intramedullary nailing of distal femur

Robotic distal locking of intramedullary nailing ...

Interlocked intramedullary nailing is the treatment of choice for femoral shaft fractures. However, distal locking is a technically challenging part of the procedure that can result in distal femoral malrotation and high radiation exposure.

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Intramedullary Nailing of Femoral Shaft Fractures: Current ...

Angular malunion of femoral shaft fractures after IM nailing is most common in proximal (30%) and distal (10%) fractures, in which the surgeon cannot rely on the interference fit of the nail to align the fracture. 15 Blocking screws can be used to assist in aligning more proximal and distal fractures, but these are unnecessary in the diaphysis ...

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For Intramedullary Fixation of Proximal Femoral Fractures

11 DePuy Synthes TFN-ADVANCED® Proximal Femoral Nailing System (TFNA) Surgical Technique Preparation 4. Determine nail length Instrument 03.037.006 Radiographic Ruler Move the image intensifi er to the distal femur, place the proximal end of the radiographic ruler at the skin mark, and take an AP image of the distal femur. Verify fracture ...

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Distal Femur Fractures | Musculoskeletal Key

Mar 18, 2017·The retrograde intramedullary nailing can be performed minimally invasively and allows, in contrast to antegrade nailing, the direct visualization of the articular surface. Indications for retrograde nailing are extraarticular distal femur fractures and simple (C1 or C2) intraarticular fractures of the femur, allowing a double distal locking.

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T2 Supracondylar Nailing System - Stryker MedEd

The T2 Supracondylar Nailing System offers the advantages of a unique locking configuration and targeting concept, allowing superior fixation in the distal femur, using the already established T2 instrument platform and locking screws. Implant Features The T2 SCN System is the realization of superior biomechanical intramedullary stabilization using

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Retrograde Femoral Intramedullary Nail - Trauma - Orthobullets

retrograde intramedullary nailing system c-arm fluoroscopy ; radiolucent flat-top table Position. ... 90° bend in knee, then take final AP and lateral radiograph of proximal, middle, and distal aspects of femur; take hip through a range of motion to assess for fracture fluoroscopic evaluation is key, whether static or dynamic at the end of the ...

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Intramedullary Femoral Nailing - TeachMe Orthopedics

Apr 26, 2020·Intramedullary Femoral Nailing. Kenneth J. Koval. Fractures of the femoral shaft are severe injuries. requiring emergent orthopaedic treatment. These fractures usually. result from a directly applied, high-energy force. Important local. concerns, such as …

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Femur Shaft Fractures (Broken Thighbone) - OrthoInfo - AAOS

Intramedullary nailing. Currently, the method most surgeons use for treating femoral shaft fractures is intramedullary nailing. During this procedure, a specially designed metal rod is inserted into the canal of the femur. The rod passes across the fracture to keep it in position.

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STABILIZATION OF DISTAL FEMUR FRACTURES WITH ...

distal femur is warranted. INTRODUCTION Fractures of the distal third of the femur are a treat-ment challenge despite new fixation options. Fixed angle locking plates have become the most commonly used device for this indication replacing intramedullary nails, blade plates and condylar screws.1 Despite widespread

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Fracture Fixation | RadioGraphics

Nov 01, 2003·Intramedullary nailing is the standard treatment for diaphyseal fractures of the femur and tibia (,,, Figs 29, , 30). Humeral shaft fractures are also being treated with antegrade and retrograde intramedullary nailing, with variable complication rates being reported (, Fig 31). Intramedullary nails or rods allow early weightbearing.

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Percutaneous intramedullary supracondylar nailing for ...

Percutaneous intramedullary supracondylar nailing for fractures of distal femur. Patel K(1), Kapoor A, Daveshwar R, Golwala P. Author information: (1)Orthopaedic Department, SSG Hospital, Baroda, India.

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Intramedullary Nailing Operative Sample Report

The distal screws and cannulas were then placed through the targeting device and a small incision made through the skin and fascia allowing it to be placed flush against bone. Drill was used to drill through both cortices. The length of the screw was measured with the depth gauge and a 40 mm length distal interlocking screw placed.

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Intramedullary rod - Wikipedia

An intramedullary rod, also known as an intramedullary nail (IM nail) or inter-locking nail or Küntscher nail (without proximal or distal fixation), is a metal rod forced into the medullary cavity of a bone.IM nails have long been used to treat fractures of long bones of the body. Gerhard Küntscher is credited with the first use of this device in 1939, during World War II, for soldiers with ...

