Closed antegrade interlocked nailing of femoral shaft fractures operated up to 2 weeks postinjury in the absence of a fracture table or C-arm
| Autor: | Sudhir Sharan, Bibhas Dasgupta, Harshad Argekar, Sujata Aiyer, Jairam Jagiasi |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Adult
Fracture Healing Male medicine.medical_specialty Femoral shaft business.industry Bone healing Bone Nails Middle Aged Critical Care and Intensive Care Medicine Surgery Fracture Fixation Intramedullary Surgical Equipment Traction Surgical equipment medicine Humans Femur Female business Femoral Fractures Aged Retrospective Studies |
| Zdroj: | The Journal of trauma. 61(2) |
| ISSN: | 0022-5282 |
| Popis: | We present our technique of closed nailing in diaphyseal femoral fractures treated between 1 to 14 days postinjury. The purpose of the study was to demonstrate the fact that such fractures can be treated closed in the absence of a fracture table or C-arm.In all, 200 consecutive closed femoral fractures were fixed 1 to 14 days postinjury during a period of 2 years. Skeletal traction was applied immediately at admission and sufficient weight was applied to overcome muscle spasm. In most cases, a closed nailing was successfully performed. Distal locking was achieved with either a medinov nail with wings for distal locking, or a standard nail with a jig for the distal lock.The average age of the patients was 30 years. Follow up ranged from 6 to 12 months. Mean duration of follow up was 10 months. All patients had a functional range of movement at the hip and knee with a normal gait. The average time taken for surgery was 90 minutes with an average blood loss of 50 to 100 mL. Time in hospital after surgery was 2 to 10 days.Delayed closed nailing of femoral fractures can be achieved without a C-arm or a fracture table provided adequate skeletal traction is applied preoperatively and proper attention is paid to the surgical steps as described. |
| Databáze: | OpenAIRE |
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