Intramedullary nailing is currently considered the "gold standard" for treatment of femoral shaft fractures (Rudloff 2009). Proposed advantages of intramedullary nailing include short hospital‐stay, rapid union of the fracture and early functional use of the limb (Winquist 1984).

Patients with distal extremity trauma or who have amputations may alternatively have a traction pin placed in the distal femur or proximal tibia and a bow will then be used to provide intraoperative traction.

2023年3月3日 · This systematic review and meta-analysis aimed to compare the outcomes of open- versus closed-reduction and intramedullary nailing (IMN) of adult femur sha

The following outlines the postoperative rehabilitation protocol after intramedullary nailing of a femur fracture (intertrochanteric, shaft, distal metaphyseal). Every patient is different, so the time points are just guidelines – the emphasis should be on achieving the milestones of each phase prior to advancing to the next phase.

2023年4月20日 · Neck of femur (NOF) fractures can occur anywhere from the subcapital region of the femoral head to 5cm distal to the lesser trochanter (Fig. 1). Figure 1 – The bony landmarks of the anterior proximal femur. The neck of femur can be considered to have two distinct areas, which are described relative to the joint capsule:

2017年10月9日 · Ohio Health Orthopedic Trauma and Reconstructive SurgeryComments

2024年11月21日 · shaft fractures is intramedullary nailing. This chapter describes. intramedullary nailing of the femoral shaft. The femur is the largest tubular bone in the body and is surrounded by the greatest mass of muscle (Fig. 36-1). tension. The femoral shaft is subjected to major muscular forces that. fascial compartments.

In this study, we aimed to compare perioperative results of sliding hip screws and intramedullary nails for two-part femoral fractures through the analysis of transfusion rates, postoperative blood loss, midterm outcomes, and direct costs.

2023年11月1日 · The most effective method of treating femoral shaft fractures is intramedullary nailing (IMN). Early fixation within 24–48 h after systemically stable patients’ onset lowers the risk of pulmonary problems, infection rates, and mortality.

- patients treated with early IMN femur v DCO (early stabilisation femur external fixation with later IMN) - significant reduction in incidence of multiorgan failure