Technique of minimally invasive retrograde instrumentation of femoral shaft fractures. Indications, procedure and first results

Autor: R. J. Stiletto, M. Baacke
Rok vydání: 2000
Předmět:
Zdroj: European Journal of Orthopaedic Surgery & Traumatology. 10:121-124
ISSN: 1432-1068
0948-4817
DOI: 10.1007/bf02803107
Popis: In a consecutive series of 12 cases a newly developed minimally invasive technique was performed using a specially designed retrograde dilator system (RDS) for the insertion of the retrograde femoral nail (ACE®-DePuy), the reaming of the femoral canal and the locking of the distal screws. The mean age of the patients (4 men and 8 women) was 48 (±26) years. 3 type A, 7 type B and 2 type C fractures of the femoral shaft according to the AO classification were stabilized. 4 of the patients had sustained a severe polytrauma. (All values are given as mean (standard deviation). The ISS (injury severity score) of the total collective was 15 (± 12). The follow-up time was 12 (± 8) months. No severe complications were observed. All fractures healed unevent-fully, all patients were mobilzed under full weight-bearing and regained a full range of motion without pain. The performed minimally invasive technique minimizes damages to the patella ligament and the articular cartilage. It facilitates the control of rotational deformities and length discrepancies of the femur also under difficult conditions, e.g. polytrauma and obese patients.
Databáze: OpenAIRE
Externí odkaz: