Does Graded Reaming Affect the Composition of Reaming Products in Intramedullary Nailing of Long Bones?

Kouzelis, Antonis; Kourea, Helen; Panagiotis, Megas; Panagiotopoulos, Elias; Marangos, Markos; Lambiris, E.

doi:10.3928/0147-7447-20040801-21

Cited by 14 publications

(2 citation statements)

References 23 publications

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“…This is because of its availability and biomechanical advantage. For several authors, nailing appears to be the gold standard method for the treatment of aseptic femoral non-union [17,18]. Indeed, the reaming of the femoral canal and its local biological effect, as well as the mechanical advantages of placing a larger and stronger centromedullary nail, have been proven [19].…”

Section: Discussionmentioning

confidence: 99%

Etiologies and Management of Femoral Shaft Non-Union in Togo

2023

J Orthop Res Ther

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A non-union is a fracture that will not consolidate without any further intervention. The aim of our study was to identify the etiologies of non-union of femoral shaft in Togo, to describe their management and to analyse results. Methods : this was a retrospecive study that took place from january 1, 2015 to december 31, 2019. It concerned the medical records of patients treated for non-union of the femoral shaft in three hospitals in Togo. Results : Fifty-two medical records were retained. The mean age of the patients was 41 years old and the sex-ratio was 2.46 in favor of men. Fractures were caused by road accident in 49 cases (94,23%). Non-union occured after closed fracture in 45 cases (86,5%), and after open fracture in 7 cases (13,5%). There was aseptic non-union in 46 cases (88,5%) and septic non-union in 6 cases (11,5%). The initial treatment was surgical (39 cases, 75%), traditional (12 cases, 23%), and orthopedic (1 case, 2%). The causes of failure of the initial treatment identified were dominated by instability of the fracture site and significant periosteal removal during the first surgery. The surgical management of non-union was performed in 50 cases. In two cases, the transfemoral amputation was done. Osteoperiostal decortication was performed with or without autologous graft in 31 cases (62%). The intramedullary nail was used (38 cases, 76%). The consolidation rate was 96%. According to the criteria of the « Association for Study and Application of the Method of Ilizarov », the fonctional results were excellent in 23 cases (44,2%), good in 19 cases (36,6%), fair in 6 cases (11,5%) and poor in 4 cases (7,7%). Conclusion : Femoral shaft non-union affected young patients. It is most often favored by high energy trauma, by traditional traitment and by imperfect osteosynthesis. The functional results of the surgical management are satisfactory.

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Section: Discussionmentioning

confidence: 99%

Etiologies and Management of Femoral Shaft Non-Union in Togo

2023

J Orthop Res Ther

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“…About possible treatments for PSA, Kouzelis et al have demonstrated that reaming the femoral canal has an important osteo-inductive biological effect due to reaming debris, which acts as an autologous endogenous graft [22]. Another possible treatment is an internal fixation with plate and screws, a more invasive surgery which allows excision of the fibrous tissue at the PSA focus, direct visualisation of the fracture site, and correction of rotation and mechanical axis [23].…”

Section: Discussionmentioning

confidence: 99%

Treatment of Femoral Shaft Pseudarthrosis, Case Series and Medico-Legal Implications

Basile

Fozzato

Petrucci

et al. 2022

JCM

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Pseudarthrosis (PSA) is a possible complication of femoral shaft fracture treatment. It is often associated with reduced bone quality and can, therefore, adversely affect quality of life. Its treatment poses a major challenge for orthopaedic surgeons. Several authors have set forth different surgical approaches for the treatment of pseudarthrosis, such as internal fixation with plate and screws, replacement of an intramedullary nail or prosthetic replacement. In cases associated with bone loss, osteopenia, or comminution of fracture fragments, autologous or homologous bone grafts may also be used. The chronic outcomes of the surgical treatment of femoral shaft pseudarthrosis, even when consolidation is achieved, are linked to disabling sequelae of clinical-functional relevance, deserving an adequate medico-legal evaluation. The purpose of this retrospective study is to analyse a clinical case series of patients treated for atrophic femoral shaft pseudarthrosis at the IRCCS Orthopaedic Institute Galeazzi, Milan, Italy, from 2014 to 2020 and their orthopaedic-traumatological and medico-legal implications.

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Advances in Tibial Nailing

Hsu¹,

Dickson²

Practice of Intramedullary Locked Nails

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Does Graded Reaming Affect the Composition of Reaming Products in Intramedullary Nailing of Long Bones?

Cited by 14 publications

References 23 publications

Etiologies and Management of Femoral Shaft Non-Union in Togo

Etiologies and Management of Femoral Shaft Non-Union in Togo

Treatment of Femoral Shaft Pseudarthrosis, Case Series and Medico-Legal Implications

Advances in Tibial Nailing

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