Blocking Screws: An Adjunct to Retrograde Nailing for Distal Femoral Shaft Fractures

Autor: Ashok S Gavaskar, Naveen Chowdary
Jazyk: angličtina
Rok vydání: 2013
Předmět:
Zdroj: Journal of Orthopaedic Surgery, Vol 21 (2013)
Druh dokumentu: article
ISSN: 2309-4990
23094990
DOI: 10.1177/230949901302100208
Popis: Purpose. To review records of 11 patients who underwent retrograde nailing in conjunction with blocking screws to aid fracture reduction for distal femoral shaft fractures. Methods. Records of 8 men and 3 women aged 27 to 60 (mean, 41) years who underwent retrograde nailing with the use of blocking screws for distal femoral shaft fractures were reviewed. Two of the fractures were open and graded as Gustilo-Anderson grade II. The mean surgical delay was 2 (range, 1–5) days. Results. All fractures united after a mean of 14 (range, 11–16) weeks without malalignment. There was no screw breakage, screw bending, or wound infection. Conclusion. Blocking screws increase the stability of the construct and thereby minimise macro-motion at the fracture site.
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