The effectiveness of the antegrade reamed technique: the experience and complications from 415 traumatic femoral shaft fractures.

Strategies in Trauma and Limb Reconstruction
Efthimios J KaradimasJohn Maris

Abstract

This retrospective study presents the experience gained through use of reamed femoral nails and reports results and respective complications. This study included 415 femur fractures (312 men and 101 women with a mean age of 27.8 years) that were treated from 1993 to 2004. The fractures were classified according to AO, and 74 open fractures were included and typed according to the Gustilo classification. Dynamic nailing was performed for nearly all type A fractures and static nailing for types B and C. After a mean follow-up of 1.5 years, union rate was 97.8%. The complications were: 9 non-unions, 14 delayed-unions, 4 torsional malunions, 6 limb length discrepancies (shortening) and 30 nerve pareses due to traction. Deep venous thrombosis (DVT) occurred below the knee in 4 patients, while there were recorded 3 pulmonary and 2 fat embolisms, 1 superficial and 1 deep infection. There were 28 broken screws identified postoperatively. Logistic regression analysis revealed that type B and C were associated with increased risk of complications, with respective odds ratios of 3.1 (95% CI = 1.3-7.2, P = 0.011) and 4.3 (95% CI = 1.8-10.3, P = 0.001) when compared to type A patterns. All patients returned to their activities in a mean tim...Continue Reading

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Citations

Sep 5, 2018·Clinical Orthopaedics and Related Research·Olivier Q GrootJoseph H Schwab
Aug 7, 2013·The Open Orthopaedics Journal·Kostas G MakridisPeter V Giannoudis
Dec 21, 2018·Journal of Orthopaedic Trauma·Louis R LewandowskiUNKNOWN Trauma Infectious Disease Outcomes Study Group
Sep 24, 2018·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Wouter Alexander GoudriaanGuus Johannes Maria Janus
Jul 27, 2017·International Orthopaedics·Kirsten KortramMichael H J Verhofstad
Sep 18, 2015·The Journal of Bone and Joint Surgery. American Volume·Brandon ShallopJohn A Abraham

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Methods Mentioned

BETA
X-ray
dissection

Software Mentioned

Statistical Package for the Social Sciences ( SPSS )

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