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 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.

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. .

The Treatment of Low-Energy Femoral Shaft Fractures: A Prospective Study Comparing the “Walking Spica” with the Traditional Spica Cast

2011 ◽  
Vol 93 (23) ◽  
pp. 2196-2202 ◽  
Author(s):  
John M Flynn ◽  
Matthew R Garner ◽  
Kristofer J Jones ◽  
Joann DʼItalia ◽  
Richard S Davidson ◽  
...  
Keyword(s):  
Prospective Study ◽  
Femoral Shaft ◽  
Low Energy ◽  
Spica Cast ◽  
Femoral Shaft Fractures ◽  
Shaft Fractures ◽  
A Prospective Study

Elastic plate osteosynthesis of femoral shaft fractures in young dogs

2001 ◽  
Vol 14 (01) ◽  
pp. 40-45 ◽  
Author(s):  
Jean-Pierre Cabassu
Keyword(s):  
Clinical Trial ◽  
Elastic Plate ◽  
Femoral Fracture ◽  
Plate Osteosynthesis ◽  
Femoral Shaft ◽  
Fracture Site ◽  
Fracture Repair ◽  
Femoral Shaft Fractures ◽  
Flexible Segment ◽  
Bridge Plating

SummaryThe outcome of femoral fracture repair in young growing dogs using the principle of elastic osteosynthesis was evaluated in a retrospective clinical trial. Unilateral fractures in twenty four dogs, in the first phase of their growth, were repaired with a Veterinary Cuttable Plate (VCP). The plates were applied according to the principles of bridge plating. They were fixed with two screws at each end, positioned as far as possible from the fracture site, leaving a flexible segment between them.The plates contained between seven and 20 holes. The dogs soon used their treated limb and callus was often complete by four weeks. The plates were removed in 18 cases. A very good outcome was recorded in 21 dogs, one dog ran away after two months at which time the owner reported an excellent gait, one dog died of an unrelated problem and one other dog exhibited slight lameness which was attributed to stifle problems. In all of the cases the growing diaphysis was apparently undisturbed. It was concluded that adequate fixation of the fractures was achieved and conditions for rapid bone union was created.The successful use of Veterinary Cuttable Plates, VCP, for the treatment of fractured femurs in immature dogs, is reported

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 Comparative Study of Management of Closed Comminuted Femoral Shaft Fractures with Closed Interlocking Intramedullary Nail and Open Reduction and Dynamic Compression Bridge Plating

2004 ◽  
Vol 43 (155) ◽  
Author(s):  
Bikram Prasad Shrestha ◽  
P Kumar ◽  
GK Singh
Keyword(s):  
Dynamic Compression ◽  
Femoral Shaft ◽  
Delayed Union ◽  
Permanent Disability ◽  
Femoral Shaft Fractures ◽  
Advantages And Disadvantages ◽  
Interlocking Nailing ◽  
Shaft Fractures ◽  
Segmental Fracture ◽  
Bridge Plating

Fracture shaft of the femur are life-threatening injuries and can cause severe permanent disability. Nowadays die interlocking nailing is regarded as the operative technique of choice for fracture shaft of femur. However, the advantages and disadvantages have rarely been compared with plate osteosynthesis. This is prospective study to compare the two methods of treatments in terms of time to union, hospital slay (including readmission), wound infection, shortening of limb, delayed union, malunion, joint stiffness and implant failure. 54 patients, age (16 to 66) years, were treated by DCP (22), and interlocking nail (24). Eight patients were lost to follow up. The study was conducted in Services Hospital, Department of Orthopaedics and Ittefaq Hospital, Lahore, Pakistan from June 1996 to Dec 1997. Written consent was taken regarding the type of surgery to be performed. Open fractures of Gustilo Grade n or in, femoral shaft fractures associated with other fractures of the same femur, fractures in immature skeleton and segmental fracture were excluded. Winquist and Hansen classification was used to classify fracture comminution. Patients were alternately allocated. In the plating group, primary bone grafting was done in all cases. Time to union in nailing group was 16.43t2.48 weeks and in plating 19.88±3.46 weeks, p-value<0.05. Mean hospital stay in nailing group was 12.8±2.75 day and plating group 21.1±2.73 days, p>0.05. There were 2 deep infections in the plating group and none in nailing group. There was no shortening of limb in die plating group but 2 patients in the nailing group had shortening of 2 cms. Delayed union occurred in 2 patients in nailing group but 5 in plating group. One patient in the nailing group had external rotation of at least 10 degrees and none in plating group. Two patients in the nailing group had knee stiffness and 6 patients in me plating group. One patient in the nailing group had a broken interlocking screw 2 patients in the plating group had bent plates. Closed interlocking intramedullary nailing as a method of treating closed communited femoral shaft fracture is better than plating in terms of rate of postoperative complication including infection.Key Words: Comminuted fractures shaft of femur, static interlocking nailing and bridge plating.

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.

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