FIRST DESCRIBED RETROGRADE TECHNIQUE USING MEDIAL EPICONDYLE 6/5/2018. RETROGRADE vs. ANTEGRADE FEMORAL NAILING
|
|
|
- Hannah Smith
- 5 years ago
- Views:
Transcription
1 What do I do? ISSUES ANTEGRADE vs. RETROGRADE PIRIFORMIS vs. TROCHANTER FLAT vs. FRACTURE TABLE SWIONTKOWSKI, 1984 FIRST DESCRIBED RETROGRADE TECHNIQUE USING MEDIAL EPICONDYLE 1
2 RETROGRADE NAILING SANDERS (TAMPA 1992) PATTERSON (SEATTLE 1995) MOED & WATSON (MOTOWN 1995) HERSCOVICI (TAMPA 1996) INDICATIONS PREGNANCY IPSILATERAL NECK & SHAFT IPSILATERAL PELVIS OR TAB FLOATING KNEE BILATERAL FEMORAL SHAFTS POLYTRAUMA / POLYFXS INDICATIONS PREGNANCY IPSILATERAL NECK & SHAFT IPSILATERAL PELVIS OR TAB FLOATING KNEE BILATERAL FEMORAL SHAFTS POLYTRAUMA / POLYFXS 2
3 INDICATIONS PREGNANCY IPSILATERAL NECK & SHAFT IPSILATERAL PELVIS OR TAB FLOATING KNEE BILATERAL FEMORAL SHAFTS POLYTRAUMA / POLYFXS INDICATIONS PREGNANCY IPSILATERAL NECK & SHAFT IPSILATERAL PELVIS OR TAB FLOATING KNEE BILATERAL FEMORAL SHAFTS POLYTRAUMA / POLYFXS INDICATIONS PREGNANCY IPSILATERAL NECK & SHAFT IPSILATERAL PELVIS OR TAB FLOATING KNEE BILATERAL FEMORAL SHAFTS POLYTRAUMA / POLYFXS 3
4 INDICATIONS PREGNANCY IPSILATERAL NECK & SHAFT IPSILATERAL PELVIS OR TAB FLOATING KNEE BILATERAL FEMORAL SHAFTS POLYTRAUMA / POLYFXS SET UP FLAT TABLE BUMP UNDER KNEE C ARM 4
5 Bumps on Triangle Fracture Reduction Tool F-tool, Mallets Skeletal Traction Femoral Distractor Clamps Bone Hook Ball Spike Schanz pins Provisional Plate DISTAL 1/3 FXS 5
6 Bumps on Triangle Fracture Reduction Tool F-tool, Mallets Skeletal Traction Femoral Distractor Clamps Bone Hook Ball Spike Schanz pins Provisional Plate 6
7 Blocking Screws DISTAL 1/3 FXS Blocking Screws DISTAL 1/3 FXS SIX (6) OPERATIONS POST TKA TO FIX STRESS FRACTURE. HAS NOT WALKED IN 5 YEARS 7
8 8
9 1 WEEK POST- OP 16 WEEKS HEALED FRACTURE 9
10 LIMITATIONS - IM NAILING REQUIRES 12 mm. INTERCONDYLAR REGION CONTRA-INDICATED IF CLOSED BOX FLORIDA ORTHOPAEDIC INSTITUTE 2016, Vol 47 pp RETROGRADE FEMORAL INTRAMEDULLARY NAILS USED. Manufacturer Model Diameter (mm) Biomet Phoenix retrograde nail 10.5 DePuy ACE retrograde femoral nail 10 Smith & Nephew Trigen retrograde femoral nail 10 Stryker T2 supracondylar femoral nail 10 10
11 ANTEGRADE FEMORAL NAIL INSERTION G. KŰNTSCHER 1940 s OPEN SECTION NAIL LATERAL POSITION TROCHANTERIC PORTAL CLOSED IM NAILING OF FEMORAL FRACTURES 520 FXS 99.1% UNION Winquist et al. JBJS 66A,
12 OPEN SECTION STRAIGHT - 316L S.S. NON LOCKED LATERAL - FX TABLE LATERAL START PROBLEM WITH LARGER NAILS PROXIMAL FEMUR WOULD EXPLODE RESULT? PIRIFORMIS FOSSA 12
13 PROBLEMS WITH ENTRY DIFFICULT ENTRY VARUS NAILING PROBLEMS WITH ENTRY DIFFICULT ENTRY VARUS NAILING OBESE PATIENTS FORGET ABOUT IT! 13
14 PIRIFORMIS PORTAL IN OBESE PTS McKEE & WADELL J. Trauma 1994 OSTRUM Orthopedics 1996 TROCHANTERIC PORTAL REVISITED TIP OF TROCH AS ENTRY PORTAL TROCHANTERIC PORTAL REVISITED 4º VALGUS BEND IN PROXIMAL NAIL 13 mms PROXIMAL DIAMETER 14
15 MATERIALS 32 FEMUR SHAFT FXS AVE. AGE 45 (14 97) 14 OBESE (3 > 400 LBS) MATERIALS SUPINE (WELL LEG UP) OSI FX TABLE T.A.N. NAIL (ALL CASES) TIP OF TROCH (ALL CASES) OPERATIVE TECHNIQUE 15
16 16
17 TRULY PERCUTANEOUS TECHNIQUE 17
18 RESULTS RESULTS 24/32 FXS (> 1 YR F/U) 100% UNION NO INFECTIONS 4 PTS MILD PAIN HARRIS SCORE 77.6 RESULTS NO COMPLICATIONS (PROX FEMUR) 18
