Abstract:
:Locked intramedullary nailing is the current standard of treatment for femoral shaft fractures and has low complication rates. Bent femoral intramedullary nails resulting from secondary trauma are rare and technically challenging. This article describes a case of a 36-year-old man who presented with a bent femoral intramedullary nail following a motorcross accident. The patient had a previous femoral shaft fracture treated with an intramedullary nail. Previous reports outlined methods to remove bent femoral nails through the fracture site and proximally; however, this article describes a novel technique combining the use of a Midas Rex MR7 high-speed burr (Medtronic, Minneapolis, Minnesota) and the F-Tool (Synthes, West Chester, Pennsylvania) to facilitate nail extraction.The patient was placed in the lateral decubitus position. After limited exposure at the fracture site, the intramedullary nail was weakened at the apex of the deformity with a Midas Rex MR7 high-speed burr. We then used the F-Tool to straighten the nail to facilitate removal through the original proximal insertion site. The F-Tool allows forces to be concentrated at the apex of the deformity and minimizes soft tissue damage. Additional advantages of our technique include limited exposure and the ability to remove the nail in 1 piece.
journal_name
Orthopedicsjournal_title
Orthopedicsauthors
Heffernan MJ,Leclair W,Li Xdoi
10.3928/01477447-20120222-32subject
Has Abstractpub_date
2012-03-07 00:00:00pages
e438-41issue
3eissn
0147-7447issn
1938-2367journal_volume
35pub_type
杂志文章相关文献
ORTHOPEDICS文献大全abstract::This study evaluated the clinical and radiographic results of 44 patients (26 men and 18 women) who underwent reconstruction of large defects of the long bones with free vascularized bone grafts. Mean patient age was 29+/-15 years and mean follow-up was 8.6+/-2.1 years. Mean Enneking index was 78.6% (95% confidence in...
journal_title:Orthopedics
pub_type: 临床试验,杂志文章
doi:10.3928/01477447-20080401-01
更新日期:2008-04-01 00:00:00
abstract::Hip hemiarthroplasties are frequently performed for displaced femoral neck fractures. The purpose of this study was to identify the costs associated with cementless and cemented hemiarthroplasties, compare operative times, and identify complications. The hypothesis was that cementless hemiarthroplasties cost less than...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20120919-12
更新日期:2012-10-01 00:00:00
abstract::Prolonging thromboprophylaxis after hospital discharge following surgery reduces the incidence of venographic and symptomatic venous thromboembolism (VTE), although the effects on post-thrombotic syndrome are not yet clear. Oral anticoagulants and low-molecular-weight heparins (LMWHs) may be used for extended outpatie...
journal_title:Orthopedics
pub_type: 杂志文章,评审
doi:
更新日期:2000-06-01 00:00:00
abstract::Nonsteroidal anti-inflammatory drugs (NSAIDs) may prevent heterotopic ossification after total hip arthroplasty (THA). Cyclooxygenase 2 (COX-2) inhibitors may minimize side effects. The goal of this review was to compare the effectiveness and side effects of the perioperative use of selective COX-2 inhibitors with tho...
journal_title:Orthopedics
pub_type: 杂志文章,评审
doi:10.3928/01477447-20110427-23
更新日期:2011-06-01 00:00:00
abstract::We report a rare case of femoral nerve palsy secondary to hematoma compression of the iliacus. The patient presented with pain 2 days after performing a double kick in karate. The femoral nerve symptoms (numbness and weakness) did not begin until 3 to 4 days after the initial trauma. Magnetic resonance imaging (MRI) c...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20080201-37
更新日期:2008-02-01 00:00:00
abstract::A prospective study was undertaken to compare vascularized fibular grafting (VFG) with core decompression for Ficat Grade II and III femoral head osteonecrosis. The study group included 39 hips in 34 patients-20 VFGs and 19 core decompressions. Independent evaluation of results was performed by an orthopedic surgeon a...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1996-10-01 00:00:00
abstract::Total knee arthroplasty is a safe last-resort treatment for osteoarthritis that has excellent results in low-function-demand elderly patients. Current implants offer the same results in high-function-demand patients. However, supportive data do not exist.One-year Krackow Activity Scores (KAS) of 552 patients from 2 pr...
