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Osteosynthesis with Grosse-Kempf nail in comminuted and rotationally unstable femoral fractures

Year 1996, Volume: 30 Issue: 1, 51 - 55, 11.09.2006

Abstract

Fractures of the shaft of the femur are among the most common fractures encountered in traumatology. Since the femur is the largest bone of the body and is a functional part of the lower extremity in load-bearing, these fractures may results in extensive disability or in prolonged morbidity unless treatment is appropriate. Especially the treatment of the comminuted and rotationally unstable fractures of the adult femur have been a dilemma up to date. 31 adult femoral fractures were treated with the Grosse-Kempf inter-locking nail in the Department of Orthopaedics and Traumatology of Medical Faculty of Istanbul University. 22 patients who had adequate clinical and radiographic follow-up are included in our study. The median age of the 19 males and 3 females was 40 years. 17 fractures were due to high energy trauma, 3 were due to gun-shot injuries and 2 were secondary to a fall from a height. The average follow-up time was 26 months. Closed nailing was performed in 14 patients and in 8 patients the fractures site was opened to insert the nail. Radiographic fracture union was achieved at 18 weeks. The result in 15 fractures were classified as excellent; in 5, as good; in 2, as fair and in 1 as poor according to the Thoresen criteria. We concluded that intramedullary locked nailing of the fractures with Grosse-Kempf nail is more superior to the other alternative osteosynthesis materials. This form of treatment has many advantages. Early mobilization of the patient is possible, the risk of infection is low, the incidence and severity of malunion and shortening is prevented and the fracture healing is rapid.

Parçalı ve rotasyonel instabil femur kırıklarında Grosse-Kempf çivisi ile osteosentez

Year 1996, Volume: 30 Issue: 1, 51 - 55, 11.09.2006

Abstract

Femur şaft kırıkları travmatolojide en sık rastlanan kırıklardandır. Bu kırıklar femurun vücudun en büyük kemiği olması ve alt ekstremitede yük taşımada fonksiyon teşkil etmesi nedeni ile uygun tedavi edilmezse ciddi sakatlık bırakan ya da morbiditeyi arttıran kırıklardır. Özellikle de erişkin, parçalı diafiz ve rotasyonel instabil kırıkların tedavisi bugüne kadar problemli olmuştur, İstanbul Üniversitesi İstanbul Tıp Fakültesi Ortopedi ve Travmatoloji Anabilim Dalın'da 1992-1995 yılları arasında 31 erişkin femur kırığına Grosse-Kempt çivisi ile osteosentez yapılmıştır. Çalışma grubunu yeterli klinik ve radyolojik takibi olan 22 hasta oluşturmuştur. 19'u erkek, 3'ü kadın olan hastaların ortalama yaşı 40 olup, 17 vakamız yüksek enerjile travma, 3 vakamız kurşunlanma, 2 vakamız ise yüksekten düşme sonucu yaralanmıştır. Ortalama takip süremiz 26 aydır. 14 hasta kapalı metod ile 8 hastamızda kırık bölgesi açılarak tedavi edilmişlerdir. Radyolojik kaynama ortalama 18 haftada saptanmıştır. Thoresen kriterlerine göre ameliyat sonrası hastalarımızın 15'nde çok iyi, beşinde iyi, ikisinde orta ve birinde kötü sonuç alınmıştır. Parçalı ve rotasyonel instabil kırıklarda Grosse-Kempf çivisi, ile osteosentezin erken mobilizasyon, infeksiyon riskinin az olması, kaynamanın hızlı olması, yanlış kaynama ve kısalmanın engellenmesi yönünden diğer osteosentez materyallerine göre avantajlı olduğu sonucuna varılmıştır.

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Details

Primary Language English
Journal Section Original Article
Authors

Mehmet Kocaoglu This is me

Cengiz Sen This is me

Yusuf Ozturkmen This is me

Yener Temelli This is me

Publication Date September 11, 2006
Published in Issue Year 1996 Volume: 30 Issue: 1

Cite

APA Kocaoglu, M., Sen, C., Ozturkmen, Y., Temelli, Y. (2006). Osteosynthesis with Grosse-Kempf nail in comminuted and rotationally unstable femoral fractures. Acta Orthopaedica Et Traumatologica Turcica, 30(1), 51-55. https://doi.org/10.3944/aott.v30i1.1928
AMA Kocaoglu M, Sen C, Ozturkmen Y, Temelli Y. Osteosynthesis with Grosse-Kempf nail in comminuted and rotationally unstable femoral fractures. Acta Orthopaedica et Traumatologica Turcica. September 2006;30(1):51-55. doi:10.3944/aott.v30i1.1928
Chicago Kocaoglu, Mehmet, Cengiz Sen, Yusuf Ozturkmen, and Yener Temelli. “Osteosynthesis With Grosse-Kempf Nail in Comminuted and Rotationally Unstable Femoral Fractures”. Acta Orthopaedica Et Traumatologica Turcica 30, no. 1 (September 2006): 51-55. https://doi.org/10.3944/aott.v30i1.1928.
EndNote Kocaoglu M, Sen C, Ozturkmen Y, Temelli Y (September 1, 2006) Osteosynthesis with Grosse-Kempf nail in comminuted and rotationally unstable femoral fractures. Acta Orthopaedica et Traumatologica Turcica 30 1 51–55.
IEEE M. Kocaoglu, C. Sen, Y. Ozturkmen, and Y. Temelli, “Osteosynthesis with Grosse-Kempf nail in comminuted and rotationally unstable femoral fractures”, Acta Orthopaedica et Traumatologica Turcica, vol. 30, no. 1, pp. 51–55, 2006, doi: 10.3944/aott.v30i1.1928.
ISNAD Kocaoglu, Mehmet et al. “Osteosynthesis With Grosse-Kempf Nail in Comminuted and Rotationally Unstable Femoral Fractures”. Acta Orthopaedica et Traumatologica Turcica 30/1 (September 2006), 51-55. https://doi.org/10.3944/aott.v30i1.1928.
JAMA Kocaoglu M, Sen C, Ozturkmen Y, Temelli Y. Osteosynthesis with Grosse-Kempf nail in comminuted and rotationally unstable femoral fractures. Acta Orthopaedica et Traumatologica Turcica. 2006;30:51–55.
MLA Kocaoglu, Mehmet et al. “Osteosynthesis With Grosse-Kempf Nail in Comminuted and Rotationally Unstable Femoral Fractures”. Acta Orthopaedica Et Traumatologica Turcica, vol. 30, no. 1, 2006, pp. 51-55, doi:10.3944/aott.v30i1.1928.
Vancouver Kocaoglu M, Sen C, Ozturkmen Y, Temelli Y. Osteosynthesis with Grosse-Kempf nail in comminuted and rotationally unstable femoral fractures. Acta Orthopaedica et Traumatologica Turcica. 2006;30(1):51-5.