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Intramedullary nailing

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https://www.readbyqxmd.com/read/29138042/tibial-bone-lengthening-via-external-fixation-comparative-study-of-the-traditional-technique-and-a-technique-with-intramedullary-nail-assistance
#1
César Salcedo Cánovas
OBJECTIVE: To compare outcomes and complications when performing bone lengthening with two different techniques: isolated external fixation versus external fixation combined with intramedullary nail. MATERIAL AND METHOD: Comparative retrospective study of thirty cases of tibial lengthening divided in two symmetrical groups. Cases were matched based on several variables to maximise homogeneity between the groups. Variables used for comparison were external fixation time, external fixation index, rate of consolidation, clinical outcomes, complications and range of joint motion...
November 11, 2017: Revista Española de Cirugía Ortopédica y Traumatología
https://www.readbyqxmd.com/read/29137679/trial-of-acute-femoral-fracture-fixation-traffix-study-protocol-for-a-randomised-controlled-feasibility-trial
#2
Xavier L Griffin, Matthew L Costa, Juul Achten, Melina Dritsaki, Janis Baird, Nicholas Parsons
BACKGROUND: Distal femoral fractures are a source of considerable morbidity and best treatment is currently uncertain. The Trial of Acute Femoral Fracture Fixation (TrAFFix) is a randomised, parallel-group feasibility study designed to inform the design of a later, definitive clinical trial comparing intramedullary nails and locking plates for the treatment of distal femoral fractures. METHODS/DESIGN: Patients aged 50 years and older with a femoral fracture within the distal two Müller squares are potentially eligible for inclusion...
November 14, 2017: Trials
https://www.readbyqxmd.com/read/29136444/effect-of-locking-plate-fixation-vs-intramedullary-nail-fixation-on-6-month-disability-among-adults-with-displaced-fracture-of-the-distal-tibia-the-uk-fixdt-randomized-clinical-trial
#3
Matthew L Costa, Juul Achten, James Griffin, Stavros Petrou, Ian Pallister, Sarah E Lamb, Nick R Parsons
Importance: The best treatment for fractures of the distal tibia remains controversial. Most such fractures require surgical fixation but outcomes are unpredictable and complications are common. Objective: To assess disability, quality of life, and complications in patients with displaced tibial fracture treated with intramedullary nail fixation vs locking plate fixation. Design, Setting, and Participants: A multicenter randomized trial recruiting 321 patients 16 years or older with an acute, displaced, extra-articular fracture of the distal tibia from April 2013 through April 2016 with final follow-up in February 2017...
November 14, 2017: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/29130046/a-comparison-of-the-device-related-complications-of-intramedullary-lengthening-nails-using-a-new-classification-system
#4
Dong Hoon Lee, Sungmin Kim, Jung Woo Lee, Hoon Park, Tae Yoon Kim, Hyun Woo Kim
The purpose of this study was to understand the pros and cons of the lengthening nails which have their own mechanical mechanism; we propose a classification for "device-related complications" arising from mechanical properties of the nail itself. From March 2010 to March 2014, 115 segments of lower limb lengthening were performed using intramedullary lengthening nails (35 ISKD, 34 PRECICE1, and 46 PRECICE2). Device-related complications were sorted into three categories according to a new classification: distraction control-related (type I), stability related (type II), and other device-related (type III); these were subdivided using Paley's concept of problems (a), obstacles (b), and sequel (c)...
2017: BioMed Research International
https://www.readbyqxmd.com/read/29129314/tibiotalocalcaneal-arthrodesis-with-the-hindfoot-arthrodesis-nail-a%C3%A2-prospective-consecutive-series-from-a-single-institution
#5
Bing Howe Lee, Christopher Fang, Remesh Kunnasegaran, Gowreeson Thevendran
Tibiotalocalcaneal arthrodesis (TTCA) is a salvage procedure. We report a series of 20 patients who underwent TTCA using an intramedullary nail. Of the 20 patients, 7 (35%) had diabetes mellitus. The patient experiences and outcomes were analyzed. Their mean age was 61.1 (range 39 to 78) years. The minimum follow-up period was 13 (mean 28, range 13 to 49) months. Surgical indications included diabetic Charcot arthropathy in 7 (35%), hindfoot osteoarthritis in 10 (50%), and severe equinovarus deformity in 3 (15%)...
