Antegrade or retrograde reamed femoral nailing
2000; British Editorial Society of Bone & Joint Surgery; Volume: 82; Issue: 5 Linguagem: Inglês
10.1302/0301-620x.82b5.10038
ISSN2044-5377
AutoresPaul Tornetta, Douglas Tiburzi,
Tópico(s)Orthopaedic implants and arthroplasty
ResumoThe Journal of Bone and Joint Surgery. British volumeVol. 82-B, No. 5 TraumaFree AccessAntegrade or retrograde reamed femoral nailingA PROSPECTIVE, RANDOMISED TRIALP. Tornetta, D. TiburziP. TornettaAssociate Professor, Director of Orthopaedic Trauma, D. TiburziPhysician AssistantPublished Online:1 Jul 2000https://doi.org/10.1302/0301-620X.82B5.0820652AboutSectionsPDF/EPUB ToolsAdd to FavouritesDownload CitationsTrack CitationsPermissions ShareShare onFacebookTwitterLinked InRedditEmail AbstractRetrograde femoral nailing is gaining in popularity. We report a prospective, randomised comparison of antegrade and retrograde procedures in 68 patients with 69 fractures of the femoral shaft. All nails were inserted after appropriate reaming. There was no difference in operating time, blood loss, technical complications, size of nail or reamer, or transfusion requirements. There were more problems of length and rotation using a retrograde technique on a radiolucent table than with an antegrade approach on a fracture table. All fractures in both groups healed and there was no difference in the time taken to achieve union. Although retrograde nailing is a promising technique the skills required need practice. A longer period of follow-up is necessary to determine whether there are long-term problems in the knee after such surgery.FiguresReferencesRelatedDetailsCited byDoes nail size or difference between canal and nail diameter influence likelihood of union or time to union of femoral shaft fractures treated with intramedullary nailing? 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Katsoulis, C. Court-Brown, P. V. Giannoudis1 May 2006 | The Journal of Bone and Joint Surgery. British volume, Vol. 88-B, No. 5Retrograde Interlocked Intramedullary Nailing of Supracondylar Distal Femur Fractures in an Average 76-Year-Old Patient PopulationOrthopedics, Vol. 26, No. 6Ipsilateral Femoral Neck and Shaft FracturesClinical Orthopaedics and Related Research, Vol. 399 Vol. 82-B, No. 5 Metrics History Published online 1 July 2000 Published in print 1 July 2000 InformationCopyright © 2000, The British Editorial Society of Bone and Joint Surgery: All rights reservedPDF download
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