19 RESULTS NO COMPLICATIONS EASE OF INSERTION WAS REMARKABLE (EVEN IN THE OBESE PT) RESULTS NO COMPLICATIONS EASE OF INSERTION WAS REMARKABLE (EVEN IN THE OBESE PT) SURGEON SATISFACTION WAS EXCELLENT TECHNICAL ADVANCES SMALL PROXIMAL DIAMETER NAIL (13 mm) 4º VALGUS 19
20 TIP OF THE TROCH SUPINE ON FX TABLE NO COMPLICATIONS SEEN: EVEN IN MORBIDLY OBESE PTS TIP OF THE TROCH SUPINE ON FX TABLE EASE & SPEED OF INSERTION A DISTINCT SURGICAL ADVANTAGE 44 Patients Antegrade IMN with Clamp through Lateral Incision 9 with Cerclage Wire No Stripping! 43/44 United 86% Reductions Anatomic All within 5 degrees 20
21 21
22 PROSPECTIVE, RANDOMIZED STUDIES APPEAR in 2000 TORNETTA & TIBURZI OSTRUM & POKA RETROGRADE = ANTEGRADE J. Ortho Trauma Vol. 15, # 3, 2001 RETROGRADE = ANTEGRADE UNION AND MALUNION RATES. There were more complications related to the knee after retrograde nailing 22
23 RETROGRADE NAILING JAN 1, 1993 JULY 1, 1997 RETROGRADE GROUP 20% KNEE PAIN / STIFFNESS RETROGRADE NAILING JAN 1, 1993 JULY 1, 1997 CAUSE OF PAIN STARTING POINT? INJURY WEAK QUADS J. Ortho Trauma Vol. 15, # 2,
24 RETROGRADE NAILING JAN 1, 1991 MARCH 31, 1998 FEMORAL NAILS 319 ANTEGRADE 163 RETROGRADE 156 RETROGRADE NAILING JAN 1, 1991 MARCH 31, 1998 STARTING POINT WAS SURGEON S CHOICE RETROGRADE NAILING JAN 1, 1991 MARCH 31, 1998 FEMUR DIVIDED PROXIMAL MIDDLE DISTAL 24
25 RETROGRADE NAILING ANTEGRADE 40 JAN 1, 1991 MARCH 31, 1998 RETROGRADE MALREDUCTIONS ANTEGRADE 30% 3% RETROGRADE 47% 3% 18% 6% MALREDUCTIONS ANTEGRADE 30% 3% 18% RETROGRADE 47% 3% 6% 25
26 MALREDUCTIONS ANTEGRADE 30% 3% RETROGRADE 47% 3% 18% 6% RETROGRADE NAILING JAN 1, 1991 MARCH 31, 1998 CONCLUSIONS ANTEGRADE NAILING OF PROXIMAL FEMUR FRACTURES IS SUPERIOR RETROGRADE NAILING JAN 1, 1991 MARCH 31, 1998 CONCLUSIONS RETROGRADE NAILING OF DISTAL FEMUR FRACTURES IS SUPERIOR 26
27 What do I do? TRANSVERSE, ISOLATED MIDSHAFT FRACTURE DEALER S CHOICE ( I PREFER TROCH START) COMMINUTED, ISOLATED MIDSHAFT - WINQUIST III / IV ANTEGRADE NAIL (TROCHANTERIC) 27
28 COMMINUTED, POLYTRAUMA MIDSHAFT - WINQUIST III / IV RETROGRADE NAIL COMMINUTED, ISOLATED PROXIMAL SUBTROCH FX ANTEGRADE NAIL (TROCHANTERIC) COMMINUTED, ISOLATED MIDSHAFT - WINQUIST III / IV ANTEGRADE NAIL (TROCHANTERIC) 28
29 COMMINUTED, DISTAL SHAFT FRACTURE RETROGRADE NAIL ( BUT PROBABLY LOCKED PLATE NOW) 29
DISCLOSURES Hassan R. Mir, MD, MBA, FACS
DISCLOSURES Hassan R. Mir, MD, MBA, FACS Medical/Orthopaedic Publications Editorial/Governing Board OTA Newsletter Editor OsteoSynthesis, The JOT Online Discussion Forum Editor JOT Associate Editor JAAOS
Practical Reduction Techniques: Diaphyseal Reduction. Philip Wolinsky University of California at Davis Medical Center
OTA Specialty Day 2016 Practical Reduction Techniques: Diaphyseal Reduction Philip Wolinsky University of California at Davis Medical Center 8:55 am 9:55 am Tips and Tricks: Practical Reduction Techniques
Treatment Alternatives for Pediatric Femoral Fractures
Treatment Alternatives for Pediatric Femoral Fractures Gregory A. Schmale, MD Seattle Children's Hospital, USA, gregory.schmale@seattlechildrens.org version 2 I have no conflicts of interest to report
Distal Femur Fractures: Tips and Tricks for Plating and Nailing? Conflict of Interest 9/24/2015
Distal Femur Fractures: Tips and Tricks for Plating and Nailing? Cory Collinge, MD Professor of Orthopedic Surgery Vanderbilt University Medical Center Nashville, TN Conflict of Interest Consultant: Smith
Failed Subtrochanteric Fracture How I Decide What to Do?
