scholarly journals 02 - Implant Cut-out Following Cephalomedullary Nailing of Intertrochanteric Femur Fractures: Are Helical Blades to Blame?

2019 ◽  
Author(s):  
Ishaq Ibrahim ◽  
Edward K. Rodriguez, MD, PhD
Keyword(s):  
Femur Fractures ◽  
Cephalomedullary Nailing

Orthogonal Plating With a 95-Degree Blade Plate for Salvage of Unsuccessful Cephalomedullary Nailing of Atypic Femur Fractures

2019 ◽  
Vol 33 (6) ◽  
pp. e246-e250 ◽  
Author(s):  
Natalie C. Rollick ◽  
Jessica Bear ◽  
Owen Diamond ◽  
David S. Wellman ◽  
David L. Helfet
Keyword(s):  
Blade Plate ◽  
Femur Fractures ◽  
Cephalomedullary Nailing

Radiographic Review of Helical Blade Versus Lag Screw Fixation for Cephalomedullary Nailing of Low-Energy Peritrochanteric Femur Fractures

2017 ◽  
Vol 31 (6) ◽  
pp. 305-310 ◽  
Author(s):  
Lorraine C. Stern ◽  
John T. Gorczyca ◽  
Stephen Kates ◽  
John Ketz ◽  
Gillian Soles ◽  
...  
Keyword(s):  
Screw Fixation ◽  
Low Energy ◽  
Lag Screw ◽  
Femur Fractures ◽  
Helical Blade ◽  
Cephalomedullary Nailing

Implant cut-out following cephalomedullary nailing of intertrochanteric femur fractures: Are helical blades to blame?

Injury ◽  
2019 ◽  
Vol 50 (4) ◽  
pp. 926-930 ◽  
Author(s):  
Ishaq Ibrahim ◽  
Paul T. Appleton ◽  
John J. Wixted ◽  
Joseph P. DeAngelis ◽  
Edward K. Rodriguez
Keyword(s):  
Femur Fractures ◽  
Cephalomedullary Nailing

Healing of Atypical Subtrochanteric Femur Fractures After Cephalomedullary Nailing

2017 ◽  
Vol 31 (3) ◽  
pp. 138-145 ◽  
Author(s):  
Jae-Woo Cho ◽  
Chang-Wug Oh ◽  
Frankie Leung ◽  
Ki-Chul Park ◽  
Merng Koon Wong ◽  
...  
Keyword(s):  
Femur Fractures ◽  
Cephalomedullary Nailing ◽  
Subtrochanteric Femur Fractures

Minimally invasive clamp-assisted reduction and cephalomedullary nailing without cerclage cables for subtrochanteric femur fractures in the elderly: Surgical technique and results

Injury ◽  
2015 ◽  
Vol 46 (6) ◽  
pp. 1036-1041 ◽  
Author(s):  
Juan Mingo-Robinet ◽  
Miguel Torres-Torres ◽  
María Moreno-Barrero ◽  
Juan Antonio Alonso ◽  
Sara García-González
Keyword(s):  
Surgical Technique ◽  
Minimally Invasive ◽  
The Elderly ◽  
Femur Fractures ◽  
Cephalomedullary Nailing ◽  
Subtrochanteric Femur Fractures

scholarly journals A new fluoroscopic view for evaluation of anteromedial cortex reduction quality during cephalomedullary nailing for intertrochanteric femur fractures: the 30° oblique tangential projection

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Shi-Yi Chen ◽  
Shi-Min Chang ◽  
Rujan Tuladhar ◽  
Zhen Wei ◽  
Wen-Feng Xiong ◽  
...  
Keyword(s):  
Lateral View ◽  
3D Ct ◽  
Ct Reconstruction ◽  
Oblique View ◽  
Femur Fractures ◽  
Cephalomedullary Nailing ◽  
Tangential Projection ◽  
Stable Reconstruction ◽  
3D Ct Reconstruction

Abstract Background Anteromedial cortex-to-cortex reduction is a key parameter for stable reconstruction of the fracture fragments during the intertrochanteric fracture fixation. This paper introduces the oblique fluoroscopic projection as a novel method to evaluate the quality of anteromedial cortical apposition. Methods Three proximal femur specimens were marked with steel wires along five anatomic landmarks: Greater trochanter, Lesser trochanter, Intertrochanteric line, Anterolateral tubercle and the Anteromedial cortical line. After obtaining the standard femoral neck AP and lateral fluoroscopic images, the C-arm was rotated by every 5°increments until a clear tangential view of the antero-medial-inferior corner cortex was observed. 98 cases of intertrochanteric hip fractures were enrolled from April 2018 to October 2019. After fixation with the nails, the intra-operative anteromedial cortex reduction quality was evaluated from the AP, the true lateral, and the new anteromedial oblique fluoroscopic images. The fluoroscopic results were compared with the post-operative 3D-CT reconstruction images. Results The specimen study showed that internal rotation of the C-arm to approximately 30 ° can remove all the obscure shadows and clearly display the antero-medial-inferior cortical tangent line. Clinically,the positive, neutral and negative apposition of different cortices via intra-operative fluoroscopic images showed79, 19 and 0 cases of medial cortical apposition in AP views; 2, 68 and 28 cases of anterior cortices in lateral views;and 22, 51 and 25cases of anteromedial cortical apposition in oblique views respectively. The post-operative 3D-CT reconstruction images revealed that the final anteromedial cortical contact was noted in 62 cases (63.3%), and lost in 36 cases (36.7%). The overall coincidence rate between intra-operative fluoroscopy and post-operative 3D-CT was 63.3% (62/98) in AP view,79.6% (78/98) in lateral view, and 86.7% (85/98) in oblique view(p < 0.001). Negative cortical apposition in oblique view was highly predictive of a final loss of cortical support on 3D CT (24/25 cases, 96%).And non-negative cortical apposition in oblique view was highly associated with true cortical support on 3D CT images (61/73 cases, 83.6%) (p < 0.001). Conclusions Besides the AP and lateral projections, an anteromedial oblique view of 30° certifies to be a very useful means for evaluation of the fracture reduction quality of anteromedial cortical apposition.

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