A secondary high-velocity trauma to a previously stabilized femoral fracture with intramedullary nailing is rare. In this paper, we present the management of a 40-year-old man presented with a bent intramedullary nail due to secondary trauma. A lateral longitudinal femoral osteotomy was used for the resection of the distorted nail. The femur was reconstructed with a new nail, and the fixation o...

PURPOSE To explore the possible surgical factors related with nonunion in femoral shaft fracture following intramedullary nailing. METHODS We retrospectively analyzed totally 425 patients with femoral shaft fracture in level I urban trauma center, including 254 males and 171 females, with an average age of 37.6 (ranging from 21 to 56) years old. The inclusion criteria included: (1) traumatica...

A bent femoral intramedullary nail due to secondary trauma presents unique challenges for nail extraction and subsequent exchange nailing. This article describes a case of a 25 year-old male patient who presented with a bent femoral intramedullary Kuntscher’s nail following a repeat trauma after a fall from stairs. The described surgical technique illustrates a simple method to straighten the b...

While antegrade nailing for proximal and diaphyseal femur fractures is a commonly utilized fixation method with benefits including early mobilization and high rates of fracture union, both intraoperative and postoperative complications may occur. Intraoperative errors include leg length discrepancy, anterior cortical perforation, malreduction of the fracture, and neurovascular injury, and posto...

BACKGROUND Cephalocondylic intramedullary nails, which are inserted proximally to distally (cephalocondylic), have been used for the surgical treatment of extracapsular hip fractures. OBJECTIVES To compare all cephalocondylic intramedullary nails with extramedullary implants for the surgical treatment of extracapsular hip fractures in adults. This is the fourth substantive update of our origi...

In intramedullary tibial nailing, multi-planar locking makes stabilization of proximal and distal metaphyseal fractures possible. A known complication in intramedullary nailing of the tibia is iatrogenic injury to neuro-vascular structures caused by the insertion of locking screws. As shown in previous studies, the distal positioning of the nail is important, as it determines the course of the ...

Distal humeral periprosthetic fractures below intramedullary nail devices are complex and challenging to treat, in particular due to the osteopenic/porotic nature of bone found in these patients. Fixation is often difficult to satisfactorily achieve around the intramedullary device, whilst minimising soft tissue disruption. Descriptions of such cases in the current literature are very rare. We ...

This report describes an eddy current system for locating distal transverse screw holes of an intramedullary nail. In fracture surgery, screw holes on an intramedullary nail are in invisible situation. Although conventional X-ray methods can visualize screw holes in bone, they pose a danger due to X-ray exposure. Therefore, a system to find screw holes without X-ray exposure is required. We sol...

Prospective study of sixty patients with distal tibia fracture who underwent surgical fixation at Sri Ramachandra University between June 2010 -June 2013. Of the 60 patients included in our study 30 underwent closed intramedullary interlocking nail and 30 were treated with plate osteosynthesis (MIPO). Patients were followed up for clinical and radiological evaluation using modified Klernn and B...