vol 131 (1) ◽  
pp. 5-12 ◽  
Author(s):  
Fabiano Prata do Nascimento ◽  
Cláudio Santili ◽  
Miguel Akkari ◽  
Gilberto Waisberg ◽  
Susana dos Reis Braga ◽  
...  
Keyword(s):  
Weight Bearing ◽  
Femoral Shaft ◽  
Plaster Cast ◽  
Intramedullary Nails ◽  
Femoral Shaft Fractures ◽  
Conservative Group ◽  
Shaft Fractures ◽  
Partial Weight ◽  
Plaster Casts ◽  
Surgical Group

CONTEXT AND OBJECTIVEFemoral fractures are common in children between 2 and 12 years of age, and 75% of the lesions affect the femoral shaft. Traction followed by a plaster cast is universally accepted as conservative treatment. However, in some situations, a surgical approach is recommended. The objective here was to compare treatments for femoral shaft fractures using intramedullary nails (titanium elastic nails, TEN) versus traction and plaster casts in children. The hypothesis was that TEN might provide better treatment, with good clinical results in comparison with plaster casts.DESIGN AND SETTINGThis retrospective comparative study was conducted in a public university hospital.METHODSSixty children with femoral fractures were evaluated; 30 of them underwent surgical treatment with TEN and 30 were treated conservatively using plaster casts. The patients' ages ranged from 5 to 13 years (mean of 9 years).RESULTSThe mean duration of hospitalization was nine days for the surgical group and 20 days for the conservative group. The incidence of overgrowth in the patients treated with TEN was 60.0% and, for those treated conservatively, 13.3%. Partial weight-bearing was allowed after 3.5 weeks in the surgical group and after 9.6 weeks in the conservative group. New hospitalization was required for 90.0% in the surgical group and 16.7% in the conservative group. Patients treated with plaster casts presented higher incidence of complications, such as loss of reduction.CONCLUSIONSThe surgical method presented better results for children.

Long Term Results of Retrograde Nailing in Adult Femoral Shaft Fractures

2002 ◽  
Vol 15 (3) ◽  
pp. 356 ◽  
Author(s):  
Yerl Bo Sung ◽  
Soo Chul Park ◽  
Jong Kuk Ahn ◽  
Jae Kwang Yum ◽  
Hyung Jin Chung ◽  
...  
Keyword(s):  
Femoral Shaft ◽  
Long Term Results ◽  
Retrograde Nailing ◽  
Femoral Shaft Fractures ◽  
Shaft Fractures

scholarly journals Management of compound fractures of shaft femur: a study of 55 cases

2016 ◽  
Vol 2 (4) ◽  
pp. 313
Author(s):  
Gaurav Singla ◽  
Amita Aggarwal ◽  
Ravinder Singh
Keyword(s):  
Femoral Shaft Fracture ◽  
Weight Bearing ◽  
Femoral Shaft ◽  
Shaft Fracture ◽  
Deep Infection ◽  
Full Weight Bearing ◽  
Femoral Shaft Fractures ◽  
Shaft Fractures ◽  
Mean Time

<p class="abstract"><strong>Background:</strong> Compound femoral shaft fractures are a major cause of morbidity and mortality. Conservative treatment necessitates a long stay in hospital for traction and subsequent immobilization and chances of wound infection are much higher. The objective of this study was to find out the outcome of treatment of open femoral shaft fractures by various modalities like interlocked nailing, plating and external fixation<span lang="EN-IN">.</span></p><p class="abstract"><strong>Methods:</strong> Fifty five patients with open femoral shaft fractures were treated under spinal or general anaesthesia. These fractures were in proximal one third (n=3), middle third (n=29), distal third (n=21). Fifty patients underwent surgery within 5 days of injury. Patients were followed for a minimum of 12 Months.<strong></strong></p><p class="abstract"><strong>Results:</strong> Patients achieved union in an average time of 20 weeks (range 17 to 24 weeks). Full weight bearing was started in a mean time of 16 weeks. Mean duration of hospital stay was 20 days. Complications were occurred in ten patients (4 non-unions and 3 patients with deep infection and 3 patients developed chronic osteomyelitis)<span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> The results were excellent in 31, good in 13, fair in 3 and poor in 7 patients while one patient lost follow up as he was from far off place. We concluded that open femoral shaft fracture can be well managed by surgical intervention<span lang="EN-IN">.</span></p>

scholarly journals A study on role of intramedullary interlocking nailing in the complex femoral shaft fractures

