Exchange Nailing for Hypertrophic Femoral Nonunion
| Autor: | Arun Aneja, Hoyt Randy Beard, Eben A. Carroll, Rebecca Senehi, T. David Luo, Alejandro Marquez-Lara |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Male
Reoperation Nonunion Bone Nails Risk Assessment Patient Positioning law.invention Intramedullary rod 03 medical and health sciences Fixation (surgical) Injury Severity Score 0302 clinical medicine law Fracture fixation medicine Lateral Decubitus Position Humans Orthopedics and Sports Medicine Femur Device Removal Fracture Healing Orthodontics 030222 orthopedics integumentary system business.industry 030208 emergency & critical care medicine Hypertrophy General Medicine medicine.disease Sagittal plane Fracture Fixation Intramedullary Treatment Outcome medicine.anatomical_structure Fractures Ununited Coronal plane Female Surgery business Femoral Fractures Follow-Up Studies |
| Zdroj: | Journal of Orthopaedic Trauma. 31:S23-S25 |
| ISSN: | 0890-5339 |
| DOI: | 10.1097/bot.0000000000000905 |
| Popis: | Exchange nailing has proven to be a reliable surgical technique for the management of aseptic femoral shaft nonunions. Similar to primary intramedullary nail fixation for femur fractures, exchange nailing for aseptic hypertrophic nonunions of the femur relies on successful navigation of the starting point and proper nail trajectory to minimize coronal and sagittal plane deformities. Compared with the supine position, the lateral decubitus position has the advantage of allowing gravity to displace the soft tissue around the piriformis start site to facilitate nail entry. In addition, the C-arm position and access to the affected limb from both sides by the surgeon and surgical assistant facilitate visualization of existing deformities and the ability to perform correction maneuvers. The purpose of this review is to highlight technical pearls associated with exchange nailing in a lateral decubitus position. Although other techniques are available, and should be used when indicated, exchange nailing provides patients with the opportunity to an early return to activity, improvement in pain and disability, and ultimate bony union. |
| Databáze: | OpenAIRE |
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