Long proximal femoral nail in ipsilateral fractures proximal femur and shaft of femur

Kumar, C Yashavantha

doi:10.4103/0019-5413.136317

Cited by 5 publications

(2 citation statements)

References 4 publications

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“…9 Extracapsular proximal femur fractures can be fixed by principles of relative stability, as can diaphyseal fractures which is known to promote biological healing and decrease chances of delayed, nonunion. 10,12,14,15 There is a wide range of operative techniques that could provide appropriate stability and fixation for individual fractures, however, difficulty lies in combining techniques to provide optimal fixation for all three fractures. 4 Previous reports have agreed that it is appropriate to use two implants only, with the diaphyseal fracture being stabilised with either the proximal or distal fracture.…”

Section: Discussionmentioning

confidence: 99%

Successful single stage management of trifocal femoral fracture associated with distal medial condyle and Hoffa’s component by a novel technique

Rajamanya

Marappa²

2022

Int J Res Orthop

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<p>Isolated fractures of the shaft of the femur are relatively common injuries. Ipsilateral multifocal fractures of the femur are less common with an additional proximal femoral fracture estimated to occur in up to 5% of diaphyseal fractures and additional distal femoral fracture occurring in 3-4%. Trifocal femoral fractures consisting of ipsilateral fractures of the proximal, diaphyseal, and distal femur are extremely rare. These fracture patterns are seen in the young adult population following high velocity trauma such as fall from height and road traffic accidents. The sequence of fracture type to be fixed first and the type of implant to be used are questions yet to be answered as one implant used for fixation of one fracture may not be amenable for fixation of the other fracture. These fractures are associated with significant complications and delayed rehabilitation. We describe a novel method in one such trifocal fracture pattern where the distal femoral intra-articular medial condyle with a hoffas element was stabilised by open reduction with a 4.5 proximal tibial ipsi-lateral anterolateral LCP and 2 inter-fragmentary compression screws which has not been reported in literature before. The advantages of such an implant is easy contour ability to the medial femoral condyle and adequate strength and achieving satisfactory absolute stability with options of using uni-cortical locking screws, all of which facilitates early knee ROM and rehabilitation.</p><p> </p>

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Section: Discussionmentioning

confidence: 99%

Successful single stage management of trifocal femoral fracture associated with distal medial condyle and Hoffa’s component by a novel technique

Rajamanya

Marappa²

2022

Int J Res Orthop

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“…We thank Kumar CY,1 for keen interest in our article 2. The reply to your each question is as follows.…”

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Gadegone¹,

Lokhande²,

Salphale³

et al. 2014

Indian J Orthop

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Author’s reply

Gadegone

Lokhande

Salphale

et al. 2014

IJOO

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Letters to Editorfirst because it is difficult after fixing shaft fracture with distal locking of femur. Author mentions no open reduction of the fractures was done for intracapsular fractures but closed reduction techniques (Whitman and Leadbetter) are useful only in isolated femoral neck fractures. What is the incidence of malunion in this study because it is one of the common complications of proximal femoral nailing? 4,5 What is the advantage of abduction osteotomy over bone grafting of nonunion of basal neck fractures and shaft fracture? What is their experience with primary bone grafting in comminuted proximal femur and shaft fractures in their study?

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Long proximal femoral nail in ipsilateral fractures proximal femur and shaft of femur

Cited by 5 publications

References 4 publications

Successful single stage management of trifocal femoral fracture associated with distal medial condyle and Hoffa’s component by a novel technique

Successful single stage management of trifocal femoral fracture associated with distal medial condyle and Hoffa’s component by a novel technique

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