Intramedullary nailing of femoral and tibial shaft fractures

Wood, II George W.

doi:10.1007/s00776-006-1061-6

Cited by 31 publications

(30 citation statements)

References 41 publications

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“…With the acceptance of intramedullary nailing as the gold standard for the treatment of long bone fractures, there has been increased use of interlocked intramedullary nails to treat these fractures. [1][2][3][4][5] In developed countries, standard nails such as Grosse-Kempf, AO, ACE, Stryker, Smith and Nephew nails etc. are available for use with their extraction devices.…”

Section: Discussionmentioning

confidence: 99%

“…Intramedullary nailing of fractures has become the gold standard for the treatment of long bone fractures of the lower extremity. [1][2][3][4][5] It has been accepted as a safe and effective method to treat these fractures. 2,[6][7][8][9][10]11 Intramedullary nails act as internal load-sharing splints.…”

Section: Introductionmentioning

confidence: 99%

“…[1][2][3][4][5] It has been accepted as a safe and effective method to treat these fractures. 2,[6][7][8][9][10]11 Intramedullary nails act as internal load-sharing splints. 1,12 Intramedullary nailing of long bone fractures has been shown to offer an ideal anatomical, functional and physiologic treatment for these fractures.…”

Section: Introductionmentioning

confidence: 99%

“…However, with the introduction of screws to interlock these nails, the indications have broadened to include long oblique, spiral, comminuted fractures, segmental fractures or fractures that are located within the distal or proximal third of long bones and fractures with bone loss. 2,3,[13][14][15] Interlocked intramedullary nailing offers greater advantage in fracture fixation. [14][15][16][17] Implant removal is one of the commonly performed orthopedic procedures.…”

Section: Introductionmentioning

confidence: 99%

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Removal of locked intramedullary nails with the aid of bolts

Echem

Eyimina

2020

Int J Res Med Sci

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Indications for removal of implants in the literature include symptomatic implants, skeletally immature patients, broken and/or failed implants, soft tissue compromise, nonunion, malunion, infection, fear of carcinogenesis, peri-implant failure, prevention of post ABSTRACT Background: Removal of an intramedullary nail would require the extraction system of the inserted nail to be available. Sometimes the system is not available, and an alternative system would have to be utilised. Aim of the study was to document the removal of interlocked nails using bolts in the absence of appropriate fitting extraction system. Methods: A prospective study of consecutive patients seen by the authors between September 2016 and September 2018 in private clinics in Port Harcourt where the authors were invited to remove intramedullary nails. Bolts fitted to the proximal tips of the nails were utilized. With the aid of plier applied to the bolts and mallet, the nails were extracted. The patients' socio-demographic and information relevant to the injury were obtained. Data was analysed using SPSS version 23. Results: Fifteen patients were seen. Ages ranged from 29 to 72 years, consisting of 10 males and five females. The tibia was affected in six and the femur in nine. There were five united tibial fractures and one non-united tibial fracture, six united femoral fractures and three non-united femoral fractures. Indication for removal was mostly patients' request. Duration of surgery ranged from 1 to 4 hours. All the nails were extracted. Complications included broken nail, heterotopic calcification, bony overgrowth/ ingrowth/ongrowth around the nail and interlocking screws. There was no mortality. Conclusions: In the absence of conventional intramedullary nail extraction system, appropriate size bolts can be applied to the threaded proximal tip of nails and used for nail extraction.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Removal of locked intramedullary nails with the aid of bolts

Echem

Eyimina

2020

Int J Res Med Sci

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“…Stress fractures of the femoral shaft, and especially displaced stress fractures of the femoral shaft, are very uncommon and rarely described in the literature (Hutchinson, Stieber, Flynn, & Ganley, 2008;Luchini, Sarokhan, & Micheli, 1983;Richter & Temple, 2003). The surgical treatment of displaced femoral shaft stress fractures involves intramedullary nailing (IM) (Behrens et al, 2013;Wood, 2006).…”

Section: Introductionmentioning

confidence: 99%