A novel closed reduction technique for treating femoral shaft fractures with intramedullary nails, haemostatic forceps and the lever principle
نویسندگان
چکیده
Abstract Background Faster, easier, more economical and effective versions of the minimally invasive reduction procedure for femoral shaft fractures need to be developed use by orthopaedic surgeons. In this study, a fracture table was used restore limb length, long, curved haemostatic forceps lever principle were utilized achieve intramedullary nail fixation fractures. Methods A retrospective analysis involving 20 patients with reduced table; forceps; conducted. The operative effect evaluated on basis time, fluoroscopy intraoperative blood loss. Results All cases in closed fashion, no conversions open needed. average time all 69.1 ± 13.5 min (range, 50–100 min) 6.7 1.9 3–10 min), respectively. exposure during process 5–15 s, an 8.7 2.7 s. loss 73.5 22.5 mL 50–150 mL). exhibited excellent alignment injured after nailing. Seventeen successfully completed follow-up healing. healing ranged from 4 6 months. Conclusions Displaced adults can treated labour-saving technique fragments, 2 soft tissue envelope-assisted fixation. This is easy perform; reduces loss, surgical reduction; leads
منابع مشابه
Flexible intramedullary nails: the panacea for paediatric femoral shaft fractures
Not many years ago the use of traction and application of hip spica cast were standard treatments for all femoral shaft fractures in children. 2 However, the management of femoral shaft fractures in children above the age of five years has tilted more towards an operative option in the last two decades attributed to low incidence of malunion, short hospital stays, cost effectiveness and early a...
متن کاملIntramedullary locking nails for femoral shaft fractures in elderly patients.
Fractures of the femoral shaft are generally considered to affect young patients, but we have reviewed 24 cases in patients over 60 years who have been treated by locked nailing, usually by closed methods. Most were women with low-velocity injuries, but despite this, 14 fractures were significantly comminuted. The complication rate was 54% with a peri-operative mortality of 17%. Most complicati...
متن کاملIntramedullary locking nails in the management of femoral shaft fractures.
Intramedullary locking nails have proved to be of considerable advantage when treating complex, comminuted or segmental femoral shaft fractures. We have reviewed 117 patients with 120 femoral shaft fractures treated with the Strasbourg device. These included 20 compound fractures, 13 pathological fractures and two non-unions. Rehabilitation and union rates have been very satisfactory and there ...
متن کاملManipulation with Schanz screws for closed reduction of femoral shaft fractures during intramedullary nailing.
OBJECTIVE To use Schanz screws as a simple and effective method for closed reduction of femoral shaft fractures. METHODS In the present cohort study, which was carried out in Shohada Orthopedic Center, Tabriz, Iran between January 2004 and February 2005, 30 adult patients, with a mean age of 29 (18-65 years) with femoral shaft fractures underwent closed reduction with Schanz pins. The patient...
متن کاملbed-assisted closed reduction intramedullary nailing for femoral shaft fracture
Objective: To compare treatment of femoral shaft fractures using traction bed assisted closed reduction (CR) or conventional open reduction (OR) for intramedullary nail fixation. Methods: The study group consisted of 126 patients with femoral shaft fractures who were treated via intramedullary nail fixation from July 2009 to May 2013. Traction bed assisted CR was adopted in 71 patients, while O...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: BMC Musculoskeletal Disorders
سال: 2021
ISSN: ['1471-2474']
DOI: https://doi.org/10.1186/s12891-021-04055-5