Failed Subtrochanteric Fracture How I Decide What to Do? Gerald E. Wozasek Thomas M. Tiefenboeck 5 October 2016, Washington Medical University of Vienna, Department of Trauma Surgery ordination @wozasek.at
Angular Malalignment in Subtrochanteric and Proximal Shaft Femur Fractures after Intramedullary Nailing using SIGN Nails
Angular Malalignment in Subtrochanteric and Proximal Shaft Femur Fractures after Intramedullary Nailing using SIGN Nails Rolando Junior L. Torres, MD Jeremiah R. Morales, MD, FPOA Subtrochanteric Femur
Cost and Time Considerations: Are Minifragment Plates Worth It? Disclosure. More Disclosures. Are minifragment plates worth it? it depends!
Cost and Time Considerations: Are Minifragment Plates Worth It? Andrew Choo, MD Vumedi Webinar November 15, 2016 Disclosure Paid speaker: Depuy Synthes More Disclosures Price quotes are estimates only!
9/24/2015. Nailing IT Fractures: Long vs. Short Technique Tricks. Conflict of Interest. Short vs. Long Hip Nail
Nailing IT Fractures: Long vs. Short Technique Tricks Cory Collinge, MD Professor of Orthopedic Surgery Vanderbilt University Medical Center Nashville, TN Conflict of Interest Consultant: Smith & Nephew,
5/31/2018. Ipsilateral Femoral Neck And Shaft Fractures. Ipsilateral Neck-Shaft Fractures Introduction. Ipsilateral Neck-Shaft Fractures Introduction
Ipsilateral Femoral Neck And Shaft Fractures Exchange Nailing For Non- Union Donald Wiss MD Cedars-Sinai Medical Center Los Angeles, California Introduction Uncommon Injury Invariably High Energy Trauma
Principles Starting Point Trajectory L/A/R Stable Construct. DISCLOSURES Hassan R. Mir, MD, MBA, FACS 5/16/2017
DISCLOSURES Hassan R. Mir, MD, MBA, FACS Medical/Orthopaedic Publications Editorial/Governing Board OTA Newsletter Editor OsteoSynthesis, The JOT Online Discussion Forum Editor JOT Associate Editor JAAOS
Percutaneous Reduction Of Femoral Fractures During Intramedullary Fixation: A Technical Tip
ISPUB.COM The Internet Journal of Orthopedic Surgery Volume 19 Number 2 Percutaneous Reduction Of Femoral Fractures During Intramedullary Fixation: A Technical Tip P Lorentzos, A Kanawati, G Shyan, F Hoe
Intramedullary Nailing: History & Rationale
Intramedullary Nailing: History & Rationale Overview 1. What is IM Nailing? 2. History 3. Design Rationale & Evolution 4. Modern IM Nails 5. The Future What is IM Nailing? Method of internal fixation in
EVOS MINI with IM Nailing
Case Series Dr. John A. Scolaro EVOS MINI with IM Nailing A series of studies Introduction Intramedullary nailing has become the standard for many long bone fractures. Fracture reduction prior to nail
Specification Summary
Specification Summary TRIGEN Trochanteric Antegrade Nail (TAN) Specifications From bone shaft centerline 130 or 135 From bone shaft centerline Standard Femoral Lock 130/135 TAN Recon Lock (12 Anteversion)
Retrograde Locked Intramedullary Nailing For The Stabilisation Of Femoral Fractures With Ipsilateral Tibial Fractures (Floating Knee): A Case Report
ISPUB.COM The Internet Journal of Orthopedic Surgery Volume 4 Number 1 Retrograde Locked Intramedullary Nailing For The Stabilisation Of Femoral Fractures With Ipsilateral Tibial Fractures (Floating Knee):
Zimmer Natural Nail System
Zimmer Natural Nail System Antegrade Femoral Nail Surgical Technique (Piriformis Fossa & Greater Trochanteric Approaches) Zimmer Natural Nail System Antegrade Femoral Surgical Technique 1 Zimmer Natural
9/24/2015. When Can I Use a SHS? When CAN T I Use a SHS? Sliding Hip Screw. Time proven. Technically simple. Cheap. Quick
When Can I Use a SHS? Frank A. Liporace, MD Associate Professor Director of Orthopaedic Trauma Research Director of Orthopaedic Trauma Jersey City Medical Center New York University / Hospital for Joint
Difficult Hosts. Treatment Options. Distal Femoral Replacement for Distal Femur Fractures When is it the Best Choice
Distal Femoral Replacement for Distal Femur Fractures When is it the Best Choice Walter W. Virkus, MD IU Health Methodist Hospital Indianapolis, IN Difficult Hosts Distal femur fractures common Distal
Distal Femur Fractures in The Elderly The Ideal Construct
Distal Femur Fractures in The Elderly The Ideal Construct Tak-Wing Lau Department of Orthopaedics and Traumatology Queen Mary Hospital The University of Hong Kong Singapore Trauma 2015 Trauma Through the
PFNA-II. Proximal Femoral Nail Antirotation.
