The Marchetti-Vicenzi elastic locked nail for the treatment of femoral shaft fractures: a review of 100 consecutive cases

Injury
G AnastopoulosA Assimakopoulos

Abstract

A total of 100 hundred femoral fractures in 97 patients were treated with the Marchetti-Vincenzi universal bundle elastic nail; six of the fractures were open. Closed fractures were classified according to AO and Winquist; open fractures were classified according to Gustilo. A total of 91 fractures united (average 12 weeks) and six led to non-union. There were two deep and one superficial infections. In three cases, the secondary nails protruded from the anterior cortex of the femoral condyle; in two cases intraoperatively and in the third case 2 months postoperatively, due to severe osteoporosis. The cylindrical part of the nail did not fail, whereas all the secondary nails failed in one patient as well as one secondary nail in another patient at the level of the fracture; these two cases exhibited non-union. We consider the absence of distal screws the major advantage of this particular nail, followed by position of the entry point and the limited reaming. We believe that the absence of a pin guide is a disadvantage. The elasticity of the nail has a positive effect in certain cases while in other cases it acts negatively, resulting in a relatively high proportion of non-unions as in our series. Therefore our conclusion is tha...Continue Reading

References

Jan 1, 1992·Injury·G AnastopoulosT Pantazopoulos
Jan 1, 1991·The Journal of Trauma·A AlhoA Ekeland
Jan 1, 1990·Journal of Orthopaedic Trauma·A S LevyM J Wetzler
Jan 1, 1987·Journal of Orthopaedic Trauma·B D Browner, J D Cole
Aug 1, 1988·The Journal of Bone and Joint Surgery. British Volume·J Christie, C Court-Brown
Jan 1, 1987·Journal of Orthopaedic Trauma·J D ZuckermanS Solvik
Nov 1, 1986·Clinical Orthopaedics and Related Research·D A Wiss
May 1, 1995·The Journal of Trauma·A KröpflH Hertz
Nov 1, 1994·The Journal of Bone and Joint Surgery. American Volume·R A MileskiL A Crosby
Jan 1, 1993·Journal of Orthopaedic Trauma·B L RiemerR H Daffner
Nov 1, 1993·The Journal of Trauma·G AnastopoulosT Pantazopoulos
Mar 1, 1996·Clinical Orthopaedics and Related Research·R J Brumback

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Citations

Jun 26, 2020·Frontiers in Bioengineering and Biotechnology·Giovanni PutameAlberto L Audenino
Dec 14, 2018·Frontiers in Bioengineering and Biotechnology·Giulia PascolettiElisabetta M Zanetti

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