Closed versus open medullary nailing of femoral fractures

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Closed unlocked nailing for comminuted femoral fractures.

Fifty consecutive comminuted fractures of the femoral shaft were treated by closed unlocked intramedullary nailing. Twelve unstable fractures also had cast-bracing. There were no cases of infection or non-union, and satisfactory results were achieved in 38 fractures (76%). More severe comminution led to a higher incidence of unsatisfactory results, but malrotation deformity was seen more often ...

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Femoral neck fracture during closed medullary nailing: brief report.

Closed intramedullary nailing of the femur is a complex technique but one that has considerable advantages. The choice of an appropriate point of entry into the proximal femur during introduction is vital, since an oblique insertion of the nail may lead to impaction of the implant and comminution of the proximal femoral fragment (Winquist, Hansen and Clawson 1984); this is particularly so in sm...

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Closed Küntscher nailing for comminuted femoral shaft fractures.

From a series of 190 consecutive fractures of the shaft of the femur treated by closed Küntscher nailing, 32 of the more severely comminuted have been studied to determine whether treatment by closed nailing was justified. Radiological criteria were used to divide them into 19 who were moderately comminuted and 13 grossly so. Twenty-four patients were less than 21 years of age and 19 patients h...

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Closed or open intramedullary nailing of femoral shaft fractures? A comparison with conservatively treated cases.

intramedullary nailing of femoral shaft fractures, first introduced by Hey Groves in 1918 and later popularised by K#{252}ntscher (1940, 1958, 1967), B#{246}hler (1951), Street (1951) and Lottes ( 1953), is in most current textbooks described as a routine surgical operation. It is regarded as the method of choice in transverse and short oblique fractures of the femoral shaft (B#{246}hler 1951 :...

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ژورنال

عنوان ژورنال: Acta Orthopaedica Scandinavica

سال: 1992

ISSN: 0001-6470

DOI: 10.3109/17453679209154721