PFNA-II. Proximal Femoral Nail Antirotation. Surgical Technique This publication is not intended for distribution in the USA. Instruments and implants approved by the AO Foundation. PFNA-II. Proximal Femoral
Surgical Technique.
Surgical Technique www.biomet.co.uk INTRODUCTION design principals Recent advances in imaging technology have enabled orthopaedic surgeons to extend closed treatment of femoral fractures to include more
ORIGINAL ARTICLE. INTER TROCHANTERIC # NECK FEMUR FIXATION WITH TFN 250 CASES. Prasad Vijaykumar Joshi, Chandrashekar Yadav.
INTER TROCHANTERIC # NECK FEMUR FIXATION WITH TFN 250 CASES. Prasad Vijaykumar Joshi, Chandrashekar Yadav. 1. Assistant Professor. Department of Orthopaedics, Joshi Hospital Pvt. Ltd. Phaltan, Maharashtra.
PediLoc 3.5mm and 4.5mm Contour Femur Plate Surgical Technique
PediLoc 3.5mm and 4.5mm Contour Femur Plate Surgical Technique Surgical Technique Contour Femur Plate The technique description herein is made available to the healthcare professional to illustrate the
Lengthening & Deformity correction with. Fixator Assisted Nailing
Lengthening & Deformity correction with Fixator Assisted Nailing External Fixation Used as *Intra-Op Alignment tool * for lengthening with the main intention of reducing External fixation time! Advantages
7/23/2018 DESCRIBING THE FRACTURE. Pattern Open vs closed Location BASIC PRINCIPLES OF FRACTURE MANAGEMENT. Anjan R. Shah MD July 21, 2018.
BASIC PRINCIPLES OF FRACTURE MANAGEMENT Anjan R. Shah MD July 21, 2018 DESCRIBING THE FRACTURE Pattern Open vs closed Location POLL OPEN HOW WOULD YOU DESCRIBE THIS FRACTURE PATTERN? 1 Spiral 2 Transverse
Standard intramedullary (IM) nails are usually used
67 Effect of Piriformis Versus Trochanteric Starting Point on Fixation Stability of Short Intramedullary Reconstruction Nails Edward T. Su MD Hargovind DeWal MD Roy Sanders MD Frederick J. Kummer PhD Mohammed
THE NANCY NAIL. The End Caps ADVANTAGES OF NANCY NAIL
NANCY NAIL THE NANCY NAIL Nancy nails are manufactured from a specific titanyum alloy with proprietary surface treatment, which provides increased fatigue resistance. Six nail diameters (1.5 mm 2.0 mm
Titanium Cannulated Retrograde/ Antegrade Femoral Nail
Expert Nailing System With Radiolucent Instrumentation Titanium Cannulated Retrograde/ Antegrade Femoral Nail Surgical Technique Table of Contents Introduction Titanium Cannulated Retrograde/Antegrade
Locked Plating: Clinical Indications
Techniques in Orthopaedics 22(3):181 185 2007 Lippincott Williams & Wilkins, Inc. Locked Plating: Clinical Indications Kyle F. Dickson, M.D., M.B.A., John Munz, M.D. Summary: As shown in the previous article,
Pertrochanteric femur fracture at the proximal end of a retrograde intramedullary nail a case report
Injury Extra (2005) 36, 271 276 www.elsevier.com/locate/inext CASE REPORT Pertrochanteric femur fracture at the proximal end of a retrograde intramedullary nail a case report Timothy O Mara, David P. Barei*,
Complications Cast Treatment Psychosocial effect on children Economoic effects on their families [Hughes 1995] ORIF with Plate Ex Fix Antegrade Nail L
![Complications Cast Treatment Psychosocial effect on children Economoic effects on their families [Hughes 1995] ORIF with Plate Ex Fix Antegrade Nail L](/thumbs/78/78093115.jpg "Complications Cast Treatment Psychosocial effect on children Economoic effects on their families [Hughes 1995] ORIF with Plate Ex Fix Antegrade Nail L")
Introduction Cast or Traction + cast Nicol [2000] ORIF Kregor [ 93], Ward [92] Ex Fix Aronson [ 92], Tolo [93] Antegrade Nail Beaty [94], Buford [98], Galpin [ 94], Herndon [ 89] Flexible IM Pinning [00],
Unlocked Nailing vs. Interlocking Nailing for Winquist Type I and II Femoral Isthmus Fractures. Is there a Difference?
Unlocked Nailing vs. Interlocking Nailing for Winquist Type I and II Femoral Isthmus Fractures. Is there a Difference? CK Yu, MBBS (UM), HY Wong*, MD (UKM), AS Vivek, FRCS (Edin), BC Se To*, FRCS (Edin)
Use of Unlocked Intramedullary Nailing in Winquist Type I and II Femoral Isthmus Fracture
Use of Unlocked Intramedullary Nailing in Winquist Type I and II Femoral Isthmus Fracture HT Ling, MBBS (UM), WM Ng, MS Ortho (UM), MK Kwan, MS Ortho (UM), LK Fathi Aizuddeen, MBBS (UM), PCM Tay, MBBS
S. Robert Rozbruch, MD. Chief, Limb Lengthening & Complex Reconstruction Service Professor of Clinical Orthopedic Surgery
S. Robert Rozbruch, MD Chief, Limb Lengthening & Complex Reconstruction Service Professor of Clinical Orthopedic Surgery Small Bone Innovations: consultant and royalties Smith and Nephew: consultant External
HUMERAL SHAFT FRACTURES: ORIF, IMN, NONOP What to do?
