Rotational malalignment after closed intramedullary nailing of femoral shaft fractures and its influence on functional outcome

Sharma, Yogesh; Mugdum, Girish G.; Prabhakara, Anjan

doi:10.18203/2320-6012.ijrms20161954

Cited by 2 publications

(2 citation statements)

References 20 publications

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“…It is available in 80 languages and on all major computer platforms. Calibrated radiographs can be analyzed after investing a short amount of time into learning to use the software and its tools [ 24 , 25 ]. Deformity analysis, virtual simple and complex osteotomies like dome osteotomies, and multiple osteotomies can be performed.…”

Section: Software For Deformity Analysis and Simulation Of Correctionsmentioning

confidence: 99%

Limb reconstruction in a resource-limited environment

Ferreira

Sabharwal

Hosny

et al. 2021

SICOT-J

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Introduction: Limb salvage and reconstruction are often challenging and even more so in the limited resource setting. The purpose of this narrative review is to explore the strategies for addressing the unique obstacles and opportunities of limb reconstructive surgery in resource-limited environments globally. Methods: We review (1) the global burden and dimension of the problem, (2) the relevance of orthopedic forums and communication, (3) free and open-access software for deformity analysis and correction, (4) bidirectional learning opportunities, and the value of fellowships and mentoring between resource-rich and resource-limited countries, and (5) how societies like SICOT can help to tackle the problem. Finally, case examples are presented to demonstrate the choice of surgical implants, their availability in regions with limited resources, and how the universal principles of limb reconstruction can be applied, irrespective of resource availability. Results: Limb reconstruction can often be life-changing surgery with the goals of limb salvage, improved function, and ambulation. The contradiction of relatively few severe limb deformities in high-income countries (HICs) with abundant resources and the considerable burden of limb deformities in resource-limited countries is striking. Free, open access to education and software planning tools are of paramount importance to achieve this goal of limb reconstruction. Bidirectional learning, i.e., knowledge exchange between individual surgeons and societies with limited and abundant resources, can be reached via fellowships and mentoring. The presented cases highlight (1) fixator-assisted wound closure obliviating the need for plastic surgery, (2) open bone transport, and (3) hinged Ilizarov frames for correction of severe deformities. These cases underline that optimal clinical outcome can be achieved with low-cost and readily available implants when the principles of limb reconstruction are skillfully applied. Discussion: Limb lengthening and reconstruction are based on universally applicable principles. These have to be applied regardless of the planning tool or surgical implant availability to achieve the goals of limb salvage and improved quality of life.

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Section: Software For Deformity Analysis and Simulation Of Correctionsmentioning

confidence: 99%

Limb reconstruction in a resource-limited environment

Ferreira

Sabharwal

Hosny

et al. 2021

SICOT-J

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show abstract

“…Previous studies have shown high incidence of rotational malalignment following intramedullary nailing in proximal femur fractures. 7,8 . We have successfully addressed these common problems with some previously undescribed but simple techniques and the same have been presented in this technical note.…”

Section: Introductionmentioning

confidence: 99%

Avoiding malalignment in proximal femur fractures treated with newer generation cephalomedullary nails: Some technical tips

Kumar

Mittal

Jain

et al. 2019

Journal of Clinical Orthopaedics and Trauma

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Three techniques to avoid malalignment in proximal femoral fractures managed with cephalomedullary nails, have been described. Issues related to rotational mismatch at fracture site, central placement of lag screw in femoral head neck fragment and limb rotation restoration have been addressed. We believe these simple techniques can help in minimizing malreduction in proximal femur fractures and result in favourable outcomes.

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Rotational malalignment after closed intramedullary nailing of femoral shaft fractures and its influence on functional outcome

Cited by 2 publications

References 20 publications

Limb reconstruction in a resource-limited environment

Limb reconstruction in a resource-limited environment

Avoiding malalignment in proximal femur fractures treated with newer generation cephalomedullary nails: Some technical tips

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