Femoral nail removal should be restricted in asymptomatic patients

Clinical Orthopaedics and Related Research
Thomas GöslingChristian Krettek

Abstract

Femoral nail removal has been suggested as a routine procedure for symptomatic and asymptomatic patients. The aim of this study was to evaluate whether asymptomatic patients have long-term complaints after femoral nail removal. Additionally, factors that might extend operation time and effect soft tissue healing negatively were analyzed. A retrospective study on the removal of 164 femoral nails after fracture consolidation was done. A review of the patient charts and radiographs was done. Neither the interval between nail implantation and nail removal or the use of an end-cap significantly influenced the operation time. The surgeon's qualification and nail depth were the only variables that influenced operation time. Neither operation time, nail depth, surgeon's qualification, nor the grade of heterotopic ossification significantly influenced the incidence of wound healing problems. One hundred nine patients (73%) were available for the followup interview. Preoperatively, 58 patients (53%) had local complaints. Of these 58 patients, 78% reported improvement and 7% reported an aggravation of their local complaints. Of the 51 patients who were asymptomatic before surgery, 20% reported long-term complaints at followup. Only sympto...Continue Reading

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Citations

Jan 8, 2008·Journal of Orthopaedic Trauma·Gregory M Georgiadis
Nov 6, 2010·Expert Review of Medical Devices·J S Hayes, R G Richards
Jun 19, 2012·Journal of Pediatric Orthopedics·Amit JainPaul D Sponseller
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Aug 6, 2009·Clinical Orthopaedics and Related Research·Emmanouil LiodakisStefan Hankemeier
Sep 2, 2017·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Arnold J SudaOliver E Bischel
Jan 9, 2019·Der Unfallchirurg·T Gösling, C Krettek
Jan 23, 2020·Archives of Orthopaedic and Trauma Surgery·Ville T PonkilainenVille M Mattila
Apr 22, 2005·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·T GöslingC Krettek
Oct 8, 2013·Orthopedics·Michael A MontSteven F Harwin
May 1, 2021·Revista española de cirugía ortopédica y traumatología·J Mingo-Robinet, M Pérez Aguilar
Jun 20, 2021·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Fatih GolgeliogluAhmet Guney
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Aug 23, 2021·Revista española de cirugía ortopédica y traumatología·J Mingo-Robinet, M Pérez Aguilar

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