scholarly journals Bent Intramedullary Femoral Nail: Surgical Technique of Removal and Reconstruction

2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
Vasileios I. Sakellariou ◽  
Stamatis Kyriakopoulos ◽  
Helias Kotoulas ◽  
Ioannis P. Sofianos

A secondary high-velocity trauma to a previously stabilized femoral fracture with intramedullary nailing is rare. In this paper, we present the management of a 40-year-old man presented with a bent intramedullary nail due to secondary trauma. A lateral longitudinal femoral osteotomy was used for the resection of the distorted nail. The femur was reconstructed with a new nail, and the fixation of the osteotomy was achieved with plate and cerclage wires. Five months postrevision surgery, callus formation was evident and the patient regained a normal range of motion and gait, walking with a single cane.

1995 ◽  
Vol 112 (5) ◽  
pp. P144-P144
Author(s):  
Joram Raveh ◽  
Jon B. Turk

Educational objectives: To become acquainted with the multiple aspects induced by high-velocity trauma leading to combined skull-base and facial frame disruption and with subcranial exposure and other new methods for early one-stage management and reconstruction.


1990 ◽  
Vol 15 (1) ◽  
pp. 66-67
Author(s):  
M. SOELBERG ◽  
P. GEBUHR ◽  
B. KLARESKOV

A prospective trial of dislocations of the interphalangeal joints of fingers treated by elastic double-finger bandage showed good final results with an almost normal range of motion. The method is found pleasant by the patient, being hygienic and causing no kind of skin reaction.


1996 ◽  
Vol 78 (9) ◽  
pp. 1401-4 ◽  
Author(s):  
IZGE GÜNAL ◽  
NUSRET KÖSE ◽  
ORAL ERDOGAN ◽  
EROL GÖKTÜRK ◽  
SINAN SEBER

Author(s):  
Michelle Seiler ◽  
Peter Heinz ◽  
Alessia Callegari ◽  
Thomas Dreher ◽  
Georg Staubli ◽  
...  

Abstract Purpose The aim of this study was to investigate whether short-arm fiberglass cast (SAC) immobilization provides fracture stabilization comparable to that of long-arm cast (LAC) treatment of displaced distal forearm fractures after closed reduction in paediatric patients. Methods A prospective, randomized, controlled trial of children aged four to 16 years (mean 9.9 years) was designed with a sample of 120 children, whose size was set a priori, with 60 treated with SAC and 60 with LAC. The primary outcome was fracture stability and rate of loss of reduction. The secondary outcome analysis evaluated duration of analgesic therapy, restriction in activities of daily life, and the duration until patients regained normal range of motion in the elbow. Results No statistically significant differences were found between the two groups in loss of reduction or duration of analgesic therapy. In contrast, the duration until normal range of motion in the elbow was regained was significantly longer in the LAC group (median 4.5 days, P < 0.001). Restriction in activities of daily life did not differ significantly between the two groups except for the item “help needed with showering in the first days after trauma” (SAC 60%, LAC 87%, P = 0.001). Conclusion Fracture immobilization with short-arm fiberglass cast in reduced distal forearm fractures is not inferior to long-arm casts in children four years and older, excluding completely displaced fractures. Furthermore, short-arm casting reduces the need for assistance during showering. Trial registration NCT03297047, September 29, 2017


Hand ◽  
2016 ◽  
Vol 11 (1_suppl) ◽  
pp. 78S-79S
Author(s):  
Tatsuki Ebata ◽  
Ikuo Nakai ◽  
Akira Kogure ◽  
Kenichiro Goto

Author(s):  
William J. Anderst ◽  
Michelle Schafman ◽  
William F. Donaldson ◽  
Joon Y. Lee ◽  
James D. Kang

Static flexion-extension x-rays are the most common clinical tool used to assess abnormal motion of the cervical spine. Despite their widespread use (over 168,000 cases per year), the clinical efficacy of flexion-extension radiographs of the cervical spine has yet to be proven1. Limitations of static flexion-extension x-rays include data collection during static positions that may not accurately represent dynamic behavior, and the fact that data is collected at end range of motion positions, not in more frequently encountered mid-range positions. Consequently, static x-rays may not reveal movement abnormalities that occur during activities of daily living and lead to pain and degeneration. Therefore, it may be advantageous to analyze cervical spine kinematic data collected during dynamic, functional movements performed through an entire range of motion (not just the endpoints). Furthermore, the literature confirms there is substantial variability in “normal” range of motion and translation during flexion-extension1, making it difficult to reliably identify abnormal motion. Therefore, it may also be beneficial to evaluate alternative motion parameters that may reliably identify abnormal motion.


2019 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Anne Grisoli ◽  
Joseph Dynako ◽  
David Zimmer ◽  
Nuha Zackariya ◽  
Faadil Shariff ◽  
...  

2019 ◽  
Vol 2019 ◽  
pp. 1-7
Author(s):  
Maximiliano Barahona ◽  
Alvaro Zamorano ◽  
Cristian Barrientos ◽  
Mauricio Guzmán ◽  
Yoshiro Sato ◽  
...  

Axial alignment of the femur and tibia is often misdiagnosed in patients with patellofemoral stability problems. Femoral torsion is critical for patellofemoral biomechanics, so it must be evaluated in every patient before the plan of surgery is decided. This case describes a femoral derotational osteotomy due to excessive internal torsion of the femur fixed with a retrograde femoral nail. This type of fixation provides a biomechanical advantage compared to plates. At the two-year follow-up, the patient achieved excellent results, reaching a functional score of 91 points on the Lysholm scale. Derotational femoral osteotomy should be considered in patellofemoral pathology, and a retrograde femoral nail is a valid fixation method for this surgery.


Sign in / Sign up

Export Citation Format

Share Document