Anterograde removal of broken femoral nails without opening the nonunion site: a new technique
Clinics
; Clinics;65(3): 279-283, 2010. ilus, tab
Article
em En
| LILACS
| ID: lil-544020
Biblioteca responsável:
BR1.1
ABSTRACT
OBJECTIVE:
We describe a new technique for removing the distal fragments of broken intramedullary femoral nails without disturbing the nonunion site.METHODS:
This technique involves the application of an AO distractor prior to the removal of the nail fragments, with subsequent removal of the proximal nail fragment in an anterograde fashion and removal of the distal fragment through a medial parapatellar approach. Impaction of the fracture site is then performed with a nail that is broader than the remaining fragmented material.RESULTS:
Nails were removed from five patients using the technique described above without any complications. After a mean follow-up period of 61.8 months, none of these patients showed worsened knee osteoarthritis.CONCLUSION:
The original technique described in this article allows surgeons to remove the distal fragment of fractured femoral intramedullary nails without opening the nonunion focus or using special surgical instruments.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
LILACS
Assunto principal:
Pseudoartrose
/
Pinos Ortopédicos
/
Osteogênese por Distração
/
Remoção de Dispositivo
/
Fraturas do Fêmur
/
Fixação Intramedular de Fraturas
/
Articulação do Joelho
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Limite:
Adult
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Clinics
Assunto da revista:
MEDICINA
Ano de publicação:
2010
Tipo de documento:
Article
País de afiliação:
Brasil
País de publicação:
Brasil