The antegrade angle-stable locking intramedullary nail for type-C distal femoral fractures: a thirty four case experience

Zhao, Zhihui; Li, Yang; Ullah, Kifayat; Sapkota, Basanta; Bi, Hongbin; Wang, Yongqing

doi:10.1007/s00264-017-3747-0

Cited by 8 publications

(5 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…With nail osteosynthesis, the majority of recommendations regarding extra-articular distal femoral fractures, as well as periprosthetic femoral fractures with a firmly anchored prosthesis and open box design, are for permissive full weight-bearing [21,22,23,24]. This is also consistent with recent biomechanical analyses of this form of osteosynthesis, which show a high axial weightbearing capacity for retrograde femoral nails [6,35].…”

Section: Discussionsupporting

confidence: 73%

“…A total of 23 papers were included in the analysis [11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31,32,33], including four retrospective comparative studies comparing non-weight-bearing, partial weight-bearing, and full weightbearing [11,13,14,22]. With regard to isolated lateral plate osteosynthesis, permissive full weight-bearing according to ability was allowed in at least some patients in 6 out of 10 papers.…”

Section: Resultsmentioning

confidence: 99%

“…Insgesamt konnten 23 Arbeiten in die Analyse eingeschlossen werden [11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31,32,33], darunter 4 retrospektive, vergleichende Studien zwischen Entlastung, Teil-und Vollbelastung [11,13,14,22]. Bezüglich der isolierten lateralen Plattenosteosynthese wurde in 6 aus 10 Arbeiten zumindest bei einem Teil der Patienten eine permissive Vollbelastung nach Vermögen freigegeben.…”

Section: Ergebnisseunclassified

See 2 more Smart Citations

Belastungsvorgaben nach distaler Femurfraktur - eine aktuelle Literaturübersicht

et al. 2022

View full text Add to dashboard Cite

ZusammenfassungDie Inzidenz der distalen Femurfraktur steigt gerade auch bei geriatrischen Patienten deutlich an. Grundsätzliches Ziel der Behandlung dieser Verletzung ist eine frühzeitige Mobilisation der Patienten zur Prävention immobilisationsassoziierter Begleiterkrankungen. Vor dem Hintergrund einer steigenden Anzahl an Therapieoptionen, wie der Doppelplattenosteosynthese, Nagel-Platte-Kombinationen sowie dem distalen Femurersatz, gewinnen Überlegungen zur möglichen Belastung nach der Versorgung einen neuen Stellenwert. Ziel dieser Arbeit war es daher, die bestehende Literatur der vergangenen 9 Jahre hinsichtlich Belastungsvorgaben und klinischer Ergebnisse der verschiedenen Therapieoptionen aufzuarbeiten und mit dem eigenen Vorgehen abzugleichen.

show abstract

Section: Discussionsupporting

confidence: 73%

Section: Resultsmentioning

confidence: 99%

Section: Ergebnisseunclassified

See 1 more Smart Citation

Belastungsvorgaben nach distaler Femurfraktur - eine aktuelle Literaturübersicht

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Some reports show that nailing for type C3 is associated with the worse range of motion outcomes among all distal femoral fracture patterns [ 1 ]. Management of type C3 with a new locking intramedullary nail is reported as a reliable fixation method [ 42 ]; however, it is not a standard of care and the nail is not accessible easily worldwide. An external fixator may also be used for stabilization, but it leads to delayed weight bearing and may lead to knee stiffness and further complications in distal femoral fracture management [ 5 , 20 ].…”

Section: Discussionmentioning

confidence: 99%

Bone reconstruction with modified Masquelet technique in open distal femoral fractures: a case series

Kalantar,

Saffar,

Hoveidaei

2024

BMC Musculoskelet Disord

View full text Add to dashboard Cite

Background Large bone defects require complex treatment, multidisciplinary resources, and expert input, with surgical procedures ranging from reconstruction and salvage to amputation. The aim of this study was to provide the results of a case series of open comminuted intra-articular distal femoral fractures with significant bone loss that were managed by early fixation using anatomical plates and a modified Masquelet technique with the addition of surgical propylene mesh. Methods This retrospective study included all patients referred to our institution with OTA/AO C3 distal femur open fractures and meta-diaphyseal large bone loss between April 2019 and February 2021. We treated the fractures with irrigation and debridement, acute primary screw and plate fixation in the second look operation, and Masquelet method using shell-shaped antibiotic beads supplemented by propylene surgical mesh to keep the cements in place. The second step of the procedure was conducted six to eight weeks later with bone grafting and mesh augmentation to contain bone grafts. Surprisingly, hard callus formation was observed in all patients at the time of the second stage of Masquelet procedure. Results All five patients’ articular and meta-diaphyseal fractures with bone loss healed without major complications. The average union time was 159 days. The mean knee range of motion was 5–95 degrees. The average Lower Extremity Functional Score (LEFS) was 49 out of 80. Conclusions Combination of early plate fixation and the modified Masquelet technique with polypropylene mesh is an effective method for managing large bone defects in open intra-articular distal femoral fractures with bone loss, resulting in shorter union time possibly associated with the callus formation process. This technique may also be applicable to the management of other similar fractures specially in low-income and developing areas.

show abstract

“…In addition to the above-introduced articles, there are several other exciting studies included in this issue. Zhao et al reported their initial experience of the newly designed antegrade interlocking angle-stable intramedullary nail combined with half-threaded cancellous screws in the treatment of type C (AO/OTA classification) distal femoral fractures [36]. Li et al verified that continuous vibration therapy and seven day intermittent vibration therapy pattern can achieve better improvement of fracture union [37].…”

Section: Yingze Zhangmentioning

confidence: 99%

Prominent and fruitful development of orthopaedic research in China

Wei

Zhang

2018

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

The antegrade angle-stable locking intramedullary nail for type-C distal femoral fractures: a thirty four case experience

Abstract: The IAIN and half-threaded cancellous screws provided a reliable fixation that facilitated uncomplicated outcomes and uneventful early mobilization in treating type-C fractures of the distal femur.

Cited by 8 publications

References 38 publications

Belastungsvorgaben nach distaler Femurfraktur - eine aktuelle Literaturübersicht

Belastungsvorgaben nach distaler Femurfraktur - eine aktuelle Literaturübersicht

Bone reconstruction with modified Masquelet technique in open distal femoral fractures: a case series

Prominent and fruitful development of orthopaedic research in China

Contact Info

Product

Resources

About