scholarly journals Treatment of femoral shaft fractures in polytrauma patients using Mitkovic type internal fixator

2007 ◽  
Vol 54 (2) ◽  
pp. 33-38 ◽  
Author(s):  
P.M. Stojiljkovic ◽  
Z.S. Golubovic ◽  
M.B. Mitkovic ◽  
D.S. Mladenovic ◽  
I.D. Micic ◽  
...  
Keyword(s):  
Femoral Shaft ◽  
Internal Fixator ◽  
Mortality And Morbidity ◽  
Femoral Shaft Fractures ◽  
Femur Fractures ◽  
Shaft Fractures ◽  
Polytrauma Patients ◽  
Kuntscher Nail ◽  
Polytrauma Patient ◽  
Bone Vascularization

Polytrauma remains a major social, economic and medicine affliction. Successful surgical treatment of polytrauma patient?s requires an approach predicated on prioritizing injuries. An isolated fractures rarely poses any threat but in association with multiple injuries, a fractures assumes greater significance. Proper management of femur fractures in polytrauma can greatly reduce the mortality and morbidity. In this work the results of the operative treatments of the femoral shaft fractures in polytrauma patients using Mitkovic type internal fixator (14 patients) and Kuntscher nail (9 patients) are compared. The average patients age was 28.43 years (range 16 to 61). Internal fixation using Mitkovic type internal fixator can be method of choose in treatment of femur fractures in polytrauma patient?s. Its application is relatively simple. It doesn?t damage the periosteal and meduullary bone vascularization, which favors osteosynthesis and provides considerable contribution in osteogensis. .

scholarly journals Fracture Table vs. Lateral Positioning for Intramedullary Fixation of Femur Fractures (The FLiP Study): A protocol for a pilot randomized controlled trial

2019 ◽  
Author(s):  
Daniel Axelrod ◽  
Herman Johal ◽  
Kim Madden ◽  
Francesc Marcano ◽  
Carlos Prada
Keyword(s):  
Pilot Trial ◽  
Case Series ◽  
Femoral Shaft ◽  
Intramedullary Fixation ◽  
Femoral Shaft Fractures ◽  
Randomized Controlled ◽  
Femur Fractures ◽  
Shaft Fractures ◽  
Fracture Table ◽  
Lateral Positioning

Background: Femoral Shaft fractures are devastating and life threatening injuries. Femoral shaft fractures are most commonly treated with intramedullary fixation. Malrotation of the injured limb after fixation is a common and significant complication following femoral shaft fractures. During the operation, patients can be positioned either supine or in a lateral position. Additionally, patients can be placed on a standard radiolucent operating room table, or placed on a fracture table with traction statically applied to the operative limb throughout the case. Previous case series and cohort studies have shown equivalence between study groups, but choice between positioning options remains controversial. Methods: This represents a protocol for a randomized controlled pilot trial. We will be compared lateral positioning with use of manual traction to supine positioning with use of a fracture table. Primary outcomes will be in assessment for feasibility for a future full scale randomized trial, including evaluating patient recruitment, patient compliance with followup, contamination between treatment arms and others. Results: The primary outcome will be feasibility for a future trial. Secondary outcomes will include malrotation as measured through postoperative computed tomography scans and gait analysis at 6 months.

scholarly journals Femoral diaphysis fractures: treatment with unreamed intramedullary nailing and its results

2018 ◽  
Vol 4 (2) ◽  
pp. 180
Author(s):  
Murat Demiroğlu
Keyword(s):  
Intramedullary Nailing ◽  
Femoral Shaft ◽  
Deep Infection ◽  
Femoral Diaphysis ◽  
Mortality And Morbidity ◽  
Lower Extremity Injuries ◽  
Femoral Shaft Fractures ◽  
Shaft Fractures ◽  
Distal Side ◽  
Extremity Injuries

<p class="abstract"><strong>Background:</strong> <span lang="TR">Femoral shaft fractures are an important cause of mortality and morbidity in the lower extremity injuries</span><span lang="EN-IN">.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="TR">21 femoral body fractures of 19 adult patients were treated with the unreamed intramedullary nailing. Of 19 patients 14 were males and 5 were females</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="TR">All fractures healed. Deep infection was not encountered. According to the Thoresen criteria, the rate of excellent-good results was 78%. In two patients, who had also cranial trauma, development of excessive callus was observed. None of the patients required a secondary operation</span><span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="TR">Unreamed intramedullary nailing, if it can be implemented with closed technique and with double lock screw at the distal side, provides satisfactory results in the femoral shaft fractures</span><span lang="EN-IN">.</span></p><p> </p>

scholarly journals Fracture Table vs. Lateral Positioning for Intramedullary Fixation of Femur Fractures (The FLiP Study): A protocol for a pilot randomized controlled trial

