Osteogenesis imperfecta (O.I.) is a genetic disorder with increased bone fragility and low bone mass. We report the history of a 17-year-old male patient with O.I. who presented a fracture of his left femoral shaft. He had osteogenesis imperfecta type I A according to Silence. He had presented two years previously an ipsilateral cervical fracture of the femur which had healed. Intramedullary fi...

is challenging owing to the relatively high chance of displacement during nail insertion. The stability of the proximal fixation is inferior because of the wider diameter of the intramedullary canal in the metaphysis. This has led to the use of Poller screws for additional blocking during intramedullary fixation of proximal or distal tibial fractures.1 The effects of Poller screw is two-fold. F...

technical section Figure 5 Intramedullary nail and cement enclosed by two halves of syringe Figure 6 A tube of smooth set cement surrounds intramedullary nail and bridges bone defect DiscUssion This technique enables a tube of smooth cement mantle to be created , surrounding the intramedullary nail at the site of the bone defect. The equipment and material necessary are readily available in mos...

Background: To assess the efficacy of flexible intramedullary Enders nails(EN) for the treatment of femoral and tibial diaphyseal fractures in children. Methods: In this descriptive study, thirty patients treated with EN, for femoral and tibial shaft fractures were included. Hole was drilled on medial and lateral sides of bone and passage was created by bone awl. EN, attached to the T-handle, ...

Nailing of tibial shaft fractures is considered the gold standard surgical method by many surgeons. The aim of this retrospective study was to investigate and compare the clinical outcome of tibial shaft fractures treated with intramedullary nails compressed by proximal tube and conventional intramedullary interlocking nails. Fifty-seven patients with tibial shaft fractures, treated with intram...

We report a case of knee fusion after a failed total knee arthroplasty (TKA) with severe osteolysis including the epicondyle and ipsilateral total hip arthroplasty (THA) with long Wagner revision stem (Sulzer Orthopedics, Baar, Switzerland). The conventional devices for arthrodesis were unavailable in this case because of the long Wagner revision stem and poor bone stock. A connector was made b...

Peri-implant fractures distal to an antegrade femoral nail are uncommon injuries, with no current consensus on the best treatment modality. We are presenting three cases of periimplant fractures distal to an antegrade femoral nail. All patients sustained an initial traumatic injury, which was managed with an antegrade femoral nail fixation. They subsequently suffer a second injury which causes ...

Nonunion of long bones fixed with nails may result in implant failure. Removal of a broken intramedullary nail may be a real challenge. Many methods have been described to allow for removal of the broken piece of the nail. In this paper, we are reviewing the different techniques to extract a broken nail, classifying them into different subsets, and describing a new technique that we used to rem...

Citation: Ferracini AM, Faloppa F, Daltro GC, Crisóstomo DC Jr, Reis FB, Belotti JC.Prospective and randomized study of patients with open fractures of the femoral shaft, treated with plate or open intramedullary locked nail. Acta Ortop Bras. [serial on the Internet]. 2008; 16(2):102-106. Available from URL: http://www.scielo.br/aob. PROSPECTIVE AND RANDOMIZED STUDY OF PATIENTS WITH OPEN FRACTU...

INTRODUCTION Diaphyseal forearm fractures are common in children and adolescents. Intramedullary fixation with flexible nails has a high success rate. Complications related to the insertion of the radial nail include injury to the superficial branch of the radial nerve and rupture of the extensor pollicis longus (EPL) tendon. MATERIALS AND METHODS We report a series of nine patients who susta...