HUMERAL SHAFT FRACTURES: ORIF, IMN, NONOP What to do? TRAUMA 101 2018 FRACTURE CARE FOR THE COMMUNITY ORTHOPEDIST William W. Cross III, MD Assistant Professor Division of Orthopaedic Trauma Chair, Division
Incidence of Varus Malalignment Post Interlocking Nail in Proximal Femur Shaft Fractures Comparing Two Types of Entry Points
doi: http://dx.doi.org/10.5704/moj.1711.013 Incidence of Varus Malalignment Post Interlocking Nail in Proximal Femur Shaft Fractures Comparing Two Types of Entry Points Sadagatullah AN, MMed Ortho, Nazeeb
Lower Extremity Fracture Management. Fractures of the Hip. Lower Extremity Fractures. Vascular Anatomy. Lower Extremity Fractures in Children
Lower Extremity Fracture Management Brian Brighton, MD, MPH Levine Children s s Hospital Carolinas Medical Center Charlotte, NC Oscar Miller Day October 16, 2009 Lower Extremity Fractures in Children Anatomic
Vasu Pai FRACS, MCh, MS, Nat Board Ortho Surgeon Gisborne
Vasu Pai FRACS, MCh, MS, Nat Board Ortho Surgeon Gisborne FRACTURE MANAGEMENT I Simple closed fracture : Complete or Incomplete Stable or unstable II Open fracture III Multiple fracture IV Polytrauma Fractures
Dr A. C. Mageza. Dept of Orthopaedics and Trauma Surgery. MBChB(UZ); FCS Orth(ECSA) Orthopaedic Surgeon
Management of Ipsilateral Neck and shaft of femur fractures using SIGN intramedullary locked system and lag screws. A case series of patients managed at Parirenyatwa hospital between March 2013 and December
Treatment of ipsilateral femoral neck and shaft fractures. Mohamed E. Habib, Yasser S. Hannout, and Ahmed F. Shams
Treatment of ipsilateral femoral neck and shaft fractures Mohamed E. Habib, Yasser S. Hannout, and Ahmed F. Shams Department of Orthopedic Surgery, Faculty of Medicine, University of El Minoufiya, Egypt
Outcome of surgical implant generation network nail initiative in treatment of long bone shaft fractures in Kenya
Original Article Outcome of surgical implant generation network nail initiative in treatment of long bone shaft fractures in Kenya O.O. Soren, MBChB (Moi), MMed (Orthopaedics) (Makerere), Consultant Orthopaedic
INTRAMEDULLARY. Medical Devices. Femur Intramedullary Nail
FEMUR INTRAMEDULLARY Femur Intramedullary Nail Multi-functional Standard and Recon Antegrade and Retrograde Application Different Multi-Planner Locking Choices Medical Devices Introductions The new, multifunctional
Case Report. Antegrade Femur Lengthening with the PRECICE Limb Lengthening Technology
Case Report Antegrade Femur Lengthening with the PRECICE Limb Lengthening Technology S. Robert Rozbruch, MD Hospital for Special Surgery New York, NY, USA ABSTRACT This is a case illustrating a 4.5 cm
Closed reduction and internal fixation of fractures of the shaft of the femur by the Titanium Elastic Nailing System in children.
ISPUB.COM The Internet Journal of Orthopedic Surgery Volume 17 Number 1 Closed reduction and internal fixation of fractures of the shaft of the femur by the Titanium Elastic Nailing System in children.
A Locking IM Rod that won't back out. Simple and straight to the point! SURGICAL TECHNIQUE
A Locking IM Rod that won't back out. Simple and straight to the point! SURGICAL TECHNIQUE The SLIM (Simple Locking IntraMedullary) System is a new generation of pediatric orthopedic nails specifically
Plate vs Nail for Distal Tibia Fxs
Plate vs Nail for Distal Tibia Fxs Frank A. Liporace, MD Associate Professor Dept. of Orthopaedics NYU / HJD Chief Dept. Of Orthopaedics JCMC / RWJBH ??? Controversy??? Nails Minimal invasive Low blood
Evaluation and Treatment of High Energy Proximal Femur Fractures OVERVIEW 6/23/2014. Introduction of Speakers - Objectives (2 minutes)
6/23/2014 Evaluation and Treatment of High Energy Proximal Femur Fractures OVERVIEW Introduction of Speakers - Objectives (2 minutes) Injury Patterns, Evaluation - Patient Considerations Mike Gardner --
Intramedullary Nailing of Subtrochanteric Fractures
ulletin of the Hospital for Joint Diseases 2014;72(2):159-63 159 Intramedullary Nailing of Subtrochanteric Fractures Does Malreduction Matter? John T. Riehl, M.D., Kenneth J. Koval, M.D., Joshua R. Langford,
Adult Posttraumatic Reconstruction Using a Magnetic Internal Lengthening Nail
SUPPLEMENT ARTICLE Adult Posttraumatic Reconstruction Using a Magnetic Internal Lengthening Nail S. Robert Rozbruch, MD Summary: A new generation of internal lengthening nail is now available that has
CASE NO: 1 PATIENT DETAILS : Occupation : Housewife Date Of Admission :11/06/15 Residence : Nalgonda IP NO :
CASE NO: 1 PATIENT DETAILS : Name : XXXX Age : 53yr Sex : Female Occupation : Housewife Date Of Admission :11/06/15 Residence : Nalgonda IP NO : 201518441 CHIEF COMPLAINTS : - Pain in the right knee since
The study of distal ¼ diaphyseal extra articular fractures of humerus treated with antegrade intramedullary interlocking nailing
2018; 4(4): 46-50 ISSN: 2395-1958 IJOS 2018; 4(4): 46-50 2018 IJOS www.orthopaper.com Received: 01-08-2018 Accepted: 03-09-2018 Dr. Ankur Parikh Orthopaedics, Jehangir Hospital, Sassoon road, Pune, Dr.
