Intramedullary Nailing of Femoral Shaft Fractures – Review of Locking Techniques
Journal Title: Postępy Nauk Medycznych - Year 2010, Vol 23, Issue 2
Abstract
Surgical treatment of femoral shaft fractures has been based on locked intramedullary nailing since the introduction of its current principles by Kempf and Grosse. Locked intramedullary nailing is a low-invasive technique which allows stable fixation permitting early ambulation and proper fracture union. Intramedullary canal can be additionally reamed depending on the surgeon's decision. If desired, nailing may be performed in both antegrade and retrograde manner. The nail is locked either statically or dynamically using bolts located at its ends according to the fracture type. Only transverse fractures of the middle third of the femur may be treated without locking the nail or with locking only one of its ends. In case of transverse fractures of the proximal part of femoral shaft locking the nail above the fracture is required. Conversely, in case of transverse fractures of the distal part of femoral shaft the nail should be locked below the fracture. All unstable femoral shaft fractures require locking the nail at its both ends regardless of the fracture level. When static locking is done, the nail should be dynamized secondarily after 8-10 weeks in order to enhance proper fracture healing, however this view is not unanimously shared by all surgeons.
Authors and Affiliations
Marcin Błoński, Waldemar Rylski, Stanisław Pomianowski
Keywords
Related Articles
- EP ID EP53838
- DOI -
- Views 192
- Downloads 0
Ocena zaopatrzenia w witaminę D 609 pacjentów Poradni Endokrynologicznej – doniesienie wstępne
Wstęp. Jedynie pojedyncze publikacje oceniają stężenie witaminy D u osób dorosłych w Polsce. Przedstawiono wstępne wyniki retrospektywnego badania oceniającego stan zaopatrzenia w witaminę D u pacjentów Poradni Endokryno...
Surgical treatment of uterine fibroids
Uterine fibroids are the most common benign tumors of the genital tract. Pathophysiology of myomas arise is not clear. Although hormons and a number of local growth factors may stimulate myoma development. The genetic ba...
1,000 operations of carotid artery stenosis in Bielanski hospital – development of opinions inspired by recommendations and own experience
Introduction: 20% of brain infracts are caused by carotid artery stenosis. In order to avoid complications, patients are offered a procedure consisting of removal of the sclerotic plaque from common carotid artery bifurc...
Drug resistant tuberculosis in Poland in 2008. Comparison with results from studies in WHO programs from 1997-2004
Introduction. The knowledge of the prevalence of drug resistant tuberculosis in the population is important information about the epidemiology of the disease in the country. WHO has published three reports on the global...
FLT3-ITD mutation and its correlations with clinical and hematological features in adult patients with acute myeloid leukemia – preliminary report
<b>Introduction. </b><i>FLT3</i> gene, encoding receptor tyrosine kinase (RTK), is expressed in hematopoietic progenitor cells. After interaction of RTK with its li...