Closed medullary nailing for fractured shaft of the femur—a comparison between the Küntscher and the AO techniques

Chan, Kai Ming; Tse, P Y T; Chow, Yuk-Yin; Pc, Leung

doi:10.1016/0020-1383(84)90201-8

Cited by 12 publications

(2 citation statements)

References 8 publications

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“…If the patient is in severe condition or soft tissue damage is extensive, we recommend the use of an external fixator at first, to be later exhanged for a locking nail or bridge plate. Treatment should not be performed with Küntscher nails due to its worst results in terms of stability, nor with straight plates with absolute stability and large dissections, except in locations where there are no other methods available 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 .…”

Section: Discussionmentioning

confidence: 99%

Epidemiological and Radiological Evaluation of Femoral Shaft Fractures: Study of 200 Cases

Moraes

Silva

Ferreira

et al. 2009

Revista Brasileira de Ortopedia (English Edition)

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Objective: to evaluate epidemiological and radiological characteristics of the femoral shaft fractures, surgically treated from 1990 to 2005 at Hospital de Acidentados – Clínica Santa Isabel – in Goiânia, Goiás, aiming to contribute to better preventive and therapeutic measures planning to adopt on those fractures. Methods: 200 patients' files and x-rays with femoral shaft fractures have been retrospectively evaluated. Patients below the age of 10 years were not included because the treatment for this group was conservative. 25 files have been discarded for not supplying all the necessary data to the study. The patients were assessed for sex, age, side of the fracture, bone exposure, mechanisms of trauma, classification of the fractures, associated trauma, time for bone healing and types of surgical devices. Statistic analyses were made by chi-squared, Fisher and Student's-t tests, adopting as a significance level p<0.05. Results: significant results (p < 0.05) were found in: 70% of men, 80% closed fractures and 65% of women above the age of 60. Fractures resulting from simple falls were more frequent in women, above 60 years old, with simpler traces, and the ones caused by projectiles of firearm in men, from 20 to 60 years, with unstable traces. Trampling accidents were prevalent among youngsters between 10 and 19 years old. Car accidents showed all the types of fractures, mostly associated to other traumas, reaching its peak incidence in the age group of 20-30 years. The treatment with Küntscher Nail resulted in a longer mean consolidation time, as well as fractures with unstable traces (B3,C1,C2,C3). Conclusion: we found a bi-modal characteristic the femoral shaft fractures, consistently to literature data, where the high energy mechanisms (traffic accidents, high falls and wounds from firearms), have been more frequent in young adults, men, generating unstable traces of fractures, with more serious associated trauma, while the other group with low energy trauma (simple falls), was more frequently seen in elderly female individuals with less unstable fracture traces, without associated trauma.

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Section: Discussionmentioning

confidence: 99%

Epidemiological and Radiological Evaluation of Femoral Shaft Fractures: Study of 200 Cases

Moraes

Silva

Ferreira

et al. 2009

Revista Brasileira de Ortopedia (English Edition)

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show abstract

“…Caso o paciente esteja grave ou a lesão de partes moles seja extensa recomenda-se o uso do fixador externo no primeiro momento, trocado posteriormente para haste bloqueada ou placa em ponte. O tratamento com hastes de Küntscher não deve ser utilizado devido REFERÊNCIaS aos seus piores resultados em termos de estabilidade, bem como as placas retas com estabilidade absoluta e grandes dissecções, a não ser em localidades onde não existam os outros métodos disponíveis (15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28) . Em nosso trabalho também observamos melhores resultados com as hastes bloqueadas e placas quanto ao tempo de consolidação, com média de nove e oito meses (p ≤ 0,05), quando comparados com as hastes de Künts-cher (14 meses), corroborando a decisão desses autores.…”

Section: Discussionunclassified

Avaliação epidemiológica e radiológica das fraturas diafisárias do fêmur: estudo de 200 casos

Moraes¹,

Silva²,

Ferreira³

et al. 2009

Rev. bras. ortop.

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A simpler surgical technique to treat aseptic nonunion-associated femoral length discrepancy

Shih

Lee

1992

Arch Orthop Trauma Surg

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In a prospective study from December 1986 to August 1989, 17 consecutive patients with femoral shortening due to aseptic nonunion of femoral shaft fractures were treated with limitedly open Gross-Kempf locking nailing with a lengthening procedure. Patients were followed up for at least 1 year (average 25 months). There was a 88.2% union rate with an average union period of 5.2 months. Average lengthening was 2.4 cm (1.0 approximately 3.0 cm), and average operation time 90 min (70 approximately 130 min). The blood loss was slight (average 200 ml). Complications (11.8%) were 5.9% implant failure and 5.9% nonunion which were not difficult to manage. No neurovascular complications were noted. We conclude that for 5 cm shortening or less in femoral aseptic nonunion, this treatment constitutes the simplest technique and can achieve a very satisfactory result.

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Closed medullary nailing for fractured shaft of the femur—a comparison between the Küntscher and the AO techniques

Cited by 12 publications

References 8 publications

Epidemiological and Radiological Evaluation of Femoral Shaft Fractures: Study of 200 Cases

Epidemiological and Radiological Evaluation of Femoral Shaft Fractures: Study of 200 Cases

Avaliação epidemiológica e radiológica das fraturas diafisárias do fêmur: estudo de 200 casos

A simpler surgical technique to treat aseptic nonunion-associated femoral length discrepancy

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