Dilemma for the Surgeon-A Three-part Broken Interlocking Femoral Nail: Novel Technique of Removal | Chapter 7 | Recent Developments in Medicine and Medical Research Vol. 14

 

It can be difficult to remove a segmentally fractured (three part) interlocking femoral nail with a broken interlocking screw. To treat the delayed union with exchange nailing, we present a unique approach for extracting a rare two-level fractured cannulated anterograde femoral nail.

The fractured hardware was removed without accessing the facture site or the knee in this case of a three-part broken intramedullary interlocking nail with broken distal locking screws. This method is straightforward and does not necessitate the use of specialised equipment. For mending the fracture and achieving the union, we employed a larger diameter and longer nail. The surgical technique is described, as well as a review of the literature.

Author(S) Details

A. Raviraj
Apollo Hospitals, Bannerghatta Road, Bangalore - 560076, India.

K. Abhishek Sugumar
Apollo Hospitals, Bannerghatta Road, Bangalore - 560076, India.

Vidyasagar Maalepati
Apollo Hospitals, Bannerghatta Road, Bangalore - 560076, India.

H. A. Shivareddy
Apollo Hospitals, Bannerghatta Road, Bangalore - 560076, India.

Ashish Anand
University of Mississippi Medical Center, Jackson, MS, USA and Staff Orthopedic Surgeon, VAMC, Jackson, USA.

View Book:- https://stm.bookpi.org/RDMMR-V14/article/view/4986

Study on Management of Comminuted Fractures of the Shaft of Femur by Interlocking Nailing at a Tertiary Level Hospital in India | Chapter 18 | Highlights on Medicine and Medical Science Vol. 15

 A femoral shaft fracture is one of the most common fractures observed in orthopaedic practise. In patients who have been exposed to high energy trauma, the fracture shaft of the femur is a leading cause of morbidity and mortality. This study looks at the epidemiology of patients who report with femur fractures at a tertiary level hospital in Navi Mumbai.

The goal of this study was to see how long it took for comminuted femur fractures to heal. 2) To determine the length of stay in the hospital, and 3) to investigate the issues that may arise. 4) It's time to go for a walk.

This prospective study was undertaken in a tertiary level hospital in Navi Mumbai from January 1, 2014 to July 31, 2015. All patients with a comminuted femur fracture who were treated with interlocking nailing were included in the study. Various clinical and radiological indicators were gathered during the course of treatment.

The study included 50 patients, with 84 percent of them being men. 88 percent were under the age of 50. A car accident was the most common cause of injury, and 54 percent of patients had a fracture in the middle one-third of their femur. After 12 to 14 weeks, 52 percent of patients had clinical union, whereas radiological union was evident in the majority of patients after 16 to 18 weeks. In 10 weeks, 36% of patients started partial weight bearing, and in 16 weeks, 42% started complete weight bearing. The majority of patients were admitted for 10 to 14 days, and 66 percent of them had excellent functional outcomes as judged by Klemm and Borner criteria. Only six patients developed issues as a result of the procedure.

Conclusions: In our experience, interlocking nailing resulted in a low complication rate and a good functional outcome in two-thirds of comminuted femur fracture patients.

Author (s) Details

Aashay Kekatpure
Department of Orthopaedics, Padmashree Dr. D.Y. Patil Hospital and Research Centre, Navi Mumbai, India.

Shikhar D. Singh
Department of Orthopaedics, Padmashree Dr. D.Y. Patil Hospital and Research Centre, Navi Mumbai, India.

Sachin Kale
Department of Orthopaedics, Padmashree Dr. D.Y. Patil Hospital and Research Centre, Navi Mumbai, India.

Prasad Chaudhari
Department of Orthopaedics, Padmashree Dr. D.Y. Patil Hospital and Research Centre, Navi Mumbai, India.

Sanjay Dhar
Department of Orthopaedics, Padmashree Dr. D.Y. Patil Hospital and Research Centre, Navi Mumbai, India.

View Book :- https://stm.bookpi.org/HMMS-V15/article/view/2479

Morphological Variations of Nutrient Foramina in Lower Limb Long | Chapter 5 | Recent Research Advances in Biology Vol. 9

 Background: The nutrient arteries, which enter through the nutrient foramen, provide the majority of blood supply to the long bones. A nutrient foramen is a hole in the bone shaft that allows blood vessels in the medullary cavity of the bone to pass through. The nutrition foramen of all bones is directed away from the growing end and has a specific position for each bone. The goal of this study was to look at the topographic architecture and morphology of the nutrition foramina in adult human lower limb long bones. Materials and Methods: A total of 150 lower limb long bones, 50 femora, 50 tibiae, and 50 fibulae, were used in the study. The bones were taken from the Punjab Institute of Medical Sciences' department of anatomy in Jalandhar. The number and position of nutrient foramen in distinct lower limb long bones were observed to vary. Double and triple foramina were found in the femur. Nutrient foramen were not found in the femur or fibula. Conclusion: Knowing the topography of these foramina is useful in avoiding injury to the nutrition vessels during specific surgical procedures in orthopaedics, as well as in plastic and reconstructive surgery.

 
Author (s) Details

Dr. Mamta Sharma
Department of Anatomy, Punjab Institute of Medical Sciences Jalandhar, Punjab, India.

Dr. Rajeev Prashar
SMO I/C Fattudhinga, District Kapurthala, Punjab, India.

View Book :- https://stm.bookpi.org/RRAB-V9/article/view/2006