Anterograde removal of broken femoral nails without opening the nonunion site: a new technique
Clinics
;
65(3): 279-283, 2010. ilus, tab
Artigo
em Inglês
| LILACS
| ID: lil-544020
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.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Pseudoartrose
/
Pinos Ortopédicos
/
Osteogênese por Distração
/
Remoção de Dispositivo
/
Fraturas do Fêmur
/
Fixação Intramedular de Fraturas
/
Articulação do Joelho
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Adulto
/
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Clinics
Assunto da revista:
Medicina
Ano de publicação:
2010
Tipo de documento:
Artigo
País de afiliação:
Brasil
Instituição/País de afiliação:
Universidade de São Paulo/BR
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