BACKGROUND Periprosthetic supracondylar fractures of the femur after total knee arthroplasty are not common but are usually difficult to treat due to the advanced age of patients and frequently accompanying osteoporosis. Retrograde intramedullary nailing can be effective in promoting healing of these fractures by providing sufficient stability, but the number of beneficiaries is small due to it...

We performed a prospective, randomised trial in 39 patients with open tibial fractures treated initially by external fixation to compare cast immobilisation (group A) and intramedullary nailing (group B) as a sequential protocol planned from the onset of treatment. The results showed that group B achieved faster union (p < 0.05) than group A with less malunion or shortening and a greater range ...

OBJECTIVE To compare the results and complications of the various modalities for treating closed fractures of the tibial shaft described in the prospective literature. DATA SOURCES A MEDLINE search of the English language literature from 1966 to 1999 was conducted using the MeSH heading "tibial fractures." Studies pertaining to the management of closed tibial shaft fractures were reviewed, an...

INTRODUCTION Fracture of the femoral shaft is a common fracture encountered in orthopedic practice. In the 1939, Küntscher introduced the concept of intramedullary nailing for stabilization of long bone fractures. Intramedullary nailing has revolutionized the treatment of fractures. MATERIAL AND METHODS The study included 37 male patients and 13 female patients, averaged 39 +/- 20.5 years (ra...

PURPOSE To evaluate outcome of intramedullary nailing supplemented with Poller screws for proximal tibial fractures using small diameter nails. METHODS 50 men and 20 women (75 fractures) aged 18 to 65 (mean, 33) years underwent intramedullary nailing supplemented with Poller screws for acutely displaced fractures (n=60) or for delayed union (n=10) or mal-union (n=5) of the proximal metadiaphy...

Background: The ideal treatment of distal metaphyseal tibia fractures is still controversial. With the development of extremely distal locking multidirectional holes, the application of intramedullary nailing has extended to the treatment of distal metaphyseal tibial fractures. The aim of the study was to evaluate the results of interlocking intramedullary nailing in extra-articular distal meta...

Intramedullary nailing has been reported to have better outcome compared with traditional plate fixation in surgical treatment of intertrochanteric fractures. We evaluated the trends of surgical treatment of intertrochanteric fracture in Korea. Data of patients with intertrochanteric fractures, who were operated between the years of 2006 and 2011, was obtained from the Health Insurance Review a...

BACKGROUND The incidence of undetected radiographically iatrogenic longitudinal splitting in the anterior cortex during intramedullary nailing of the femur has not been well documented. METHODS Cadaveric study using nine pairs of fresh-frozen femora from adult cadavers. The nine pairs of femora underwent a standardized antegrade intramedullary nailing and the detection of iatrogenic lesions, ...

abstract  background: reamed interlocking intramedullary nailing of the tibia is a procedure  for the treatment of a non-infected tibial non:::::union:::::. the purpose of this clinical  study was to evaluate the outcome of this method as a treatment of tibial non:::::union:::::.  methods: twenty-nine patients with non:::::union::::: after initial therapy for tibial fracture  were retrospective...