2019 ◽  
Author(s):  
Daniel Axelrod ◽  
Herman Johal ◽  
Kim Madden ◽  
Francesc Marcano ◽  
Carlos Prada
Keyword(s):  
Pilot Trial ◽  
Case Series ◽  
Femoral Shaft ◽  
Intramedullary Fixation ◽  
Femoral Shaft Fractures ◽  
Randomized Controlled ◽  
Femur Fractures ◽  
Shaft Fractures ◽  
Fracture Table ◽  
Lateral Positioning

Background: Femoral Shaft fractures are devastating and life threatening injuries. Femoral shaft fractures are most commonly treated with intramedullary fixation. Malrotation of the injured limb after fixation is a common and significant complication following femoral shaft fractures. During the operation, patients can be positioned either supine or in a lateral position. Additionally, patients can be placed on a standard radiolucent operating room table, or placed on a fracture table with traction statically applied to the operative limb throughout the case. Previous case series and cohort studies have shown equivalence between study groups, but choice between positioning options remains controversial. Methods: This represents a protocol for a randomized controlled pilot trial. We will be compared lateral positioning with use of manual traction to supine positioning with use of a fracture table. Primary outcomes will be in assessment for feasibility for a future full scale randomized trial, including evaluating patient recruitment, patient compliance with followup, contamination between treatment arms and others. Results: The primary outcome will be feasibility for a future trial. Secondary outcomes will include malrotation as measured through postoperative computed tomography scans and gait analysis at 6 months.

scholarly journals Application of the New Self-dynamisable Internal Fixator in the Treatment of Femoral Shaft Fractures

2017 ◽  
Vol 34 (2) ◽  
pp. 129-136
Author(s):  
Milan Mitković ◽  
Saša Milenković ◽  
Ivan Micić ◽  
Predrag Stojiljković ◽  
Igor Kostić ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Surgical Approach ◽  
Femoral Shaft ◽  
Axial Direction ◽  
Healing Time ◽  
Internal Fixator ◽  
Invasive Technique ◽  
Similar Treatment ◽  
Femoral Shaft Fractures ◽  
Shaft Fractures

Summary The aim of this study was to present the results of one original method application in internal fixation of long bones. The series of 27 patients with unilateral fractures of femoral shaft was analyzed. According to AO classification, 21 fractures were classified as 32A, five as 32B, and one as 32C type. Original diaphyseal self-dynamisable internal fixator (model 1) was used as a fixation implant, consisting of three components: specially designed extramedullary bar, clamps and screws. The main feature of this implant is a possibility to become dynamic in the axial direction spontaneously if there is no sufficient fracture healing. Because of that, this implant is known as an „intelligent implant“. Surgical method included a standard surgical approach and minimally invasive surgical approach. Minimally invasive technique of application required less blood transfusion and shorter surgery time when compared to the standard surgical approach. The duration of used intraoperative fluoroscopy control was 7(3-18) seconds. The average healing time was 4.3 (3.5-9.5) months. There were neither intra operative nor postoperative complications. In comparison to intramedullary nails, self-dynamisable internal fixator provides a similar treatment results, while in comparison to plates it provides fewer mechanical complications. Self-dynamisable internal fixator method preserves periosteal and intramedullary blood circulation, and it is the first fixation implant with a possibility of spontaneous axial dynamising activation when needed. This implant has been proven as suitable for routine use in the treatment of femoral shaft fractures.

scholarly journals Minimally invasive treatment of bilateral femoral shaft fractures in polytrauma patient using selfdinamisibile internal fixator: A case report

2013 ◽  
Vol 60 (2) ◽  
pp. 59-64
Author(s):  
Predrag Stojiljkovic ◽  
Ivan Micic ◽  
Sasa Milenkovic ◽  
Milan Mitkovic ◽  
Ivan Golubovic ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Femoral Fractures ◽  
Internal Fixator ◽  
Invasive Technique ◽  
Invasive Treatment ◽  
Operative Trauma ◽  
Femur Fractures ◽  
Definitive Method ◽  
Polytrauma Patients ◽  
Polytrauma Patient

Proper timing and surgical method in management of femur fractures in polytrauma patients can greatly reduce the mortality, morbidity and disability. The aim of this paper is to present the treatment of bilateral femoral fractures in polytrauma patient with dominant chest trauma by selfdynamisable internal fixator Mitkovic (SIF) as a definitive method of fractures treatment. A 23 years old female was injured in a traffic accident. After resuscitation and treatment of the dominant chest injuries, surgical treatment of bilateral femur fractures performed on the fourth day after the injury. Length of surgery was 65 minutes. There was not blood substitution during the intervention and blood loss through the operative wounds drainage. There was no worsening of the pulmonary function after orthopaedic surgery. The patient discharged from hospital postoperative day ten. Postoperative follow-up was 9 months. The fractures healed with an excellent functional result. Application of selfdynamisable internal fixator (SIF) with minimally invasive technique for the treatment of bilateral femoral fractures in polytrauma patients is a good operative method because poses minimally additional operative trauma and provides excellent biomechanical conditions for fracture healing.

