Open interlocked nailing without a targeting device or X-ray guidance for non-union of the femur: a case series
| Autor: | Alfred O. Ogbemudia, Peter E. Ogbemudia, Efosa Igbinovia, Anire Bafor |
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| Rok vydání: | 2010 |
| Předmět: |
medicine.medical_specialty
Interlocked intramedullary nailing integumentary system business.industry medicine.medical_treatment Cortical window Kuntscher nail Non union Surgery law.invention Intramedullary rod Dissection medicine.anatomical_structure law Orthopedic surgery medicine Nail (anatomy) Original Article Orthopedics and Sports Medicine Femur business Cancellous bone Reduction (orthopedic surgery) |
| Zdroj: | Strategies in Trauma and Limb Reconstruction |
| ISSN: | 1828-8928 1828-8936 |
| DOI: | 10.1007/s11751-010-0095-7 |
| Popis: | From October 2005 to August 2007, we operated on six patients who had femoral non-unions and performed interlocked intramedullary nailing without X-ray guidance or a targeting device. There were three fractures of the distal femur, two fractures of the mid-shaft and one of the proximal femur. Fatigue failure of a non-interlocked Kuntscher nail and one nail migration were the presenting features in two patients. The presence of sclerosis of the bone ends in four cases and a need for cancellous bone grafts at the site of non-union in all patients made wide dissection and open reduction unavoidable. There was a limb length discrepancy in all patients before surgical intervention. Partial weight bearing was commenced at 6 weeks post-operation. There was no case of wound infection. There was no misplaced screw. Minimum range of knee flexion was 105° at 2 months post-operation. These early results call for a closer look at this cheap, safe and effective means of handling femoral non-union in third world societies where there is paucity of instrumentation and implants for interlocked nailing. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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