November 9, 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29125812/is-talon-tibial-intramedullary-nailing-clinically-superior-compared-to-conventional-locked-nailing
#6
Yalkın Çamurcu, Hakan Sofu, Ahmet Issın, Nizamettin Koçkara, Erdinç Genç, Mehmet Çetinkaya
OBJECTIVES: This study aims to compare the results of talon tibial intramedullary (IM) nailing with the results of conventional distal locked tibial IM nailing. PATIENTS AND METHODS: The study included 60 patients (37 males, 23 females; mean age 42.2 years; range 18 to 92 years) who underwent tibial IM nailing with the diagnosis of unilateral, closed or open (Gustilo-Anderson type 1) tibial diaphyseal fracture (Orthopaedic Trauma Association 42) between January 2013 and January 2016...
December 2017: Eklem Hastalıkları Ve Cerrahisi, Joint Diseases & related Surgery
https://www.readbyqxmd.com/read/29122411/comparative-investigation-of-percutaneous-plating-and-intramedullary-nailing-effects-on-il-6-production-in-patients-with-tibia-shaft-fracture
#7
Adel Ebrahimpour, Mohammad-Ali Okhovatpour, Mehrdad Sadighi, Amir-Hossein Sarejloo, Mohammad-Reza Minator Sajjadi
OBJECTIVE: The aim of this study was to analyze the effect of intramedullary nailing (IMN), open plating and percutaneous plating on the induction of IL-6 in patients with tibia fractures. METHODS: A total of 30 patients with tibia shaft fracture underwent either intramedullary nailing (IMN, n = 15; 14 males and 1 female; mean age: 32.1 ± 15.6), ORIF plating (n = 8; 5 males and 3 females; mean age: 60.0 ± 17.8), or percutaneous plating (n = 7; 6 males and 1 female; mean age: 43...
November 6, 2017: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/29122128/carbon-fibre-reinforced-peek-radiolucent-intramedullary-nail-for-humeral-shaft-fracture-fixation-technical-features-and-a-pilot-clinical-study
#8
Niksa Kojic, Christoph Rangger, Celenk Özgün, Jakisa Lojpur, Jerome Mueller, Yoram Folman, Eyal Behrbalk, Bore Bakota
PURPOSE: This prospective pilot study investigated the safety and efficacy of a novel radiolucent intramedullary nail (IMN) made of Carbon-Fibre-Reinforced Polyaryl-Ether-Ether-Ketone (CFR-PEEK) for humeral shaft fracture fixation. STUDY DESIGN: A prospective, single-arm, four-centre study. PATIENTS AND METHODS: A total of 46 patients with 46 humeral fractures classified as 12 A-B were treated with a novel CFR-PEEK IMN and followed for 12 months...
November 2017: Injury
https://www.readbyqxmd.com/read/29119298/locking-plates-versus-intramedullary-nails-in-the-management-of-displaced-proximal-humeral-fractures-a-systematic-review-and-meta-analysis
#9
REVIEW
Qi Sun, Wei Ge, Gen Li, Jiezhou Wu, Guanghua Lu, Ming Cai, Shaohua Li
PURPOSE: To compare the clinical outcome and complications of locking plates versus intramedullary nails in patients with displaced proximal humeral fractures. Our hypothesis was that there would be no difference between these two implants with regard to clinical outcome and complications. METHODS: We performed a systemic review of PubMed, EMBASE, Clinical Trials Registry, Cochrane Central Register of Controlled Trials and Google Scholar to identify all relevant randomized controlled trials, prospective and retrospective comparative studies on April 26, 2017...
November 9, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/29110924/intramedullary-elastic-nailing-of-the-displaced-radial-neck-fractures-in-children
#10
Kenan Koca, Yusuf Erdem, Çağri Neyişci, Ömer Erşen
OBJECTIVE: The aim of this study was to report the clinical and radiological results of 11 patients with Judet type 3 severely displaced radial neck fractures, who were treated with intramedullary elastic nail fixation with the help of percutaneous K-wire reduction maneuver (Métaizeau technique). METHODS: A total of 11 children (4 boys and 7 girls with a mean age of 7.7 (6-10) years) with Judet type 3 radial neck fractures were treated in our clinic between February 2013 and August 2015...
