PubMed Health⌕ Search

SEARCH · PubMed Health

Results for “Fracture Fixation, Intramedullary”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 379 records · Page 21Linked to original sources
PubMed1997

Intramedullary nailing of unstable diaphyseal fractures of the tibia with distal intraarticular involvement.

OBJECTIVE: To evaluate the efficacy of intramedullary nailing in diaphyseal tibia fractures with distal intraarticular involvement. DESIGN: Retrospective. SETTING: Henry Ford Hospital, a level I trauma center. PATIENTS/PARTICIPANTS: Twenty patients with twenty fractures at an average of twenty-two months of follow-up were evaluated. There were fifteen closed and five open fractures. INTERVENTION: All fractures were stabilized with lag screw fixation (with or without supplemental plates) of the intraarticular-fracture extension or ankle fracture, and intramedullary nailing of the diaphyseal tibia fracture. MAIN OUTCOME MEASUREMENTS: Time to bony union, malunion, knee and ankle range of motion, early arthrosis, and any complications of treatment were assessed. RESULTS: Nineteen fractures healed, with an average time to bony union of seventeen weeks. One nonunion after a grade IIIB open fracture required exchange nailing and healed after sixty-two weeks. Nineteen fractures had excellent alignment after healing. There were no infections. CONCLUSIONS: The indications for intramedullary nailing of unstable diaphyseal tibia fractures may be extended to include certain fractures with distal extension into the ankle joint, as well in a tibial shaft fracture occurring in combination with a noncontiguous ipsilateral ankle fracture.

Adult↗
PubMed2004

[The minimally-invasive screw osteosynthesis of the medial femoral neck fracture in the very old. A prospective clinical study].

Increasing life expectancy has led to an increase of medial femoral neck fractures. Treatment by hip arthroplasty is a major surgical procedure for geriatric patients and imposes high healthcare costs. Manninger developed a cannulated screw system which allows a joint-sparing, less invasive, and stable internal fixation for the management of intracapsular femoral neck fractures. In a prospective study from January 1998 to August 2002, 63 patients older than 70 years with Garden type I to III fractures were treated by closed reduction and internal fixation with two Manninger screws on a traction table within the first 6 h after trauma. Mean time of follow-up was 21.5+/-16 months. Of the patients examined, 88.5% regained their preoperative stage of mobility. Two patients needed secondary hip arthroplasty. Due to low complication and failure rates and less medical expenses compared to treatment by hemiprosthesis the joint-sparing, less invasive internal fixation with two cannulated Manninger screws presents a safe and cost-efficient surgical technique for geriatric patients.

Aged↗
PubMed2000

[Intramedullary osteosynthesis for treatment of pseudarthrosis].

The main causes of long bone fractures healing complications are: insufficient vascularisation of the bone fragments and excessive movement in the fracture site. Intramedullary osteosynthesis preceded by intramedullary reaming (internal decortication) ensure refreshing of the bone ends and a good mechanical stabilisation in cases with pseudoarthroses. Long bone fractures healing complications occurring during either conservative or operative treatment can be treated using this method. Intramedullary nailing with reaming usually suffices in the treatment of pseudoarthroses of the lower extremity. Weight bearing stimulates metaplasia of connective tissue into bone. Lack of dynamic compression in the upper extremity requires intramedullary nailing to be supplemented by interlocking of the nail and open external decortication of the fracture site. Several cases of pseudoarthoses treated with intramedullary osteosynthesis are presented.

Fracture Fixation, Intramedullary↗
PubMed1985

Closed Zickel nailing.

A closed technique for Zickel nail insertion decreases morbidity, blood loss, and operative time. The Zickel intramedullary nail was originally developed as an open fixation device for fractures of the proximal third of the femur and subtrochanteric area. The open technique requires a lengthy incision, moderate blood loss, and time for insertion. For pathologic or impending pathologic fractures in sick patients, such a major operation is undesirable. The closed technique has been used successfully in five impending pathologic, three pathologic, and two traumatic subtrochanteric fractures. For these ten patients, the average operating time was one hour and 28 minutes with an average blood loss of 400 ml, a reduction of 40 minutes and 460 ml, respectively, over other available data. Time to ambulation and length of hospital stay are comparable to fractures treated openly. The closed technique is ideal for impending pathologic fractures, but may also be applicable to any pathologic or traumatic fractures that do not require an open procedure for alignment or supplementary fixation.

Bone Nails↗
PubMed1994

[Distal diaphyseal fracture of the humerus].

Fractures of the distal humeral diaphysis are rare and have not been reported very often in the literature, although therapeutic management is more difficult than that of midshaft humeral fractures. As they are so near to the elbow, these fractures are not suitable for bracing, because pro/supination movements cannot be eliminated. Muscular forces, especially of the pronator teres muscle, force the fracture into a varus position with every supination movement. From 1974 to 1990 we treated 174 fractures of the humeral diaphysis by operative means; 31 of these were located in the distal third. According to the AO classification, 8 were graded as less difficult type A fractures, 15 as type B and 7 as type C fractures. In 22.6% of the patients primary radial palsy was present. In all, 15 fractures were treated by plating, 9 with Hackethal's bundle nails and 6 with monolateral fixators. These last patients had sustained either multiple trauma or severe soft tissue injury or both. The plated cases included 1 with non-union and with superficial infection, both in type C comminuted fractures. In 1 case the fracture was not suitable for plating, and in the other case technical errors led to failure. In the 9 cases treated with Hackethal nails there were no complications. The advantage of the method is that the nails are inserted far distant from the fracture site. Anatomical reduction is not necessary, which means there is no danger of devitalizing fragments; the technique is also quick. In the "fixator" group, we saw 1 case of non-union and 1 of refracture, both following compound fractures.(ABSTRACT TRUNCATED AT 250 WORDS)

Bone Plates↗
PubMed1997

[Biological osteosyntheses].

Soft tissue condition and local blood circulation are most important concerning bone reconstruction and healing of fractures. Therefore additional damage of soft tissue caused by operations must be avoided. Using biological osteosynthesis as much stability as necessary and highest possible saving of vascularity should be achieved. Most important and actual techniques will be discussed in this paper. Today's method of choice in long bone shaft fractures is the unreamed interlokked nail. On the contrary exact reposition and minimal fixation with screws and plates is the standard in fractures near the joint to gain exercise stability.

Bone Plates↗