Radiographic analysis of the Brooker-Wills interlocking nail in the treatment of comminuted femoral fractures.

Abstract:

:Forty-three patients with 43 comminuted femoral shaft fractures treated with the Brooker-Wills interlocking nail were followed through bony union to determine the device's ability to maintain length and rotational control of these difficult injuries. Only severely comminuted fractures, types III and IV, were included. Implant complications were also studied. Average shortening for type III and type IV fractures measured 0.43 and 0.51 cm, respectively. Overall average shortening measured 0.47 cm (range, 0.0-2.2 cm). Maximal shortening occurred in a 72-year-old osteopenic female. Six of the 23 femurs stabilized with the smaller 13- and 14-mm-diameter nails shortened more than 1.0 cm, whereas lesser degrees of shortening tended to occur with larger-diameter implants. The proximal locking diagonal screw provided adequate proximal control and was never found to be the cause of fracture shortening. Rod deformation occurred in nine patients (21%) and was seen only in 13.0- and 14.0-mm-diameter rods. The distal lock was found to control rotation clinically but played only a minor role in preventing shortening. Distal shortening appeared to be controlled by bone-rod contact at the metaphysis, as nailings within 0.5 cm of the epiphyseal scar resulted in the least amount of shortening. Although this intramedullary device produced adequate clinical and radiographic results in comminuted femoral shaft fractures in the young, multiply injured patient, we caution against the use of the 13.0- and 14.0-mm implants. In addition, the efficacy of this implant is unproved in the osteopenic patient.

journal_name

J Orthop Trauma

authors

Brumback RJ,Handal JA,Poka A,Burgess AR,Feddis G

doi

10.1097/00005131-198702010-00002

subject

Has Abstract

pub_date

1987-01-01 00:00:00

pages

120-9

issue

2

eissn

0890-5339

issn

1531-2291

journal_volume

1

pub_type

杂志文章
  • Modified Pauwels' intertrochanteric osteotomy in neglected femoral neck fractures in children: a report of 10 cases followed for a minimum of 5 years.

    abstract:OBJECTIVES:To evaluate the role of a modified Pauwels' intertrochanteric osteotomy (MPIO) in neglected femoral neck fractures in children. DESIGN:Prospective study with retrospective analysis. SETTING:Tertiary care Postgraduate Institute of Medical Sciences. PATIENTS:Ten children (8 males, 2 females) with an average...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e31804cfdad

    authors: Magu NK,Singh R,Sharma AK,Ummat V

    更新日期:2007-04-01 00:00:00

  • A concept for the validation of fracture classifications.

    abstract::The fracture classification systems currently used most frequently were not developed or validated by rigorous scientific evaluation methods. This paper discusses the classification of fractures from an epidemiological and clinical decision-making perspective and proposes a standardized methodological concept for thei...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章,评审

    doi:10.1097/01.bot.0000155310.04886.37

    authors: Audigé L,Bhandari M,Hanson B,Kellam J

    更新日期:2005-07-01 00:00:00

  • Internal fixation of the unstable cervical spine using posterior Roy-Camille plates: preliminary report.

    abstract::We reviewed 13 cases of unstable cervical spine treated by stabilization with posterior Roy-Camille plates and fusion. The patients were treated between 1985-1988. Six patients had acute traumatic episodes, three patients had posttraumatic instabilities, one patient had laminectomy for cervical spondylotic myelopathy,...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-198903010-00005

    authors: Ebraheim NA,An HS,Jackson WT,Brown JA

    更新日期:1989-01-01 00:00:00

  • The role of negative pressure wound therapy with reticulated open cell foam in the treatment of war wounds.

    abstract::The treatment of war wounds poses many unique challenges to all healthcare providers (surgeons, flight medics, nurses, etc.), whether they are located at the far forward trauma hospitals located in or near areas of conflict, at regional hospitals such as Landstuhl Medical Center in Germany, or the larger military hosp...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章,评审

    doi:10.1097/BOT.0b013e318188e27d

    authors: Powell ET 4th

    更新日期:2008-11-01 00:00:00

  • Physiological challenges of bone repair.

    abstract::Bone healing after fracture occurs in a well-organized manner and involves a multitude of cell types, inflammatory cytokines, growth factors, prostaglandins, and certain vitamins. Some of the means by which alterations in these essential components affect bone repair are understood, whereas others still need to be del...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章,评审

    doi:10.1097/BOT.0b013e318274da8b

    authors: Borrelli J Jr,Pape C,Hak D,Hsu J,Lin S,Giannoudis P,Lane J

    更新日期:2012-12-01 00:00:00

  • Complex volar distal radioulnar joint dislocation occurring in a Galeazzi fracture.

