scholarly journals Leg Length Discrepancy and Angular Deformity after Flexible Intramedullary Nail fixation in Pediatric Femoral Shaft Fractures

2016 ◽  
Vol 22 (2) ◽  
pp. 119-123
Author(s):  
Chang Hwa Hong
Keyword(s):  
Intramedullary Nail ◽  
Femoral Shaft ◽  
Leg Length Discrepancy ◽  
Angular Deformity ◽  
Leg Length ◽  
Femoral Shaft Fractures ◽  
Length Discrepancy ◽  
Shaft Fractures ◽  
Flexible Intramedullary Nail

Minimizing Leg Length Discrepancy After Intramedullary Nailing of Comminuted Femoral Shaft Fractures

2018 ◽  
Vol 32 (5) ◽  
pp. 256-262 ◽  
Author(s):  
Petra Gheraibeh ◽  
Rahul Vaidya ◽  
Ian Hudson ◽  
Robert Meehan ◽  
Frederick Tonnos ◽  
...  
Keyword(s):  
Intramedullary Nailing ◽  
Femoral Shaft ◽  
Leg Length Discrepancy ◽  
Leg Length ◽  
Femoral Shaft Fractures ◽  
Length Discrepancy ◽  
Shaft Fractures

scholarly journals Effect of inherent tibial asymmetry on leg length discrepancy measurements after intramedullary nailing of comminuted femoral shaft fractures

SICOT-J ◽  
2019 ◽  
Vol 5 ◽  
pp. 1 ◽  
Author(s):  
Ian Hudson ◽  
Krystalyn Mauch ◽  
Meg Schuurman ◽  
Muhammad T. Padela ◽  
Petra Gheraibeh ◽  
...  
Keyword(s):  
Intramedullary Nailing ◽  
Femoral Shaft ◽  
Leg Length Discrepancy ◽  
Leg Length ◽  
Femoral Shaft Fractures ◽  
Length Discrepancy ◽  
Femur Fractures ◽  
Shaft Fractures ◽  
Bony Landmarks ◽  
Total Leg

Introduction: Locked intramedullary nailing (IMN) is the standard treatment for femoral shaft fractures in adults with high rates of union and relatively low rates of complications. Leg length discrepancy (LLD) after IMN of femoral shaft fractures is common, and is reported in 20–43% of cases. A known surgical challenge when trying to obtain equal leg lengths is comminuted fracture, which results in a loss of bony landmarks that guide reduction. The purpose of this study was to assess the effect of inherent tibial asymmetry on LLD measurements after IMN. Methods: Postoperative CT scanograms were performed on 79 consecutive patients after locked IMN for comminuted femoral shaft fracture. Leg lengths were determined by measurements taken from the scout view of a CT scanogram. Calculations of discrepancy were made for both femurs, tibias, and total leg length. Assessment was also made on the frequency wherein the tibial discrepancy compounded the femoral discrepancy. In situations where a limb segment was exactly symmetric to the contralateral side, the total leg was not regarded as a having compounded asymmetry. Results: Notable discrepancies were found in tibial length that significantly departed from the null of symmetry (p < 0.0001). Forty-two patients (53.2%) were found to have a tibial asymmetry of 3 mm or more, and 20 patients (25.3%) were found to exhibit a difference of 6.3 mm or more. Median femoral discrepancy was 5.3 mm and median tibial discrepancy was 3.0 mm. Seven patients were found to be asymmetric in total leg length as a consequence of underlying tibial asymmetry. Conversely, 11 patients benefited from their tibial asymmetry, which compensated for femoral asymmetry after IMN. Conclusion: Tibial symmetry cannot be assumed. If not accounted for, inherent tibial asymmetry may influence LLD after IMN of femur fractures.

Sign in / Sign up

Export Citation Format

Share Document