摘要:

This article describes a new strategy for internal fixation of supracondylar and intracondylar fractures of the femur—intramedullary stabilization with an interlocking nail inserted through the intracondylar notch of the femur. The Huckstep nail, which was initially used for this purpose, proved unsatisfactory because of its straight configuration. A bent 11-mm interlocking nail (Green-Henry-Seligson) with multiple 6.5-mm transfixion holes, currently under development, will improve the care of unstable distal femoral fractures.

ISSN:0885-9698    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

The Huckstep interlocking compression nail was developed in 1967 for complex femur fractures; since 1979, it has also been used for nonunited, difficult, and pathologic fractures of the humerus, ulna, and tibia and also for arthrodesis of the pantalar joints, knee, and elbow. The author has inserted the smaller, solid, square-section 10.5-mm nail with 4.5-mm screws or the 7.5- or 8.5-mm nail with 35-mm screws in 20 humeri, seven tibiae and one ulna for fractures that had been nonunited for up to six years, often remaining so after other implants had failed. All fractures except one were united with minimal complications. This method has proved particularly successful for fractures of the humerus, ulna, and tibia. Nine arthrodeses of the knee, six pantalar arthrodeses, and one arthrodesis of the elbow—all difficult cases often associated with infection—were also performed. Fourteen of 16 of these were successful without any complications.

ISSN:0885-9698    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

The use of multiple flexible intramedullary rods for the treatment of acute humeral fractures offers advantages over the use of other intramedullary fixation devices. The preferred surgical technique is retrograde insertion of the rods with complete filling of the medullary canal. A retrospective review of 34 acute fractures of the humeral shaft treated in this fashion showed a fracture union rate of 97%.

ISSN:0885-9698    

出版商:OVID    

年代:1988

数据来源: OVID

摘要:

Breakage of the cross screws in the distal femur and proximal tibia is a problem after interlocking nailing of fractures with osteoporotic bone. A special expansion bolt with a set screw has been designed. The bolt is firmly fixed in the intramedullary nail when the set screw is tightened. This improvement reduces complications when interlocking nailing is used for fractures with osteoporosis.

ISSN:0885-9698    

出版商:OVID    

年代:1988

数据来源: OVID

ISSN:0885-9698    

出版商:OVID    

年代:1988

数据来源: OVID

ISSN:0885-9698    

出版商:OVID    

年代:1988

数据来源: OVID