    abstract::The Galeazzi fracture-dislocation of the forearm consists of a transverse or short oblique fracture of the radius at the junction of the middle and distal thirds with an associated subluxation or dislocation of the distal radioulnar joint. Anatomic reduction with rigid internal fixation of the radius typically produce...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-198903010-00015

    authors: Giangarra CE,Chandler RW

    更新日期:1989-01-01 00:00:00

  • Efficacy of bone staples for fixation.

    abstract::The pull-out strength of two types of bone staples (A, Techmedica; B, Richards) was evaluated in a canine model and compared with a control of 6.5 mm cancellous bone screw (Synthes). Fifteen adult mongrel dogs were divided into three groups of five animals each. The implants were placed in the lateral femoral condyle ...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-198701040-00009

    authors: Bargar WL,Sharkey NA,Paul HA,Manske DJ

    更新日期:1987-01-01 00:00:00

  • Ultrasound-Guided Nerve Blocks as Analgesia for Nonoperative Management of Distal Radius Fractures-Two Consecutive Randomized Controlled Trials.

    abstract:OBJECTIVES:To investigate whether a conventional fracture hematoma block (FHB) or an ultrasound-guided peripheral nerve block has more superior analgesic effect during nonoperative management of distal radius fractures in an emergency department setting. Two peripheral nerve block types were investigated, one at the le...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/BOT.0000000000001388

    authors: Siebelt M,Hartholt KA,van Winden DFM,Boot F,Papathanasiou D,Verdouw BC,de Vries MR,Mathijssen NM,Kraan GA

    更新日期:2019-04-01 00:00:00

  • Brachial plexus palsy following proximal humerus fracture in patients who are skeletally immature.

    abstract::From 1998 to 2006, 578 patients who were skeletally immature with proximal humerus fractures were treated at our institution. During that time period, 4 patients (0.7%) had associated brachial plexus and major peripheral nerve palsies. Average age at the time of injury was 12.3 years (range 10-14 years). Two fractures...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e31816b7898

    authors: Hwang RW,Bae DS,Waters PM

    更新日期:2008-04-01 00:00:00

  • Management of severe musculoskeletal injuries of the upper extremity.

    abstract::Limb salvage was successful in 25 patients treated for severe grade III upper extremity injuries. In a retrospective review of 20 men and five women, follow-up time averaged 26 months. These high-energy injuries were characterized by massive soft-tissue injury, highly comminuted fractures, and significant neurovascula...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:

    authors: Levin LS,Goldner RD,Urbaniak JR,Nunley JA,Hardaker WT Jr

    更新日期:1990-01-01 00:00:00

  • Femoral nerve palsy after pelvic fracture treated with INFIX: a case series.

    abstract:OBJECTIVE:The treatment of some pelvic injuries has evolved recently to include the use of a subcutaneous anterior pelvic fixator (INFIX). We present 8 cases of femoral nerve palsy in 6 patients after application of an INFIX to highlight this potentially devastating complication to pelvic surgeons using this technique ...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000000193

    authors: Hesse D,Kandmir U,Solberg B,Stroh A,Osgood G,Sems SA,Collinge CA

    更新日期:2015-03-01 00:00:00

  • Use of Nonopioid Analgesics and the Impact on Patient Outcomes.

    abstract::Although opioids are widely used for the management of pain in patients with hip fracture, these medications are known to have a wide range of adverse effects that can result in suboptimal outcomes or serious life-threatening complications. Common opioid-related adverse events include gastrointestinal effects, central...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章,评审

    doi:10.1097/BOT.0000000000000563

    authors: Sanzone AG

    更新日期:2016-05-01 00:00:00

  • Lengthening over a retrograde nail using 3 Schanz pins.

    abstract::The technique of lengthening over an antegrade nail is used widely for distraction osteogenesis of the femur. Most reported complications of this technique are related to Schanz pins. We hypothesized that reducing the number of Schanz pins would enable successful distraction with fewer complications. To this purpose, ...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e31824a3e66

    authors: Kucukkaya M,Karakoyun O,Kuzgun U

    更新日期:2013-01-01 00:00:00

  • Functional outcomes in women after high-energy pelvic ring injury.

    abstract:OBJECTIVES:Residual dysfunction after pelvic trauma has been previously described, but limited functional outcome data are available in the female population after high-energy pelvic ring injury. The purposes of this study were to determine functional outcomes and to characterize factors predictive of outcome. DESIGN:...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e318221e94e

    authors: Vallier HA,Cureton BA,Schubeck D,Wang XF

    更新日期:2012-05-01 00:00:00

  • Fixation of periprosthetic femoral shaft fractures associated with cemented femoral stems: a biomechanical comparison of locked plating and conventional cable plates.