October 27, 2017: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/29107555/forearm-diaphyseal-fractures-in-children-intramedullary-kirschner-s-wire-fixation-treatment
#11
M Mahecha-Toro, E Vergara-Amador, M González Ramírez
INTRODUCTION: Diaphyseal fractures of the forearm comprise 6%-10% of all fractures in children. The treatment depends on the age and type of displacement, and conservative and surgical management with fixation of intramedullary nails, among other techniques, is valid. The aim is to show the radiological and functional outcomes, and complications of intramedullary fixation with Kirschner nails in children. MATERIALS AND METHODS: A retrospective descriptive case series of patients treated with intramedullary fixation of forearm fractures...
October 26, 2017: Revista Española de Cirugía Ortopédica y Traumatología
https://www.readbyqxmd.com/read/29102044/sliding-hip-screw-versus-intramedullary-nail-for-trochanteric-hip-fractures-a-randomised-trial-of-1000-patients-with-presentation-of-results-related-to-fracture-stability
#12
Martyn J Parker
AIMS: To determine the optimum choice of implant for a patient with a the different types of trochanteric hip fracture. PATIENTS AND METHODS: 1000 patients with a trochanteric hip fracture were randomised to internal fixation of the fracture with either a Sliding Hip Screw or an intramedullary nail. Fractures were subdivided into two part fractures, comminuted fractures and fractures at the level of the lesser trochanter (reversed/oblique and transverse). Functional assessment for up to one year from injury was undertaken by a research nurse blinded to the treatment allocation...
October 20, 2017: Injury
https://www.readbyqxmd.com/read/29092994/low-intensity-pulsed-ultrasound-for-treatment-of-tibial-fractures-an-economic-evaluation-of-the-trust-study
#13
J E Tarride, R B Hopkins, G Blackhouse, N Burke, M Bhandari, H Johal, G H Guyatt, J W Busse
AIMS: This 501-patient, multi-centre, randomised controlled trial sought to establish the effect of low-intensity, pulsed, ultrasound (LIPUS) on tibial shaft fractures managed with intramedullary nailing. We conducted an economic evaluation as part of this trial. PATIENTS AND METHODS: Data for patients' use of post-operative healthcare resources and time taken to return to work were collected and costed using publicly available sources. Health-related quality of life, assessed using the Health Utilities Index Mark-3 (HUI-3), was used to derive quality-adjusted life years (QALYs)...
November 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/29090836/recent-developments-on-intramedullary-nailing-a-biomechanical-perspective
#14
REVIEW
Natacha Rosa, Miguel Marta, Mário Vaz, S M O Tavares, Ricardo Simoes, Fernão D Magalhães, Antonio Torres Marques
Combining contributions from engineering and medicine, we highlight the biomechanical turning points in the historical evolution of the intramedullary nailing stabilization technique and discuss the recent innovations concerning increase in bone-implant system stability. Following the earliest attempts, where stabilization of long bone fractures was purely based on intuition, intramedullary nailing evolved from allowing alignment and translational control through press-fit fixation to current clinical widespread acceptance marked by the mechanical linkage between nail and bone with interlocking screws that allow alignment, translation, rotation, and length control...
November 1, 2017: Annals of the New York Academy of Sciences
https://www.readbyqxmd.com/read/29082779/role-of-extra-articular-tibiotalocalcaneal-arthrodesis-and-posterior-approach-in-highly-complex-cases
#15
Sergio Eckholt, Ruben Garcia-Elvira, Nicolás Fontecilla, Alvaro Fernandez-Reinales, Daniel Poggio
BACKGROUND: Tibiotalocalcaneal (TTC) arthrodesis is a procedure commonly used as salvage surgery for various pathologic processes that compromise the ankle and subtalar joints. It is a reasonably standardized procedure when performed as a primary surgery in advanced stages of TTC arthritis. For such cases, there are several alternative approaches, fixation materials, and bone substitutes that can be used. Most represent valid options with similar results in the literature. However, in highly complex cases requiring TTC arthrodesis, the options for the approach and fixation material can be limited...
