Antegrade nailing of femoral shaft fractures combined with neck or distal femur fractures. A retrospective review of 25 cases, with a follow-up of 36-150 months

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dc.contributor.authorOkcu G.
dc.contributor.authorAktuglu K.
dc.date.accessioned2024-07-22T08:24:44Z
dc.date.available2024-07-22T08:24:44Z
dc.date.issued2003
dc.description.abstractIntroduction: Complex femoral fractures pose considerable therapeutic challenges to orthopedic surgeons. We present a retrospective review of 25 patients with complex femoral fractures treated with intramedullary locked nailing and supplemental screw fixation. Materials and methods: Fifteen patients with ipsilateral femoral neck and shaft fractures (group 1) and 10 patients with ipsilateral femoral shaft and distal femur fractures (group 2) were treated from 1990 to 1998. High-energy injuries occurred in all patients. There were 4 open fractures. Antegrade, locked nailing of diaphyseal fractures was performed in all cases. Supplemental screws for the neck were used in all patients in group 1 and in 3 patients in group 2. Results: All of the fractures united during the follow-up. Five patients in group 1 underwent reoperation (33.3%): one due to a delayed union, the second due to an implant failure, the third due to a nonunion of a neck fracture, and the last two because of an initially missed femoral neck fracture. None of the patients in group 2 underwent reoperation. Angular malalignment of the shaft was found in 6 fractures in group 1 (average 4.8°, range 3°-11°) and in 4 fractures in group 2 (average 6°, range 3°-12°). Shortening of the limb occurred in 3 patients in group 1 (average 1.4 cm, range 1-1.8) and in 1 patient in group 2 (2cm). Loss of fixation was seen in 1 patient in each group. Avascular necrosis and infection were not seen in any case in both groups. Conclusion: Femoral intramedullary nails with antegrade or retrograde options for insertion and different locking possibilities have extended the indications to include both diaphyseal and metaphyseal fractures. New nail designs, usually more expensive than the conventional nails, have been introduced into the market for this purpose. One has to keep in mind that antegrade, locked nailing of femoral shaft fractures combined with neck or distal femur fractures is a technically demanding but efficacious procedure. The success rate is high when the technique is meticulously implemented.
dc.identifier.DOI-ID10.1007/s00402-003-0584-y
dc.identifier.issn09368051
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/20101
dc.language.isoEnglish
dc.subjectAdolescent
dc.subjectAdult
dc.subjectBone Nails
dc.subjectBone Screws
dc.subjectFemale
dc.subjectFemoral Fractures
dc.subjectFemoral Neck Fractures
dc.subjectFracture Fixation, Internal
dc.subjectFracture Fixation, Intramedullary
dc.subjectHumans
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectRetrospective Studies
dc.subjectTreatment Outcome
dc.subjectadolescent
dc.subjectadult
dc.subjectarticle
dc.subjectavascular necrosis
dc.subjectbone malformation
dc.subjectbone nail
dc.subjectbone screw
dc.subjectclinical article
dc.subjectcontrolled study
dc.subjectdiaphysis
dc.subjectfemale
dc.subjectfemur neck fracture
dc.subjectfemur shaft fracture
dc.subjectfollow up
dc.subjectfracture fixation
dc.subjectfracture healing
dc.subjectfracture nonunion
dc.subjecthuman
dc.subjectinterlocking nail
dc.subjectintramedullary nailing
dc.subjectlimb disease
dc.subjectmale
dc.subjectmedical decision making
dc.subjectmetaphysis
dc.subjectopen fracture
dc.subjectpostoperative infection
dc.subjectpriority journal
dc.subjectreoperation
dc.subjectretrospective study
dc.subjectsurgical technique
dc.subjecttreatment failure
dc.subjecttreatment indication
dc.titleAntegrade nailing of femoral shaft fractures combined with neck or distal femur fractures. A retrospective review of 25 cases, with a follow-up of 36-150 months
dc.typeArticle

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