    abstract:UNLABELLED:To determine which of 2 techniques for the treatment of periprosthetic femoral shaft fractures is of greater stiffness. DESIGN:A laboratory study using 8 pairs of matched, embalmed femurs. METHODS:Femurs implanted with a cemented total hip prosthesis had a simulated periprosthetic femur fracture created di...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/01.bot.0000199119.38359.96

    authors: Fulkerson E,Koval K,Preston CF,Iesaka K,Kummer FJ,Egol KA

    更新日期:2006-02-01 00:00:00

  • Surgical treatment with an angular stable plate for complex displaced proximal humeral fractures in elderly patients: a randomized controlled trial.

    abstract:OBJECTIVE:The objective of the study was to evaluate functional outcome, patient self-assessment, and radiographic outcome at 1 year in displaced three- and four-part proximal humeral fractures (OTA group 11-B2 and 11-C2). DESIGN:Randomized controlled trial. SETTING:Academic medical center. PATIENTS/PARTICIPANTS:Fif...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/BOT.0b013e31821c2e15

    authors: Fjalestad T,Hole MØ,Hovden IA,Blücher J,Strømsøe K

    更新日期:2012-02-01 00:00:00

  • False positive indium-111 white blood cell scan in a closed clavicle fracture.

    abstract::Aggressive treatment of the multiply injured patient often requires early fixation of many fractures, some of which may be open. Often, patients develop postoperative fevers requiring a thorough workup to rule out infection. Recently, indium-111 white blood cell (WBC) imaging has become a valuable adjunct in the diagn...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:

    authors: Friedman RJ,Gordon L

    更新日期:1988-01-01 00:00:00

  • The association between restraint system and upper extremity injury after motor vehicle collisions.

    abstract:OBJECTIVES:This study was designed to investigate the relationship between upper extremity (UE) injuries and occupant restraint systems among front seat occupants who were involved in frontal motor vehicle collisions (MVCs). DESIGN:Case-control. SETTING:The 1995 through 2002 National Automotive Sampling System (NASS)...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/01.bot.0000161543.52643.ab

    authors: Goldman MW,MacLennan PA,McGwin G Jr,Lee DH,Sparks DR,Rue LW 3rd

    更新日期:2005-09-01 00:00:00

  • Complications of locking plate fixation in complex proximal tibia injuries.

    abstract:OBJECTIVES:To report the complications and pitfalls in the treatment of complex injuries of the proximal tibia when locking plates are used. DESIGN, SETTING, AND PATIENTS:This was a retrospective case series conducted at a university Level I trauma center. Thirty-seven patients with complex proximal tibia fractures (4...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e318030df96

    authors: Phisitkul P,McKinley TO,Nepola JV,Marsh JL

    更新日期:2007-02-01 00:00:00

  • The use of a biodegradable, load-bearing scaffold as a carrier for antibiotics in an infected open fracture model.

    abstract:OBJECTIVES:Open fractures with bone loss are common, disabling injuries. Biodegradable, load-bearing scaffolds able to carry high concentrations of local antibiotics are an emerging technology to address these injuries. This study investigates the use of such scaffolds with gentamicin (along with bone morphogenetic pro...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e3181ed1349

    authors: Stewart RL,Cox JT,Volgas D,Stannard J,Duffy L,Waites KB,Chu TM

    更新日期:2010-09-01 00:00:00

  • Immediate internal fixation of open fractures of the diaphysis of the forearm.

    abstract::Immediate (within 24 h) open reduction and internal fixation of 103 open fractures of one or both bones of the forearm was accomplished in 69 patients between 1980 and 1989. Fifty-four of the 103 patients were reevaluated 1 to 7 years postinjury (average 2.5 years) to determine the efficacy of this treatment. Forty-fi...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章,评审

    doi:

    authors: Duncan R,Geissler W,Freeland AE,Savoie FH

    更新日期:1992-01-01 00:00:00

  • Syndesmotic Ankle Fractures.

    abstract:OBJECTIVES:The diagnosis and treatment of syndesmotic ankle fractures is controversial. This systematic review was performed to clarify the current understanding addressing several clinical questions that arise in the treatment of such injuries. DATA SOURCES:The English language literature was searched using PubMed, E...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章,评审

    doi:10.1097/BOT.0000000000000937

    authors: Michelson JD,Wright M,Blankstein M

    更新日期:2018-01-01 00:00:00

  • Orthopaedic trauma and the evolution of healthcare policy in America.