October 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/29081861/role-of-surgery-in-management-of-osteo-articular-tuberculosis-of-the-foot-and-ankle
#16
REVIEW
Mandeep Singh Dhillon, Vikas Agashe, Sampat Dumbre Patil
BACKGROUND: Tuberculosis of the foot and ankle still remains to be a significant problem, especially in the developing countries, and with an increase in incidence in immunosuppressed patients. Treatment is mainly medical using multidrug chemotherapy; surgical interventions range from biopsy, synovectomy and debridement, to joint preserving procedures like distraction in early cases, and arthrodesis of hindfoot joints and the ankle in advanced disease with joint destruction. Surgical Options: All procedures should be done after initiating appropriate medical management...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/29081855/the-effects-of-body-mass-index-on-treatment-of-paediatric-femur-fractures-managed-with-flexible-intramedullary-nails
#17
E Nielsen, L M Andras, N Bonsu, R Y Goldstein
PURPOSE: Traditionally, flexible intramedullary nails (FINs) are not to be used to fix femur fractures in patients > 50 kg (110 lbs). However, studies have not examined the efficacy of this technique in overweight and obese patients who may be under this 'weight cutoff'. The purpose of this study was to assess how patient body mass index (BMI) impacts the treatment of paediatric femur fractures managed with FINs. METHODS: Retrospective data was collected on all paediatric patients treated with FINs for diaphyseal femur fractures at a single tertiary care institution over a ten-year period...
October 1, 2017: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/29079514/dual-modulation-of-bone-formation-and-resorption-with-zoledronic-acid-loaded-biodegradable-magnesium-alloy-implants-improves-osteoporotic-fracture-healing-an-in-vitro-and-in-vivo-study
#18
Guoyuan Li, Lei Zhang, Lei Wang, Guangyin Yuan, Kerong Dai, Jia Pei, Yongqiang Hao
Osteoporotic fracture (OPF) remains a major clinical challenge for skeletal regeneration. Impaired osteogenesis and excessive remodeling result in prolonged and poor quality of fracture healing. To augment bone formation and inhibit excessive resorption simultaneously, we constructed a biodegradable magnesium-based implant integrated with the anti-catabolic drug zoledronic acid (ZA); this implant exhibits controllable, sustained release of magnesium degradation products and ZA in vitro. The extracts greatly stimulate the osteogenic differentiation of rat-bone marrow-derived mesenchymal stem cells (rBMSCs), while osteoclastogenesis is inhibited by ZA...
October 24, 2017: Acta Biomaterialia
https://www.readbyqxmd.com/read/29075806/-medial-fracture-of-the-femoral-neck-with-enclosed-k%C3%A3-ntscher-nail
#19
Christian Feil, Robert Spies, Stefan Michalski, Martin Holzgruber, Hans-Joachim Andreß
We report about an 81-year-old male patient who suffered a medial femoral neck fracture after a fall on the left leg. A total hip arthroplasty was planned based on the appropriate indications. The planning was complicated by the presence of an intramedullary Küntscher femoral nail inserted after a motorcycle incident approximately 60 years ago. After fenestration of the proximal lateral femur, the nail was sawn off and a cemented total hip arthroplasty and plate osteosynthesis were performed.
October 26, 2017: Der Unfallchirurg
https://www.readbyqxmd.com/read/29075587/a-simple-and-easy-intramedullary-lavage-method-to-prevent-embolism-during-and-after-reamed-long-bone-nailing
#20
M N Baig, W Curtin
Reaming of the long bones is widely practiced because it allows for improved healing and early mobilization in patients needing surgical debridement of bone tissue. The insertion of reamed intramedullary nails can cause complications such as bone necrosis, cortical blood supply damage, and fat or bone marrow embolism. We describe a novel way to limit the amount of material in the canal before nail insertion to limit the chances of embolism.
August 25, 2017: Curēus
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