7 research outputs found
Complications and risk factors of intramedullary bone lengthening nails:a retrospective multicenter cohort study of 314 FITBONE and PRECICE nails
Complications in Elective Removal of 271 Bone Lengthening Nails (FITBONE, PRECICE and STRYDE)
Problems of Locked Intramedullary Nail Osteosynthesis of Tibial and femoral fractures Without Image Guidance
Purpose: Locked intramedullary nail osteosynthesis is a versatile procedure which is now the gold standard in the management of tibia and femur fractures. Achieving locking during intramedullary nail fixation is possible with the use of a targeting arm and without intra-operative imaging. Thisprocess however is not without complications.Methods: We prospectively evaluated 47 tibia and femur fractures in 40 consecutive patients who had locked intramedullary nail osteosynthesis using the Greens locked nailing system. Intra-operative complications were documented as they occurred.Results: The mean age of all patients seen was 35.4±2.2 years with a range of 17 to 75 years. The commonest intraoperative complication experienced was difficulty in achieving distal lock which occurred in 38.3% of all cases seen. Other complications included nail rotation (4.3%),perforation of tibial plafond (2.1%), missed proximal lock (2.1%) and missed distal fragment (2.1%).Conclusion: Radiation free locked intramedullary nail osteosynthesis is not without its own problems