scholarly journals Secondary Subtrochanteric Fracture After Atypical Femoral Shaft Fracture Treated With Intramedullary Nail

Cureus ◽  
2021 ◽  
Author(s):  
Young-Ho Cho ◽  
Jeong Duk Suh
Keyword(s):  
Intramedullary Nail ◽  
Femoral Shaft Fracture ◽  
Femoral Shaft ◽  
Shaft Fracture ◽  
Subtrochanteric Fracture

scholarly journals Bifocal Bone Transport over a Preexisting Nail to Treat a Septic Femoral Shaft Nonunion

2019 ◽  
Vol 2 (1-3) ◽  
pp. 40-46
Author(s):  
Haridimos Tsibidakis ◽  
Francesco Guerreschi ◽  
Fakher Fakhry ◽  
Piero Poli ◽  
Luca Grion ◽  
...  
Keyword(s):  
Bone Healing ◽  
External Fixator ◽  
Intramedullary Nail ◽  
Femoral Shaft Fracture ◽  
Femoral Shaft ◽  
Shaft Fracture ◽  
Bone Transport ◽  
Leg Length ◽  
Femoral Shaft Fractures ◽  
Circular External Fixator

Intramedullary nailing is the method of choice for the treatment of most femoral shaft fractures. However, it is not always an easy procedure with predictable results as leg length discrepancy as well as rotational and angular malunion may occur. Lengthening over an intramedullary nail (IMN) has become very common as it allows early removal of the external fixator. This report presents a case of an open femoral shaft fracture initially treated with an IMN and subsequently complicated by a septic nonunion. Union was obtained by bifocal bone transport with a circular external fixator over the preexisting nail without exchange or removal of the previously inserted IMN. In conclusion, the presence of an IMN supports osteotomy and regenerates bone during bone healing, prevents fracture and/or deformation of the regenerated bone, and reduces the time needed for the external fixator.

scholarly journals Comparison of efficacy between internal fixation of minimally invasive elastic stable intramedullary nail and plate in the treatment of pediatric femoral shaft fracture

2019 ◽  
Vol 35 (5) ◽  
Author(s):  
Wenxia Wang ◽  
Xiaoyong Zheng ◽  
Zuoyong Sun
Keyword(s):  
Minimally Invasive ◽  
Internal Fixation ◽  
Fracture Healing ◽  
Intramedullary Nail ◽  
Femoral Shaft Fracture ◽  
Femoral Shaft ◽  
Shaft Fracture ◽  
Control Group ◽  
Observation Group ◽  
Elastic Stable Intramedullary Nail

Objective: To compare and analyze the clinical effects of internal fixation of minimally invasive elastic stable intramedullary nail and plate in the treatment of pediatric femoral shaft fracture. Methods: A total of 120 children with femoral shaft fractures who were admitted to our hospital from December 2016 to April 2018 were enrolled. The children were divided into an observation group and a control group by random number table, with 60 children in each group. The children in the observation group underwent internal fixation of minimally invasive elastic stable intramedullary nail, while those in the control group underwent open reduction based on internal fixation of plate. The surgical status and postoperative complications of the two groups were observed and compared, and Kolmert knee function scoring criteria were used for assessing the surgical effects of children. Results: The operation duration, intraoperative blood loss, hospitalization duration, fracture healing time and time of off-bed loaded activity of the observation group were significantly shorter than those of the control group, and the differences were statistically significant (P<0.05). The excellent and good rate of fracture healing in the observation group was 100%, which was higher than that of the control group, 83.33%, and the difference was statistically significant (P<0.05). The total incidence rate of complications in the observation group was 8.33%, which was lower than that of the control group, 10.00%, but the difference was not statistically significant (P>0.05). Conclusion: Pediatric femoral shaft fractures can be treated with internal fixation of minimally invasive elastic intramedullary nail, and it has advantages of significant curative effect, small trauma and fast postoperative recovery, which is conducive to fracture healing and worth promoting. doi: https://doi.org/10.12669/pjms.35.5.513 How to cite this:Wang W, Zheng X, Sun Z. Comparison of efficacy between internal fixation of minimally invasive elastic stable intramedullary nail and plate in the treatment of pediatric femoral shaft fracture. Pak J Med Sci. 2019;35(5):---------.   doi: https://doi.org/10.12669/pjms.35.5.513 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Intramedullary femoral nail fixation for A pathological fracture distal to A resurfacing arthroplasty

2021 ◽  
Vol 28 ◽  
pp. 221049172110395
Author(s):  
David RW MacDonald ◽  
Iain Stevenson
Keyword(s):  
Intramedullary Nail ◽  
Femoral Shaft Fracture ◽  
Pathological Fracture ◽  
Femoral Shaft ◽  
Shaft Fracture ◽  
Hip Resurfacing ◽  
Hip Resurfacing Arthroplasty ◽  
Resurfacing Arthroplasty ◽  
Femoral Nail ◽  
First Case

Traumatic femoral shaft fractures distal to a hip resurfacing arthroplasty (HRA) are rare. Only four cases have been described in which an intramedullary nail was used to treat the fracture. We present the first case in the literature of a pathological femoral shaft fracture distal to a HRA, and describe its treatment with an anterograde intramedullary femoral nail with proximal locking screws placed into the femoral head overlapping the HRA stem. This demonstrates that the presence of a hip resurfacing arthroplasty does not preclude from utilising an intramedullary nail with recon screws to stabilise a pathological fracture.

Retrograde Intramedullary Nail for Femoral Shaft Fracture with Limited Indications

2003 ◽  
Vol 16 (1) ◽  
pp. 45 ◽  
Author(s):  
Sung Jung Kim ◽  
Chang Wug Oh ◽  
Joo Chul Ihn ◽  
Hee Soo Kim ◽  
In Ho Jeon ◽  
...  
Keyword(s):  
Intramedullary Nail ◽  
Femoral Shaft Fracture ◽  
Femoral Shaft ◽  
Shaft Fracture ◽  
Retrograde Intramedullary Nail

Femoral-shaft fracture below hip prosthesis

JAMA ◽  
1965 ◽  
Vol 194 (13) ◽  
pp. 1378-1381
Author(s):  
O. E. Aufranc
Keyword(s):  
Femoral Shaft Fracture ◽  
Hip Prosthesis ◽  
Femoral Shaft ◽  
Shaft Fracture
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