    abstract::Healthcare policy has changed drastically, and with the 50-year anniversary of the passage of Medicare approaching in 2015, the authors evaluate the development of the current healthcare system and its relationship to the development of modern orthopaedic trauma. With more changes in healthcare policy forthcoming, it ...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000000214

    authors: Mitchell PM,Thakore R,Obremskey A,Sethi MK

    更新日期:2014-10-01 00:00:00

  • Oblique screws at the plate ends increase the fixation strength in synthetic bone test medium.

    abstract:OBJECTIVE:To test the hypothesis that oblique screws at the ends of a plate provide increased strength of fixation as compared to standard screw insertion. DESIGN:Biomechanical laboratory study in synthetic bone test medium. METHODS:Narrow 4.5-mm stainless steel low-contoured dynamic compression plates were anchored ...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-200410000-00006

    authors: Stoffel K,Stachowiak G,Forster T,Gächter A,Kuster M

    更新日期:2004-10-01 00:00:00

  • Bone regeneration with resorbable polymeric membranes: treatment of diaphyseal bone defects in the rabbit radius with poly(L-lactide) membrane. A pilot study.

    abstract::Tubular poly(L-lactide) membranes with a pore size of 5-15 microns and a molecular weight of 70,000 Daltons were implanted into 24 New Zealand skeletally mature rabbits to cover 10-mm mid-diaphyseal defects of the radius of the forelimb. An identical defect on the contralateral limb was not treated with the membrane a...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-199604000-00006

    authors: Meinig RP,Rahn B,Perren SM,Gogolewski S

    更新日期:1996-01-01 00:00:00

  • Minimum 1-year follow-up for patients with vertical shear sacroiliac joint dislocations treated with iliosacral screws: does joint ankylosis or anatomic reduction contribute to functional outcome?

    abstract:OBJECTIVE:To prospectively analyze a homogenous group of trauma patients with pure sacroiliac (SI) joint dislocations treated with iliosacral screws (ISS), with specific attention to functional outcome and its correlation with the presence or absence of SI joint ankylosis and quality of reduction. DESIGN:Retrospective...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e31816b6b4e

    authors: Mullis BH,Sagi HC

    更新日期:2008-05-01 00:00:00

  • Biomechanical testing of a new design for Schanz pedicle screws.

    abstract::Standard 5-mm AO Schanz pedicle screws were biomechanically compared with a new design, featuring 6-mm threads with a 5-mm core diameter continuous with the shaft. One each of the two screw designs was surgically inserted into the matching pedicles of 32 cadaveric vertebrae. The pull-out strengths of the screws were t...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-199308000-00015

    authors: Willett K,Hearn TC,Cuncins AV

    更新日期:1993-01-01 00:00:00

  • Prognostic reliability of the Hawkins sign in fractures of the talus.

    abstract:OBJECTIVE:To determine the prognostic reliability, sensitivity, and specificity of the Hawkins sign. The Hawkins sign is a subchondral radiolucent band in the talar dome that is indicative of viability at 6 to 8 weeks after a talus fracture. It is visible in the anterior-posterior view, but seldom appears on lateral ra...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e318148c665

    authors: Tezval M,Dumont C,Stürmer KM

    更新日期:2007-09-01 00:00:00

  • The Incidence and Risk Factors Associated With the Need for Fasciotomy in Tibia and Forearm Fractures: An Analysis of the National Trauma Data Bank.

    abstract:OBJECTIVE:The aims of this study were to analyze a large national trauma database to determine the incidence of, risk factors for, and outcomes after a fasciotomy of the lower leg or forearm after fracture. METHODS:Data from the National Trauma Data Bank for the years 2004-2016 were analyzed, and we identified 301,351...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000001702

    authors: Saiz AM Jr,Wellman AC,Stwalley D,Wolinsky P,Miller AN

    更新日期:2020-05-01 00:00:00

  • Biomechanics of Ender rods, compression screw, and Zickel nail in the fixation of stable subtrochanteric femur osteotomies.

    abstract::Compression screws, Ender rods, and Zickel nails were evaluated mechanically to determine their resulting stability in the fixation of experimental subtrochanteric femur osteotomies. Twenty-five pairs of human cadaver femurs were used. Experimental osteotomies were created and a random member of each pair was fixed wi...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-199003000-00010

    authors: Wainer RA,Wright PH,Gilbert JA,Taylor DF

    更新日期:1990-01-01 00:00:00