Locked intramedullary nailing of diaphyseal femur fractures without intraoperative fluoroscopy, fracture table and power reaming: retrograde affords greater procedural efficiency than antegrade approach.

التفاصيل البيبلوغرافية
العنوان:	Locked intramedullary nailing of diaphyseal femur fractures without intraoperative fluoroscopy, fracture table and power reaming: retrograde affords greater procedural efficiency than antegrade approach.
المؤلفون:	Adesina SA; Bowen University Teaching Hospital, P. O. Box 15, Ogbomoso, Oyo State, Nigeria. stephen.adesina@bowen.edu.ng.; Bowen University, P.M.B 284, Iwo, Osun State, Nigeria. stephen.adesina@bowen.edu.ng., Amole IO; Bowen University Teaching Hospital, P. O. Box 15, Ogbomoso, Oyo State, Nigeria.; Bowen University, P.M.B 284, Iwo, Osun State, Nigeria., Oyewusi OO; Bowen University Teaching Hospital, P. O. Box 15, Ogbomoso, Oyo State, Nigeria., Adefokun IG; Bowen University Teaching Hospital, P. O. Box 15, Ogbomoso, Oyo State, Nigeria., Odekhiran EO; National Orthopaedic Hospital, Igbobi, Lagos, Nigeria., Adeniji DO; Bowen University Teaching Hospital, P. O. Box 15, Ogbomoso, Oyo State, Nigeria., Adegoke AO; Bowen University Teaching Hospital, P. O. Box 15, Ogbomoso, Oyo State, Nigeria.; Bowen University, P.M.B 284, Iwo, Osun State, Nigeria., Ojo SA; Bowen University Teaching Hospital, P. O. Box 15, Ogbomoso, Oyo State, Nigeria.; Bowen University, P.M.B 284, Iwo, Osun State, Nigeria., Owolabi JI; Bowen University Teaching Hospital, P. O. Box 15, Ogbomoso, Oyo State, Nigeria.; Bowen University, P.M.B 284, Iwo, Osun State, Nigeria., Eyesan SU; Bowen University Teaching Hospital, P. O. Box 15, Ogbomoso, Oyo State, Nigeria.; Bowen University, P.M.B 284, Iwo, Osun State, Nigeria.
المصدر:	International orthopaedics [Int Orthop] 2023 Jul; Vol. 47 (7), pp. 1845-1853. Date of Electronic Publication: 2023 May 04.
نوع المنشور:	Journal Article
اللغة:	English
بيانات الدورية:	Publisher: Springer Verlag Country of Publication: Germany NLM ID: 7705431 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1432-5195 (Electronic) Linking ISSN: 03412695 NLM ISO Abbreviation: Int Orthop Subsets: MEDLINE
أسماء مطبوعة:	Original Publication: Berlin : Springer Verlag
مواضيع طبية MeSH:	Fracture Fixation, Intramedullary/methods , Femoral Fractures/surgery, Humans ; Treatment Outcome ; Bone Nails ; Fracture Healing ; Femur/surgery ; Fluoroscopy
مستخلص:	Purpose: To compare the intraoperative procedural efficiency of antegrade and retrograde locked intramedullary nailing of diaphyseal femur fractures without intraoperative fluoroscopy, power reaming devices and fracture tables. Methods: A secondary analysis of prospectively collected data was conducted on 238 isolated diaphyseal femur fractures fixed with SIGN Standard and Fin nails within three weeks of injury. The data included baseline patient and fracture characteristics, nail type and diameter, fracture reduction methods, operative times and outcome measures. Results: There were 84 and 154 fractures in the antegrade and retrograde groups respectively. Both groups were similar vis-a-vis baseline patient and fracture characteristics. Closed reduction of the fractures was significantly easier for retrograde than an antegrade approach. The retrograde approach more readily permitted the use of Fin nails. The mean nail diameter used for retrograde was significantly larger than that for antegrade. The time taken to achieve retrograde nailing was significantly lesser than that of antegrade. There was no statistically significant difference between the outcomes of the two groups. Conclusion: In the absence of expensive fracture-surgery gadgets, retrograde nailing offers many procedural advantages over antegrade, such as easier closed reduction and canal reaming, the greater possibility of using the Fin nail with fewer interlocking screws and shorter operative times. However, we acknowledge the lack of randomisation and the presence of an unequal number of fractures in the two groups as limitations of this study. (© 2023. The Author(s) under exclusive licence to SICOT aisbl.)
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فهرسة مساهمة:	Keywords: Antegrade; Femur fractures; Locked intramedullary nailing; Low- and middle-income countries; Procedural efficiency; Retrograde
تواريخ الأحداث:	Date Created: 20230504 Date Completed: 20230616 Latest Revision: 20230726
رمز التحديث:	20240628
DOI:	10.1007/s00264-023-05832-8
PMID:	37140596
قاعدة البيانات:	MEDLINE

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تدمد:	1432-5195
DOI:	10.1007/s00264-023-05832-8