2019 ◽  
Vol 5 (5) ◽  
pp. 843
Author(s):  
Veera Kumaran ◽  
Sachidhanandham .
Keyword(s):  
Weight Bearing ◽  
Femoral Fractures ◽  
Femoral Shaft ◽  
High Energy ◽  
Rotational Stability ◽  
Full Weight Bearing ◽  
Care Hospital ◽  
Femoral Shaft Fractures ◽  
Interlocking Nailing ◽  
Shaft Fractures

<p class="abstract"><strong>Background:</strong> Fractures of the shaft of the femur are a major cause of morbidity and mortality in patients who sustain high energy trauma. Morbidity arises from limb shortening, malalignment, knee contractures and other complications of fracture.</p><p class="abstract"><strong>Methods:</strong> The aim of our study is to analyze the results of complex femoral shaft fractures treated by intramedullary interlocking nailing in our institution. Totally 20 cases of complex femoral fractures from 2007-2009 were treated with intramedullary interlocking at Krishanakumar Orthopedic Care Hospital, Nagercoil were included in our study.<strong></strong></p><p class="abstract"><strong>Results:</strong> We found that fracture of femur is most common in 2nd, 3rd and 4th decade of life, with mean age of 35.85 years. Vehicular accident in 17 patients was observed to be the main cause of fracture in our series (85%). 4 patients started full weight bearing at 10th week, 9 patients were able to bear full weight at 12th week, 4 patients at 14th week and 2 at 16th week. Average time of full weight bearing was 12.4 weeks. One patient developed deep infection (osteomyelitis) at 12 weeks and later non union was seen and unable to bear full weight.</p><p class="abstract"><strong>Conclusions:</strong> Intramedullary interlocking nailing for complex femoral fractures has been established worldwide as the gold standard treatment because of its load sharing property, internal splinting, and rotational stability. These contribute the stable osteosynthesis.</p><p class="abstract"> </p>

Arthroscopy-Assisted Retrograde Nailing of Femoral Shaft Fractures

2019 ◽  
pp. 253-259
Author(s):  
Oğuz Poyanli ◽  
Mehmet Esat Uygur ◽  
Mehmet Salih Söylemez
Keyword(s):  
Femoral Shaft ◽  
Retrograde Nailing ◽  
Femoral Shaft Fractures ◽  
Shaft Fractures

scholarly journals TENS for the surgical management of femoral shaft fractures in 6-14 years age group children

2017 ◽  
Vol 5 (2) ◽  
pp. 13-21
Author(s):  
Mohit Khanna ◽  
Jitendra Wadhwani ◽  
Amit Batra ◽  
Sidharth Yadav ◽  
Sarfraz Iman ◽  
...  
Keyword(s):  
Prospective Study ◽  
Weight Bearing ◽  
Femoral Shaft ◽  
Full Weight Bearing ◽  
External Fixators ◽  
Age Group ◽  
Femoral Shaft Fractures ◽  
Femur Fractures ◽  
Shaft Fractures ◽  
Fractures In Children

Background. Fracture shaft of femur in pediatric age group is one of the most common leading emergencies. Children in the age group of 6-14 years are treated with either traction, hip spica, flexible/elastic stable retrograde intramedullary nail, or external fixators. We conducted a clinical prospective study on the use of Titanium Elastic Nailing System (TENS) for the treatment of femoral shaft fractures in children. Methods. The prospective study included 45 cases of fresh femoral shaft fractures. The Inclusion Criteria were a) Age group of 6-14 years, b) Recent fracture of femur shaft c) Transverse, short oblique, minimally comminuted fractures. Results. The clinical results were evaluated using Flynn’s criteria of scoring as, Excellent in 40 patients (88.89 %), Satisfactory in 5 patients (11.12 %) and poor in none. Radiological criteria for fracture union were assessed by using Anthony et al scale. Nine patients developed bursitis at entry point of the nail. Three patients had superficial infection due to bursitis. Full weight bearing was possible in mean time of 8.7 weeks (range; 7-12 weeks). Conclusion. TENS is very effective in management of paediatric shaft femur fractures in the age group of 6-14 years with advantages of early union, early mobilization and manageable complications.

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