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Distal locking in femoral intramedullary nailing system ...

distal femur may influence the length of the cross screw used in distal locking. We hypothesize that there maybe a variable stiffness on the intramedullary nailing system depending on the length and number of distal locking cross screws. In the current study, a biomechanical investigation was undertaken to examine if one distal cross screw was

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Intramedullary Nailing of Complete Articular Distal Femur ...

Complete articular distal femur fractures can provide challenges for internal fixation due to metaphyseal comminution, intra-articular involvement, osteoporotic bone, and unopposed muscle forces. While the use of lateral locked plating has improved the ability to treat these fractures, recent reports have indicated a high rate of complications ...

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Principles of intramedullary nailing - AO Trauma

intramedullary nail • Explain how an intramedullary nail works • Discuss the design of different nails • Describe the surgical technique Indications Indications for osteosynthesis with intramedullary nail are 1. Diaphyseal fractures: 1. Humerus 2. Femur 3. Tibia 2. Meta/epiphyseal fractures: 1. Proximal humerus 2. Proximal femur 3. Distal ...

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(PDF) Retrograde intramedullary interlocking nailing in ...

Distal femur fractures of 16 patients (11 males, 5 females; mean age 45 years; range 25 to 69 years) were treated with retrograde locked intramedullary nailing. One patient had bilateral fractures.

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(PDF) Retrograde intramedullary interlocking nailing in ...

Distal femur fractures of 16 patients (11 males, 5 females; mean age 45 years; range 25 to 69 years) were treated with retrograde locked intramedullary nailing. One patient had bilateral fractures.

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Distal Femur Fractures | Musculoskeletal Key

Mar 18, 2017·The retrograde intramedullary nailing can be performed minimally invasively and allows, in contrast to antegrade nailing, the direct visualization of the articular surface. Indications for retrograde nailing are extraarticular distal femur fractures and simple (C1 or C2) intraarticular fractures of the femur, allowing a double distal locking.

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For Intramedullary Fixation of Proximal Femoral Fractures

10 DePuy Synthes TFN-ADVANCED® Proximal Femoral Nailing System (TFNA) Surgical Technique Preparation 4. Determine nail length Instrument 03.037.006 Radiographic Ruler Move the image intensifi er to the distal femur, place the proximal end of the radiographic ruler at the skin mark, and take an AP image of the distal femur. Verify fracture ...

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Length, Alignment, and Rotation: Operative Techniques for ...

Techniques for Intramedullary Nailing of the Comminuted, Diaphyseal Femur Fracture Introduction Shortened and rotationally unstable femoral shaft fractures can be extremely challenging even for the very experienced. Orthopaedic surgeons taking trauma call should have the necessary technical skills to stabilize a femur fracture with an ...

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Intramedullary Nailing of Femoral Shaft Fractures: Current ...

Intramedullary nailing of diaphyseal femur fractures provides a stable fixation construct that can be applied using indirect reduction techniques. This method yields high union rates and low complication rates when vigilance is maintained during preoperative planning, the surgical procedure, and the postoperative period.

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Retrograde intramedullary nailing for fractures of distal ...

Results: There were 21 patients who underwent retrograde intramedullary nailing for fractures of distal femur during the study period. According to AO/ASIF system, fractures were classified as A1 (n=15), A2 (n=3), and A3 (n=3). In 17 patients, fracture united without complications or …

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Intramedullary Femoral Nailing - TeachMe Orthopedics

Apr 26, 2020·Intramedullary Femoral Nailing. Kenneth J. Koval. Fractures of the femoral shaft are severe injuries. requiring emergent orthopaedic treatment. These fractures usually. result from a directly applied, high-energy force. Important local. concerns, such as …

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Answer - ORIF with Intramedullary nail of supracondylar ...

Nov 05, 2019·Basically, my doctor treated a supracondylar distal femur fracture with intercondylar extension by both ORIF (w/ plate, screws, and K-wires) and also an IM nail. I'm trying to decide between either: 27513 - (Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal fixation, when performed) or

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Overlapping intramedullary nailing after failed minimally ...

Overlapping intramedullary nailing after failed minimally invasive locked plating for osteoporotic distal femur fractures--Report of 2 cases. Yoo JH(1), Kim SW(2), Kwak YH(2), Kim HJ(2). Author information: (1)Department of Orthopaedic Surgery, Hallym University Sacred Heart Hospital, Hallym University School of Medicine, Anyang, South Korea.

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