Intramedullary locking nails in the management of femoral shaft fractures

Christie, James H.; Court-Brown, Charles M.; Kinninmonth, A. W. G.; Howie, C. R.

doi:10.1302/0301-620x.70b2.3346289

Cited by 107 publications

(50 citation statements)

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“…In the literature, Christie et al [29] report that the healing time using the closed technique was 17 weeks, Johnson et al [30] report that the healing time using the closed technique was 13.8 weeks. Harper reported that healing time of closed and open method was 14.3 and 13.9 weeks, respectively [9].…”

Section: Discussionmentioning

confidence: 99%

The Intramedullary Nailing of Adult Femoral Shaft Fracture by the Way of Open Reduction is a Disadvantage or Not?

et al. 2013

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The purpose of this study is that to evaluate superiority and results of open technique in the treatment of femoral shaft fracture with interlocking intramedullary nailing. The retrospective study is designed to evaluate results of our technique. In this study, the patients that were admitted to the Orthopedics and Traumatology Department of University Hospital that is third level of trauma center. We claim that open technique is not a disadvantage during union process over closed technique in treatment of femoral shaft fracture with interlocking nailing. In this study, 44 patients that were consulted for adult femoral shaft fracture between January 2008 to July 2010 were included. Patients with open fractures, gunshot wounds, neurovascular injuries, and patients that did not have isolated femoral diaphysis fractures were excluded from the study. Clinical and radiological results of the patients were checked periodically. The open interlocking intramedullary nailing was used in treatment. Complete union rate was 90.9 % in 40 patients who were treated with open interlocking intramedullary nailing for adult femoral shaft fracture, and nonunion rate was 9.1 % in four patients. Mean union time was 18.3 weeks (12-36-weeks

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Section: Discussionmentioning

confidence: 99%

The Intramedullary Nailing of Adult Femoral Shaft Fracture by the Way of Open Reduction is a Disadvantage or Not?

et al. 2013

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“…[7,8,[40][41][42][43] The nonunion rate of plate-screw fixation was reported as between 0% and 19%. [15,21,22,34,38,44] In our study, there was no nonunion in Group II, but 2 nonunion cases were detected in Group I.…”

Section: Discussionmentioning

confidence: 99%

“…[4][5][6] After observing the better results with closed intramedullary nailing (IMN) in comminuted fractures, priority changed from a mechanical to biological basis. [7][8][9][10] With biological aspects, attention has shifted from absolute anatomic reduction and stability toward the preservation of tissue vascularity while obtaining anatomic alignment and relative stability. [6,11] Biological internal fixation avoids the need for precise reduction, especially of the intermediate fragments, and has the advantage of indirect reduction.…”

mentioning

confidence: 99%

Comparison Of Two Biological Internal Fixation Techniques In The Treatment Of Adult Femur Shaft Fractures (Plate - Screws and Locked Intramedullar Nail)

Köseoğlu¹,

Durak²,

Bilgen³

et al. 2011

Ulus Travma Acil Cerrahi Derg

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“…IM nailing has good overall outcomes, with union rates above 90%, decreased infection rates and early functional use of the leg. 4,5 Because of the good outcomes of closed reduction and IM nailing, plating is reserved mostly for periprosthetic fractures, cases of patients with small intramedullary canals and cases of ipsilateral neck-shaft fractures. 6 Despite its high success rate, closed reduction is technically challenging and it is associated with unwanted side effects, such as high intraoperative radiation exposure and postoperative rotational malalignment.…”

Section: Introductionmentioning

confidence: 99%

Improving the human–robot interface for telemanipulated robotic long bone fracture reduction: Joystick device vs. haptic manipulator

Suero

Hartung

Westphal

et al. 2017

Robotics Computer Surgery

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Objectives: Intramedullary nailing is the treatment of choice for femoral shaft fractures.However, there are several problems associated with the technique, e.g. high radiation exposure and rotational malalignment. Experimental robotic assistance has been introduced to improve the quality of the reduction and to reduce the incidence of rotational malalignment. In the current study, we compare two devices for control of the fracture fragments during telemanipulated reduction.Methods: Ten male and ten female subjects were asked to participate as examiners in this experiment. A computer program was developed to render and manipulate CT-based renderings of femur fracture bone fragments. The user could manipulate the fragments using either a simple joystick device or a haptic manipulator. Each examiner performed telemanipulated reduction of 10 virtual fracture models of varying difficulty with each device (five in a 'training phase' and five in a 'testing phase'). Mixed models were used to test whether using the haptic device improved alignment accuracy and improved reduction times compared to using a joystick.Results: Reduction accuracy was not significantly different between devices in either the training phase or the testing phase (P > 0.05). Reduction time was significantly higher for the Phantom device than for the Joystick in the training phase (P < 0.0001), but it was no different in the testing phase (P = 0.865). High spatial ability with electronics had a significant effect on the alignment of fracture reduction and time to reduction. Conclusions:The Joystick and the Phantom devices resulted in similarly accurate reductions, with the Joystick having an easier learning curve. The Phantom device offered no advantage over the Joystick for fracture telemanipulation. Considering the high cost of the Phantom device and the lack of a demonstrable advantage over the Joystick, its use is not justified for implementation in a fracture telemanipulation workflow. The Joystick remains as a low-cost and effective device for developing 3D fracture telemanipulation techniques.

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Intramedullary locking nails in the management of femoral shaft fractures

Cited by 107 publications

References 0 publications

The Intramedullary Nailing of Adult Femoral Shaft Fracture by the Way of Open Reduction is a Disadvantage or Not?

The Intramedullary Nailing of Adult Femoral Shaft Fracture by the Way of Open Reduction is a Disadvantage or Not?

Comparison Of Two Biological Internal Fixation Techniques In The Treatment Of Adult Femur Shaft Fractures (Plate - Screws and Locked Intramedullar Nail)

Improving the human–robot interface for telemanipulated robotic long bone fracture reduction: Joystick device vs. haptic manipulator

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