Analysis of different entry portals for femoral nail with two different nail designs-straight nail versus lateral angulated nail - Does it make a difference?

Yadav, Swati; Singh, Saurabh; Kumar, Anil

doi:10.1016/j.jcot.2019.01.004

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2023

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“…12,13 Several studies have reported less fluoroscopy use and shorter operative times using trochanteric entry as a surrogate for ease of use. 16 However, when treating proximal femoral fractures this may not be applicable because more emphasis is placed on obtaining a proper starting point. Recently, a medialized trochanteric entry portal has been proposed to minimize the chance of iatrogenic varus.…”

Section: Discussionmentioning

confidence: 99%

A Central Collinear Start Point for Reconstruction Nailing of Femur Fractures: A Technical Trick and Case Series

Robles

DeSanto

Earhart³

et al. 2023

Journal of Orthopaedic Trauma

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Summary:Selecting the optimal entry point for reconstruction nailing is critical to avoid iatrogenic malalignment and optimize mechanical stability. In-line nailing is familiar to surgeons and desirable for its on-axis position. However, there are several potential drawbacks. We describe a modified entry point and present an accompanying clinical series emphasizing an entry point in line with the medullary canal and central on the femoral neck. This central collinear start point is anterior to the traditional piriformis start point and may obviate some of the potential drawbacks with traditional piriformis nailing.

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Section: Discussionmentioning

confidence: 99%