Antegrade femoral nailing: an anatomical determination of the correct entry point

Gausepohl, T.; Pennig, D.; Koebke, Jürgen; Harnoss, S

doi:10.1016/s0020-1383(02)00158-4

Cited by 76 publications

(46 citation statements)

References 19 publications

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“…In an study by Ricci WM et al, [10], trochanteric versus piriformis fossa entry portal for treatment of femoral shaft fracture and anatomical study by Wolfgang Grechenig et al, [11] it was found that piriformis fossa is not the anatomical site for femoral nail insertion. Clinical [12][13] and anatomical studies [14] described the various entry points for femoral nail insertion. In the present study we found that the femoral shaft did not always correspond to the piriformis fossa.…”

Section: Methodsmentioning

confidence: 99%

Piriformis Fossa – An Anatomical and Orthopedics Consideration

Lakhwani

Mittal²,

Naik

2014

JCDR

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Section: Methodsmentioning

confidence: 99%

Piriformis Fossa – An Anatomical and Orthopedics Consideration

Lakhwani

Mittal²,

Naik

2014

JCDR

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“…그러나 형상이 곧은 금속정으로 이들의 삽입점을 이용함으로써 대퇴 내측피질 골절 혹은 근위부 내반 부정 정렬 등의 중대한 문제가 발생하였다 5,12) . 그리하여 1984년 Winquist 등 21) 은 대전자 첨부에 삽입 시 근위부 골절, 내 반 부정정렬 등에서 근위 골편의 내측 피질골이 더 많이 얇아질 수 있다고 하였으며 측와위에서 골수정을 이상와로 삽입하여 치료한 520예에서 99.1%의 골유합을 얻음으로써 이후 보편적인 치료법이 되었다 1,3,7,15) . 그러나 앙와위상에 서 이상와 삽입점은 여전히 접근하기 힘들고 특히 비만 환 자들에서 더 어렵다고 보고되었다 5,12) .…”

Section: 년부터 Küntscher 9)unclassified

Results of Intramedullary Nailing of Femoral Shaft Fracture - Trochanteric Entry Portal (Sirus Nail) versus Piriformis Entry Portal (M/DN Nail) -

Kim

Lee

2014

J Korean Fract Soc

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Purpose:To compare treatment results obtained using the trochanteric (Sirus nail) entry portal with those obtained using the Piriformis fossa (M/DN) entry portal during intramedullary (IM) nailing of femur shaft fractures. Materials and Methods: Four hundreds and thirty-two patients treated for femur shaft fracture using IM nails from February, 2001 to May, 2010 were divided into two groups. group 1 was composed of 180 patients treated through the trochanteric (Sirus nail; n=180) entry portal, while group 2 contained 170 patients treated through the piriformis fossa (M/DN nail; n=170) entry portal. We compared the clinical and radiographic findings of both groups to evaluate the treatment results. Results: Functional result, range of motion and union time (18, 20 weeks) were similar in both groups. The operation time of patients in the over-weighted group was 90 minutes in group 1 and 120 minutes in group 2 (p＜0.05). Additionally, the blood loss was 280 ml in group 1 and 335 ml in group 2, and in case of over-weight patients, group 2 showed more blood loss (p＜0.05). The duration of exposure to fluoroscopy differed slightly, with group 1 being less exposed than group 2; however, this difference was not significant (p＞0.05). There were 18 iatrogenic fractures in group 1 and 4 in group 2 (p＜0.05). Conclusion: There was not much difference in complications based on clinical and radiographic findings of both groups. For groups using the trochanteric entry portal, the operation time was shorter and blood loss was lower than in groups using the piriformis entry portal. Iatrogenic fracture occurred more often in the group using the trochanteric entry portal than in the group using the piriformis entry portal.

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“…Using an incorrect entry point may lead to non-union or pseudarthrosis, or even to new iatrogenic fractures (6)(7)(8) . Straight nails in the coronal plane (front) should enter at a point presenting continuity with the center of the medullary canal, i.e.…”

Section: Trauma Specialists Versus Other Participantsmentioning

confidence: 99%

Estudo transversal sobre os diferentes pontos de entrada na osteossíntese intramedular femoral anterógrada

Kanas¹,

Wajnsztejn²,

Roucourt³

et al. 2011

Rev. bras. ortop.

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Objective: To analyze the degree of knowledge among professionals who treat fractures using the recommended technique, with regard to correlating the nail with the entry point that is considered appropriate. Methods: A questionnaire that presented five types of nail and simulated a transverse diaphyseal fracture of the femur was developed. Results: Responses regarding the entry points corresponding to choosing the type of nail were obtained from 370 orthopedists

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Antegrade femoral nailing: an anatomical determination of the correct entry point

Cited by 76 publications

References 19 publications

Piriformis Fossa – An Anatomical and Orthopedics Consideration

Piriformis Fossa – An Anatomical and Orthopedics Consideration

Results of Intramedullary Nailing of Femoral Shaft Fracture - Trochanteric Entry Portal (Sirus Nail) versus Piriformis Entry Portal (M/DN Nail) -

Estudo transversal sobre os diferentes pontos de entrada na osteossíntese intramedular femoral anterógrada

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