Intra Medullary Interlocking Nailing System
Intra Medullary Interlocking Nailing System www.orthotraumaint.co.uk Interlocking Intra Medullary Nails for lower extremity fractures INDICATIONS: Stable and unstable Femoral Shaft fractures Femur Nailing
Type I : At the level of lesser trochanter Type II : Less than 2.5 cm below lesser trochanter. Type III : cm below lesser trochanter
Type II : Major fracture line along the intertrochanteric line with communition in coronal plain. Type III : Fracture at the level of lesser trochanter with variable communition and extension in subtrochanteric
Surgical Technique International Version
Surgical Technique International Version PERI-LOC PFP 4.5mm Proximal Femur Locking Plate Surgical Technique Table of contents Product overview...2 Introduction...2 Indications...3 Case examples...4 Design
Surgical Technique. CONQUEST FN Femoral Neck Fracture System
Surgical Technique CONQUEST FN Femoral Neck Fracture System Table of Contents Introduction... 3 Indications... 3 Product Overview... 4 Surgical Technique... 5 Patient Positioning... 5 Reduce the Fracture...
US Patent No. 6,309,396B1. G. David Ritland, M.D.
US Patent No. 6,309,396B1 G. David Ritland, M.D. The Femur Finder is designed to direct the guide wire into the medullary canal. Do not use it to manipulate the fracture fragments, reduce the fracture,
Table of contents. Introduction... 3 Indications... 3 Contraindications... 3 TRIGEN Humeral Nail Specifications... 6
Surgical Technique Table of contents Introduction... 3 Indications... 3 Contraindications... 3 TRIGEN Humeral Nail Specifications... 6 Surgical Technique Patient positioning... 7 Establish the incision
Hand Fracture System with Small Bone External Fixation System. Product Overview
Hand Fracture System with Small Bone External Fixation System Product Overview Acumed Hand Fracture System The Acumed Hand Fracture System is designed to provide both standard and fracture-specific fixation
INTERTAN Nails Geared for Stability
Geared for stability The TRIGEN INTERTAN nail brings advanced TRIGEN nail technology to hip fractures. With a unique integrated, interlocking screw construct, TRIGEN INTERTAN nail provides all the benefits
PediNail Pediatric Femoral Nail
PediNail Pediatric Femoral Nail Surgical Technique Table of Contents Indications...3 Patient Positioning...3 Approach...4 Reaming...5 Nail Placement...6 Proximal Interlocking...7 Distal Interlocking...8
TIBIAL NAILING SYSTEM OPTIONS MADE EASY
S U R G I C A L T E C H N I Q U E TIBIAL NAILING SYSTEM OPTIONS MADE EASY TABLE OF CONTENTS DESIGN SUMMARY INSTRUMENT OVERVIEW AND JIG OPTIONS 1 2 ENTRY AND CANAL PREP NAIL INSERTION LOCKING NAIL REMOVAL
PediLoc 3.5mm and 4.5mm Bowed Femur Plate Surgical Technique
PediLoc 3.5mm and 4.5mm Bowed Femur Plate Surgical Technique 2957 Bow Broch_REV_B.indd 1 2/10/11 12:47 PM Surgical Technique Bowed Femur Plate The technique description herein is made available to the
Distal Femoral Locked Plating System. Product Rationale & Surgical Technique
Distal Femoral Locked Plating System Product Rationale & Surgical Technique 3 Contents Surgeon Design Team 2 Introduction 3 Distal Femoral Locked Plating System - Features and Benefits 4 Locking Options
CLINICAL SCIENCE ANTEROGRADE REMOVAL OF BROKEN FEMORAL NAILS WITHOUT OPENING THE NONUNION SITE: A NEW TECHNIQUE
CLINICS 2010;65(3):279-83 CLINICAL SCIENCE ANTEROGRADE REMOVAL OF BROKEN FEMORAL NAILS WITHOUT OPENING THE NONUNION SITE: A NEW TECHNIQUE Henrique Antônio Berwanger de Amorim Cabrita, Eduardo Angeli Malavolta,
Surgical Care at the District Hospital. EMERGENCY & ESSENTIAL SURGICAL CARE
Surgical Care at the District Hospital 1 18 Orthopedic Trauma Key Points 2 18.1 Upper Extremity Injuries Clavicle Fractures Diagnose fractures from the history and by physical examination Treat with a
Screw Placement and Types Matter
Screw Placement and Types Matter The Blasted Distal Femur Facture: How to Improve Outcomes Abstract ID#: 1506 Friday October 13, 2017 Kyle Jeray University of South Carolina, Greenville Pinpoint open 59
