Focal osteolysis at the junctions of a modular stainless-steel femoral intramedullary nail

The Journal of Bone and Joint Surgery. American Volume
D M JonesJ A Buckwalter

Abstract

During routine follow-up of patients treated with a three-piece stainless-steel modular femoral nail, osteolysis and periosteal reaction around the modular junctions of some of the nails were noted on radiographs. The purpose of this study was to evaluate the prevalence, etiology, and clinical relevance of these radiographic findings. Forty-four femoral fractures or nonunions in forty-two patients were treated with a modular stainless-steel femoral intramedullary nail. Seventeen nails were excluded, leaving twenty-seven intramedullary nails in twenty-seven patients for this study. All patients had had a femoral diaphyseal fracture; nineteen had had an acute fracture and eight, a nonunion. These twenty-seven patients returned for radiographs, a physical examination, assessment of functional outcomes, assessment of thigh pain with a visual analog scale, determination of serum chromium levels, and nail removal if desired. A control group of sixteen patients treated with a one-piece stainless-steel femoral intramedullary nail was evaluated with use of the same outcome measures and was compared with the group treated with the modular femoral nail with regard to prevalence of thigh pain and serum chromium levels. Twelve modular femor...Continue Reading

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Citations

Jul 10, 2008·Journal of Biomedical Materials Research. Part B, Applied Biomaterials·Jeremy L GilbertBryan Pinder
Dec 4, 2002·Clinical Orthopaedics and Related Research·Thomas W Bauer
Apr 2, 2004·Clinical Orthopaedics and Related Research·Kazuo HirakawaTomoyuki Saito
Mar 3, 2005·The International Journal of Artificial Organs·L MontanaroC R Arciola
Dec 29, 2007·Journal of Biomedical Materials Research. Part B, Applied Biomaterials·L SavarinoA Giunti
Mar 29, 2014·Advances in Orthopedics·Nicole DurigMelinda K Harman
Jan 22, 2017·Der Unfallchirurg·Alexander JoerisDankward Höntzsch
Dec 11, 2002·The Journal of Bone and Joint Surgery. American Volume·Richard Kang, Peter J Stern
Jun 6, 2015·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Michael M Morlock
Jan 31, 2019·Materials·Noam Eliaz
Sep 14, 2006·Journal of Biomedical Materials Research. Part B, Applied Biomaterials·Alexander SchuhJean Bigoney
Jun 3, 2010·The Journal of Bone and Joint Surgery. American Volume·Geoffrey WrightJoshua Jacobs
Nov 25, 2011·Journal of Biomedical Materials Research. Part B, Applied Biomaterials·Jeremy L GilbertJoshua J Jacobs
Jul 17, 2007·Clinical Orthopaedics and Related Research·Christof MeyerReinhard Schnettler
Oct 14, 2021·Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews·Oliver C SaxPhilip K McClure

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