Intramedullary nailing of femoral and tibial shaft fractures

Intramedullary nailing of femoral and tibial shaft fractures

secondary infection.5 Neurologic problems such as paralysis slow ambulation, an aid to healing. Psychiatric diseases may result in decreased patient compliance.6 Social factors also affect outcome. Use of tobacco slows fracture healing.7,8 Addictions to alcohol and street drugs impair patient compliance and increase the risk of complications. Poor family support also may limit patient complianc...

Locked intramedullary nailing of femoral shaft fractures.

One hundred twenty-three femoral shaft fractures were treated with Grosse-Kempf slotted, locked nails and followed for a median 20 (range, 12-60) months. There were eight intraoperative and 11 postoperative complications, among them two superficial and two deep infections. Most of the intraoperative complications and some postoperatively lost reductions could have been prevented by a better ope...

[Intramedullary nailing in femoral shaft fractures].

The Role of Biplanar Distal Locking in Intramedullary Nailing of Tibial Shaft Fractures

Background: To compare the union times of the uncomplicated tibial shaft fractures, which were distally locked by twocoronal and one sagittal screws and by only two coronal screws.Methods: 45 patients with tibial shaft treated with intramedullary nailing included in this study. 23 of 45 fractureswere treated with uniplanar two distal interlocking (Group 1) and 22 fractures were treated with bip...

Primary unreamed and unlocked intramedullary nailing of femoral shaft fractures.

ABSTRACT In this retrospective study, we present our experience using open Küntscher nailing (K-nailing) which is still performed in developing countries for femoral fractures. Of 157 acute fractures treated between January 2003 and December 2009, 100 were stable (63.7%) and 135 were located within the middle third of the shaft (86%). Comminution was absent or minimal in 135 (86%) cases. Fractu...