journal_title:Orthopedics
pub_type: 杂志文章,多中心研究
doi:10.3928/01477447-20120426-22
更新日期:2012-05-01 00:00:00
abstract::Recently introduced tibial intramedullary nails allow a number of distal screws to be used to reduce the incidence of malalignment and loss of fixation of distal metaphyseal fractures. However, the number of screws and the type of screw configuration to be used remains obscure. This biomechanical study was performed t...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20160129-02
更新日期:2016-03-01 00:00:00
abstract::Acute traumatic anterior shoulder dislocations are associated with high recurrence rates in young athletic individuals. Arthroscopically assisted stabilization of acute initial traumatic anterior dislocation was carried out in 11 young athletes. The average age was 20 years, with nine males and two females. The anteri...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1993-09-01 00:00:00
abstract::There are conflicting reports regarding postoperative bleeding risks associated with discontinuation of antiplatelet therapy at least 7 days preoperatively. Most of the studies in the spine literature are based on surveys or anecdotal evidence. The majority of surgeons discontinue therapy 7 days preoperatively, but th...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20160419-04
更新日期:2016-07-01 00:00:00
abstract::Civil Liability and the Investigational Device Exemptions. ...
journal_title:Orthopedics
pub_type: 社论
doi:10.3928/0147-7447-19801201-13
更新日期:1980-12-01 00:00:00
abstract::External fixation is a temporizing measure that has a long history in the treatment of fractures. Thirty-eight newly designed large-frame external fixators were applied for acute lower-limb fractures and pelvis injuries in a level I trauma center. In 75% of cases, the frames were used for first-stage skeletal stabiliz...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20100129-12
更新日期:2010-03-01 00:00:00
abstract::Intraoperative registration of the anterior pelvic plane is necessary for navigation during total hip arthroplasty (THA). Ultrasound referencing of bony landmarks was implemented in a THA navigation system (OrthoPilot, B. Braun Aesculap; Tuttlingen, Germany) as an alternative to pointer palpation. This study compared ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2007-10-01 00:00:00
abstract::Limb salvage is the treatment of choice for malignant shoulder girdle tumors; however, there is a paucity of data examining the long-term outcome. The authors have previously reported on a cohort of patients at short- and mid-term follow-up. The purpose of this study was to report the long-term outcome of shoulder rec...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20191001-01
更新日期:2019-11-01 00:00:00
abstract::Chondroblastoma is a rare, benign primary bone tumor that usually occurs at the epiphysis of long bones. The authors present an example of the diagnosis and successful treatment of this neoplasm in an exceedingly rare location in the distal phalanx. Clinical and radiographic outcomes after 68 months of follow-up are p...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20140430-64
更新日期:2014-05-01 00:00:00
abstract::Free vascularized fibular grafting (FVFG) is an effective method to treat corticosteroid-induced osteonecrosis of the femoral head (ONFH). Some patients continued to receive maintenance doses of corticosteroids to treat the primary disease postoperatively. This study was performed to evaluate outcomes of FVFG for cort...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20140401-56
更新日期:2014-04-01 00:00:00
abstract::Osteogenesis imperfecta is caused by qualitative or quantitative defects in type I collagen. Although often considered a disease with primarily pediatric manifestations, more than 25% of lifetime fractures are reported to occur in adulthood. General care of adults with osteogenesis imperfecta involves measures to pres...
journal_title:Orthopedics
pub_type: 杂志文章,评审
doi:10.3928/01477447-20161006-04
更新日期:2017-01-01 00:00:00
abstract::Jumper's knee is a common cause of anterior knee pain among athletes and active populations. Numerous treatments have been described with variable results. To better delineate this, the authors reviewed all articles from 2000 to 2014 pertaining to the treatment of patellar tendinopathy, focusing namely on treatment of...
journal_title:Orthopedics
pub_type: 杂志文章,评审
doi:10.3928/01477447-20160714-06
更新日期:2016-11-01 00:00:00
abstract::This article describes the clinical findings, roentgenographic manifestations, gross and microscopic pathology, treatment, and results of 24 cases of pigmented villonodular synovitis treated at Henry Ford Hospital over a period of 25 years. We conclude that synovectomy is the treatment of choice, and we have experienc...
journal_title:Orthopedics
pub_type: 社论
doi:10.3928/0147-7447-19800801-05
更新日期:1980-08-01 00:00:00
abstract::The Bateman Universal Proximal Femoral Assembly has been used primarily in the treatment of subcapital fractures of the femoral head when the acetabulum was judged to be adequate. The indications for this procedure are the same as for a standard hemiarthroplasty. A contraindication against its use is a severe neurolog...
journal_title:Orthopedics
pub_type: 社论
doi:10.3928/0147-7447-19801001-05
更新日期:1980-10-01 00:00:00
abstract::Advancements in total ankle arthroplasty (TAA) over the past several decades have led to improved patient outcomes and implant survivorship. Despite these innovations, many implant manufacturers still consider a preoperative coronal plane deformity greater than 10° a relative contraindication to TAA. Without proper in...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20150402-91
更新日期:2015-04-01 00:00:00
abstract::Chordoma is a slow-growing neoplasm of the axial skeleton. Two cases of lower cervical chordoma are reported, along with a review. Despite combined high voltage radiation therapy and radical surgery chordoma invariably recurs, producing bone erosion and destruction of vital contiguous structures with resulting high mo...
journal_title:Orthopedics
pub_type: 社论
doi:10.3928/0147-7447-19800701-04
更新日期:1980-07-01 00:00:00
abstract::Treatment of posterolateral tibial plateau fractures is controversial, and information regarding this specific fracture pattern is lacking. The purpose of this study was to elucidate the frequency and morphological features of posterolateral articular fragments in tibial plateau fractures. A retrospective radiographic...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20130920-16
更新日期:2013-10-01 00:00:00
abstract::This study assesses femoral neck shortening and its effect on gait pattern and muscle strength in patients with femoral neck fractures treated with internal fixation. Seventy-six patients from a multicenter randomized controlled trial participated. Patient characteristics and Short Form 12 and Western Ontario and McMa...
journal_title:Orthopedics
pub_type: 杂志文章,随机对照试验
doi:10.3928/01477447-20130624-13
更新日期:2013-07-01 00:00:00
abstract::Proximal fibular stress fracture is an uncommon injury in athletes but has been frequently reported in the military population. Although the true incidence is unknown and its pathophysiology is not completely understood, proximal fibular stress fracture is believed to be a rare injury and awareness of it will help cli...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2002-03-01 00:00:00
abstract::Previous studies have reported thermal injuries with thick cast materials and warm dip water temperatures, often much higher than is clinically applicable. The goal of this study was to assess the temperature produced in vivo by current casting techniques and materials. The study was done using clinically applicable m...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20101221-11
更新日期:2011-01-01 00:00:00
abstract::Retrieved polyethylene liners and femoral heads from a consecutive series of revision components of one design were examined. All patients had Long-Term Stable Fixation (OsteoTechnology International, Timonium, Md) total hip arthroplasties (THAs) implanted between 1987 and 1992. The retrieved femoral heads and liners ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2002-12-01 00:00:00
abstract::Vigorous treatment is not always necessary to eradicate late postoperative infection after total knee implantation. Aspiration of the pus and intravenous antibiotic administration was enough to eradicate the infection in the case reported. ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1978-05-01 00:00:00
abstract::Tight closure, which is a sign of ischemia secondary to tension, can lead to tissue necrosis. This article describes a simple and reliable test to help avoid excessive tension during skin closure. ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2005-05-01 00:00:00
abstract::We evaluated the rotational alignment of the femoral component after total knee arthroplasty in 46 patients with distal femoral torsional deformity using a navigation-assisted gap technique. Preoperative distal femoral torsional angle and postoperative rotational deviation of the femoral component were measured using ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20090915-61
更新日期:2009-10-01 00:00:00