Intramedullary nailing of adult femoral fractures

Cilt: 36 Sayı: 4 11 Eylül 2006
  • Oguz Durakbasa
  • Ugur Haklar
  • Hakan Tuygun
  • Metin Turkmen
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Intramedullary nailing of adult femoral fractures

Öz

Objectives: We evaluated the results of treatment of adult femoral fractures treated by intramedullary nails. Methods: Sixty-two patients (15 females, 48 males; mean age 29 years; range 16 to 62 years) with 64 femoral fractures were treated by intramedullary nailing. Eighty-three percent of the fractures was closed and 17% was open. According to the Winquist (W) classification, there were 16 (25%) W0, 22 (34%) W1, nine (14%) W2, nine (14%) W3, and eight (13%) W4 fractures. The mean duration between trauma and surgery was 18 days (range 4 to 130 days), and the mean hospital stay was 25 days (range 11 to 142 days). Open and closed techniques were employed in 62 (97%) and two (3%) fractures, respectively. Nine fractures were unlocked; dynamic and static locking were performed in 39 and 16 fractures, respectively. In the open technique, secondary procedures involved grafting in 14 cases, cerclage in eight cases, grafting and cerclage in 10 cases, and grafting and screw fixation in one case. The results were assessed according to the criteria by Thoresen et al. The mean follow-up was 28 months (range 7 to 62 months). Results: Fifty-one patients (80%) had satisfactory, 13 patients (20%) had poor outcome. All proximal locking screws (n=20) were successfully inserted, whereas 23 (24%) of 95 distal screws missed the nail holes. Complications included superficial infection (n=3), osteomyelitis (n=4), trochanteric bursitis (n=1), irritation of the skin by the distal screws (n=4), heterotopic ossification (n=6), shortening more than 1 cm (n=8), rotational malalignment greater than 10° (n=2), migration of the nail through the knee joint (n=2), drill breakage while preparing the distal holes (n=2), knee range of motion below 100° (n=6), and delayed union (n=2). Conclusion: Intramedullary nailing should be the primary indication for stable and unstable femoral fractures.

Anahtar Kelimeler

Ayrıntılar

Birincil Dil

İngilizce

Konular

-

Bölüm

-

Yazarlar

Oguz Durakbasa Bu kişi benim

Ugur Haklar Bu kişi benim

Hakan Tuygun Bu kişi benim

Metin Turkmen Bu kişi benim

Yayımlanma Tarihi

11 Eylül 2006

Gönderilme Tarihi

6 Mart 2014

Kabul Tarihi

-

Yayımlandığı Sayı

Yıl 2002 Cilt: 36 Sayı: 4

Kaynak Göster

APA
Durakbasa, O., Haklar, U., Tuygun, H., & Turkmen, M. (2006). Intramedullary nailing of adult femoral fractures. Acta Orthopaedica et Traumatologica Turcica, 36(4), 316-321. https://doi.org/10.3944/aott.v36i4.879
AMA
1.Durakbasa O, Haklar U, Tuygun H, Turkmen M. Intramedullary nailing of adult femoral fractures. Acta Orthopaedica et Traumatologica Turcica. 2006;36(4):316-321. doi:10.3944/aott.v36i4.879
Chicago
Durakbasa, Oguz, Ugur Haklar, Hakan Tuygun, ve Metin Turkmen. 2006. “Intramedullary nailing of adult femoral fractures”. Acta Orthopaedica et Traumatologica Turcica 36 (4): 316-21. https://doi.org/10.3944/aott.v36i4.879.
EndNote
Durakbasa O, Haklar U, Tuygun H, Turkmen M (01 Eylül 2006) Intramedullary nailing of adult femoral fractures. Acta Orthopaedica et Traumatologica Turcica 36 4 316–321.
IEEE
[1]O. Durakbasa, U. Haklar, H. Tuygun, ve M. Turkmen, “Intramedullary nailing of adult femoral fractures”, Acta Orthopaedica et Traumatologica Turcica, c. 36, sy 4, ss. 316–321, Eyl. 2006, doi: 10.3944/aott.v36i4.879.
ISNAD
Durakbasa, Oguz - Haklar, Ugur - Tuygun, Hakan - Turkmen, Metin. “Intramedullary nailing of adult femoral fractures”. Acta Orthopaedica et Traumatologica Turcica 36/4 (01 Eylül 2006): 316-321. https://doi.org/10.3944/aott.v36i4.879.
JAMA
1.Durakbasa O, Haklar U, Tuygun H, Turkmen M. Intramedullary nailing of adult femoral fractures. Acta Orthopaedica et Traumatologica Turcica. 2006;36:316–321.
MLA
Durakbasa, Oguz, vd. “Intramedullary nailing of adult femoral fractures”. Acta Orthopaedica et Traumatologica Turcica, c. 36, sy 4, Eylül 2006, ss. 316-21, doi:10.3944/aott.v36i4.879.
Vancouver
1.Oguz Durakbasa, Ugur Haklar, Hakan Tuygun, Metin Turkmen. Intramedullary nailing of adult femoral fractures. Acta Orthopaedica et Traumatologica Turcica. 01 Eylül 2006;36(4):316-21. doi:10.3944/aott.v36i4.879