Principles of intramedullary nailing. Management for ORP
Principles of intramedullary nailing Eakachit Sikarinklul,MD Basic Principles of Fracture Management for ORP Bangkok Medical Center Bangkok, 22-24 July 2016 Learning outcomes At the end of this lecture
Zimmer ITST Intertrochanteric/ Subtrochanteric Fixation System. Abbreviated Surgical Technique
Zimmer ITST Intertrochanteric/ Subtrochanteric Fixation System Abbreviated Surgical Technique ITST System Abbreviated Surgical Technique Indications The ITST Intramedullary Nail is indicated for use in
Minimally Invasive Plating of Fractures:
Minimally Invasive Plating of Fractures: Advantages, Techniques and Trade-offs Matthew Garner, MD Created January 2016 OUTLINE Principles of fracture management The importance of vascular supply Equipment
Complex fractures of the humeral shaft. Janos Solyom Sahlgrenska University Hospital Gothenburg, Sweden
Complex fractures of the humeral shaft Janos Solyom Sahlgrenska University Hospital Gothenburg, Sweden Kopenhagen 2018 Complex fracture Changes in the AO/OTA classification system Complex Multifragmentary
Zimmer MIS Periarticular Distal Femoral Locking Plate
For Clinical Evaluations Zimmer MIS Periarticular Distal Femoral Locking Plate Surgical Technique The Science of the Landscape Zimmer MIS Periarticular Distal Femoral Locking Plate Surgical Technique
Orthopedic Bone Nail System - Distal Femoral Nail Surgical Technique Manual
Orthopedic Bone Nail System - Distal Femoral Nail Surgical Technique Manual Note: The surgical procedures should be performed under the guidance of qualified skilled orthopedic surgeons, and this surgical
ORIGINAL ARTICLE. ABSTRACT: Orthopaedic surgeons often encounter diaphyseal femur fractures, because these
A PROSPECTIVE STUDY OF SURGICAL MANAGEMENT OF FRACTURE SHAFT FEMUR WITH CLOSED INTRAMEDULLARY INTERLOCKING NAIL. Mahendranath Reddy D 1, Muralidhar B.M 2 HOW TO CITE THIS ARTICLE: Mahendranath Reddy D,
Provision of Rotational Stability: Prevention of Collapse: Closed Fracture Reduction: Minimally Invasive Surgery with no Exposure of the Fracture:
INTRODUCTION Percutaneous Compression Plating was developed by considering each of the stages in the surgical procedure for pertrochanteric fractures and the ways in which these might be improved. Primary
OPERATING MANUAL AND TECHNIQUE GUIDE FOR TITANIUM FEMORAL AND TIBIAL NAILING SYSTEMS
OPERATING MANUAL AND TECHNIQUE GUIDE FOR TITANIUM FEMORAL AND TIBIAL NAILING SYSTEMS ORTHO-MEDICAL GMBH TITANIUM FEMORAL NAIL OPERATIVE TECHNIQUE Introduction: Why a new type of femoral nail? The latest
PERIPROSTHETIC FEMUR FRACTURES AFTER THA: Treatment with Revision
PERIPROSTHETIC FEMUR FRACTURES AFTER THA: Treatment with Revision Daniel J. Berry, MD LZ Gund Professor Department of Orthopedic Surgery Mayo Clinic Rochester, MN Presenter Disclosure Information The author
Pre-Operative Planning. Positioning of the Patient
Surgical Technique Pre-Operative Planning Decide upon the size and angle of the barrel plate to be used from measuring the x-rays. To maximise the sliding action when using shorter lag screws, the Short
Valgus subtrochanteric osteotomy for malunited intertrochanteric fractures : Our experience in 5 cases
Original article : Valgus subtrochanteric osteotomy for malunited intertrochanteric fractures : Our experience in 5 cases Rajendraprasad Butala *, Sunirmal Mukherjee, Prakash Samant, Ravindra Khedekar
Surgical Technique. Targeter Systems Overview
Surgical Technique Targeter Systems Overview PERI-LOC Locked Plating System Targeter Systems Overview Table of contents Product overview... 2 Introduction... 2 Indications... 2 Design features and benefits...
Splitting of the Proximal Femur With a New Femoral Nail
CASE REPORT Splitting of the Proximal Femur With a New Femoral Nail MAJ Joseph R. Hsu, MD,* CPT Daniel J. Stinner, MD* COL David A. Brown, MD and The Skeletal Trauma Research Consortium (STReC) Summary:
Expert R/AFN. Retrograde/Antegrade Femoral Nail.