scholarly journals Bridge Plating of Comminuted Shaft of Femur Fractures

2015 ◽  
Vol 3 (1) ◽  
pp. 7-12
Author(s):  
Mohammad Abul Kalam ◽  
Pradeep Kumar ◽  
Mohammad Afzal Hussain ◽  
Iqbal Ahmad
Keyword(s):  
Prospective Study ◽  
Plate Osteosynthesis ◽  
Femoral Shaft ◽  
Invasive Technique ◽  
Operating Table ◽  
Femoral Shaft Fractures ◽  
Femur Fractures ◽  
Shaft Fractures ◽  
Bridge Plate ◽  
Bridge Plating

A prospective study of forty comminuted femoral shaft fractures, open and close, treated with a relatively minimally invasive technique termed as bridge plate osteosynthesis or biological fixation. Less invasive procedure, Short operative time and less blood loss was seen during surgical procedure. This prospective study was conducted at Nobel Medical College, Biratnagar from 2010 to 2011. This study was done because most of the femoral shaft fractures treated under C-arm mobile image intensifier but bridge plating system does not require such advanced costly equipment. Almost all cases were free from long term complications. All fractures healed within 6 months. Bone grafting was done for 2 cases as a secondary procedure. The complication of infections was seen in two of open fractures. This procedure can easily be carried out in general operating table by appropriable surgeons.DOI: http://dx.doi.org/10.3126/jonmc.v3i1.12230Journal of Nobel Medical CollegeVol. 3, No.1 Issue 6, 2014, Page: 7-12

scholarly journals Femoral shaft fractures in children with non-ambulatory neuromuscular disorders can be effectively treated using flexible intramedullary nails

2020 ◽  
Vol 14 (2) ◽  
pp. 132-138 ◽  
Author(s):  
Ali A. Siddiqui ◽  
Kenneth D. Illingworth ◽  
Oussama A. Abousamra ◽  
Erin M. Meisel ◽  
Robert M. Kay
Keyword(s):  
Neuromuscular Disorders ◽  
Femoral Shaft ◽  
Control Group ◽  
Angular Deformity ◽  
Intramedullary Nails ◽  
Femoral Shaft Fractures ◽  
Femur Fractures ◽  
Shaft Fractures ◽  
Fractures In Children ◽  
Flexible Intramedullary Nails

Purpose There is little information in the literature regarding flexible intramedullary nails (FIN) for treating femur fractures in children with neuromuscular disorders. The purpose of this study is to investigate the outcomes of FIN for femoral shaft fractures in non-ambulatory children with neuromuscular disorders. Methods A retrospective review was conducted on patients with femur fractures at a paediatric hospital between 2004 and 2018. Inclusion criteria were femoral shaft fracture treated with FIN. Outcomes were compared between patients with neuromuscular disorders (NM group) and a control group of those without neuromuscular disorders. Results A total of 37 patients with 37 femoral shaft fractures were studied (12 patients in the NM group and 25 in the control group). All NM group patients were non-ambulatory at baseline. Fractures were length stable in all 25 patients in the control group and in 2/12 (17%) patients in the NM group. All fractures healed in both groups. Three complications (all nail migrations) requiring reoperation before fracture union occurred in the NM group, yielding a major complication rate of 25% (3/12) in the NM group versus 0% (0/25) in controls (p = 0.03). Angular deformity occurred in 5/12 (42%) NM group patients and 1/25 (4%) control group patient (p = 0.009); none required reoperation. Conclusion Femur fractures in non-ambulatory children with neuromuscular disorders can be successfully treated with FIN. Angular deformities are common in this population, but had no functional impact in the non-ambulatory NM group patients. Surgeons must also be vigilant for implant prominence and skin breakdown in these patients. Level of evidence III

scholarly journals Treatment of femoral shaft fractures by closed intramedullary nailing. Comparison with kuntscher nail and ender nail.

1989 ◽  
Vol 38 (2) ◽  
pp. 558-560
Author(s):  
Katsuyoshi Saruwatari ◽  
Syogo Kurosaki ◽  
Mamoru Ariyoshi ◽  
Shirou Tahira ◽  
Akio Inoue
Keyword(s):  
Intramedullary Nailing ◽  
Femoral Shaft ◽  
Femoral Shaft Fractures ◽  
Shaft Fractures ◽  
Closed Intramedullary Nailing ◽  
Kuntscher Nail
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