Objective: Antegrade femoral nailing through a greater trochanteric entry portal avoids damage to the proximal external rotators and to the ramus profundus of the medial femoral circumflex artery, furthermore eases insertion in adipose subjects. However a helical nail shape is necessary for this pathway because bending in two perpendicular planes has to be passed by the nail.
Indications: All femoral shaft fractures suitable for antegrade nailing (type 32-A/B/C).
Introduction: Antegrade intramedullary nailing is the method of choice in most femoral shaft fractures. The trochanteric entry portal of classic femoral nails is in close proximity to the piriformis tendon, the gluteus minimus tendon, the obturator tendons, and the medial femoral circumflex artery. Nail insertion lateral to the tip of the greater trochanter may be more favorable but needs the use of a helical implant.
View Article and Find Full Text PDFBackground: The purpose of the study was to investigate possible reasons for the failure of closed reduction of proximal humerus fractures in children and adolescents. We assessed the rate of soft tissue entrapment, and we also investigated the long-term clinical and radiological results after an age- and deformity-focused treatment regimen according to national guidelines.
Methods: Forty-three patients were included in the study.
Z Orthop Unfall
December 2008
The isolated dislocation of the fibula head is a rare injury which therefore often represents a diagnostic and therapeutic problem. With the case report and literature review we want to bring this injury into the forefront and illustrate the conservative and operative treatment possibilities.
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