Expert R/AFN. Retrograde/Antegrade Femoral Nail. Surgical Technique EXPERT Nailing System This publication is not intended for distribution in the USA. Instruments and implants approved by the AO Foundation
GREENS SURGICALS. Redefining Excellence INSTRUMENT SYSTEM PREPARED BY: DR. VINAY KUMAR
GREENS SURGICALS Redefining Excellence TIBIA AND FEMUR INSTRUMENT SYSTEM PREPARED BY: DR. VINAY KUMAR OPERATIVE TECHNIQUES INDEX SR.NO CONTENTS 1 LIST OF INSTRUMENT FOR TIBIA AND FEMUR. 2 RADIO GRAPH OF
KL 3255 PediNail_tech_Rev.D_Layout 1 10/8/12 1:18 PM Page 1. PediNail Pediatric Femoral Nail
KL 3255 PediNail_tech_Rev.D_Layout 1 10/8/12 1:18 PM Page 1 Pediatric Femoral Nail KL 3255 PediNail_tech_Rev.D_Layout 1 10/8/12 1:18 PM Page 2 Surgical Technique Table of Contents Indications...2 Pre-operative
JOURNALOF ORTHOPAEDIC TRAUMA
JOT Special Case Report Series CASE REPORTS www.jorthotrauma.com JOURNALOF ORTHOPAEDIC TRAUMA OFFICIAL JOURNAL OF Orthopaedic Trauma Association Belgian Orthopaedic Trauma Association Canadian Orthopaedic
Complex Femoral Fractures - An Analysis
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861.Volume 15, Issue 3 Ver. VI (Mar. 2016), PP 10-15 www.iosrjournals.org Complex Femoral Fractures - An Analysis
Zimmer ITST Intertrochanteric/ Subtrochanteric Fixation System
Zimmer ITST Intertrochanteric/ Subtrochanteric Fixation System Surgical Technique The functional fit ITST Intramedullary Nail Surgical Technique 1 Surgical Technique for the ITST Intramedullary Nail System
Fractures of the tibia shaft treated with locked intramedullary nail Retrospective clinical and radiographic assesment
ARS Medica Tomitana - 2013; 4(75): 197-201 DOI: 10.2478/arsm-2013-0035 Șerban Al., Botnaru V., Turcu R., Obadă B., Anderlik St. Fractures of the tibia shaft treated with locked intramedullary nail Retrospective
Diaphyseal Humerus Fractures. OTA Course Dallas, TX 1/20/17 Ellen Fitzpatrick MD
Diaphyseal Humerus Fractures OTA Course Dallas, TX 1/20/17 Ellen Fitzpatrick MD OBJECTIVES TREATMENT OPTIONS SURGICAL INDICATIONS CONTROVERSIES IN MANAGEMENT Humerus Fractures Treatment Goals: Functional
Knee spanning solutions
Knee spanning solutions System features Indications Intended to be used on adults or pediatric patients as required for fracture fixation (open or closed); post-traumatic joint contracture which has resulted
Proximal Tibial Locked Plating System. Surgical Technique
Proximal Tibial Locked Plating System Surgical Technique Table of Contents Introduction and Indications..................................... 1 System Features..............................................
Polyax Distal Femoral Locked Plating System. Surgical Technique
Polyax Distal Femoral Locked Plating System Surgical Technique Polyax Distal Femoral Locked Plating System Contents Introduction and Indications... 3 System Features... 4 Surgical Technique... 5 Patient
Titanium Cannulated Adolescent Lateral Entry Femoral Nail. Expert Nailing System.
Titanium Cannulated Adolescent Lateral Entry Femoral Nail. Expert Nailing System. Technique Guide EXPERT Nailing System Table of Contents Introduction Titanium Cannulated Adolescent Lateral Entry 2 Femoral
Peritroch Hip Fractures. Robert M Harris MD. Hip Fractures. Factors Influencing Construct Strength: Uncontrolled factors 4/28/2016
Peritroch Hip Fractures Should be treated with an IMHS Robert M Harris MD Hip Fractures General principles Approximately 250,000 hip fractures/ year Cost approximately $8.7 billion annually The number
Pediatric Tibia Fractures Key Points. Christopher Iobst, MD
Pediatric Tibia Fractures Key Points Christopher Iobst, MD Goals Bone to heal Return to full weight bearing Acceptable alignment rule of 10s 10 degrees of varus 8 degrees of valgus 12 degrees of procurvatum
PediNail Pediatric Femoral Nail SURGICAL TECHNIQUE
Pediatric Femoral Nail SURGICAL TECHNIQUE 2 2 TABLE OF CONTENTS System Overview Indications... 6 Proximal Locking Options... 6 Distal Locking Options... 6 Preoperative Planning... 7 Nail Size Selection...
JMSCR Vol. 03 Issue 08 Page August 2015
www.jmscr.igmpublication.org Impact Factor 3.79 Index Copernicus Value: 5.88 ISSN (e)-2347-176x ISSN (p) 2455-0450 DOI: http://dx.doi.org/10.18535/jmscr/v3i8.08 Study of Functional and Radiological Outcome
Retrograde Intramedullary Nailing for Periprosthetic Supracondylar Fractures of the Femur after Total Knee Arthroplasty
Original Article Clinics in Orthopedic Surgery 2009;1:201-206 doi:10.4055/cios.2009.1.4.201 Retrograde Intramedullary Nailing for Periprosthetic Supracondylar Fractures of the Femur after Total Knee Arthroplasty
Femoral Neck Fractures- Gold standards and breaking news. Anna Ekman, MD, PhD Stockholm South hospital Sweden
Femoral Neck Fractures- Gold standards and breaking news Anna Ekman, MD, PhD Stockholm South hospital Sweden Learning outcomes Learning Outcomes Epidemiology Preoperative planning Reduction techniques
Fractures of the Hand in Children Which are simple? And Which have pitfalls??
Fractures of the Hand in Children Which are simple? And Which have pitfalls?? Kaye E Wilkins DVM, MD Professor of Orthopedics and Pediatrics Departments of Orthopedics and Pediatrics University of Texas