How are peri-implant fractures below short versus long cephalomedullary nails different?

Background: Cephalomedullary nails are a commonly used implant for the treatment of many pertrochanteric femur fractures and are available in short and long configurations. There is no consensus on ideal nail length. Relative advantages can be ascribed to short and long intramedullary nails, yet both implant styles share the potentially devastating complication of peri-implant fracture.

Fracture Fixation Using Shape-Memory (Ninitol) Staples.

Shape-memory alloy (SMA) staples are a recent innovation in fracture fixation. These staples have inherent compressive properties that create a stable fracture environment that promotes primary bone healing. They have been used successfully for osteotomies, arthrodesis, and fracture fixation.

Internal Fixation of Osteoporotic Bone.

Osteoporosis is one of the costliest conditions managed by orthopaedic surgeons. This condition, which is characterized by decreased bone density and thinning of cortical bone, is strongly influenced by complex signaling in both the hormonal and mechanical environments. Osteoporosis cannot be cured; instead, it can only be managed to decrease patient morbidity.

Computer-assisted navigation for intramedullary nail fixation of intertrochanteric femur fractures: A randomized, controlled trial.

Introduction: Lag screw cutout is one of the most commonly reported complications following intramedullary nail fixation of intertrochanteric femur fractures. However, its occurrence can be minimized by a well-positioned implant, with a short Tip-to-Apex Distance (TAD). Computer-assisted navigation systems provide surgeons with the ability to track screw placement in real-time.

Short versus long intramedullary nails for treatment of intertrochanteric femur fractures (OTA 31-A1 and A2).

Objectives: The purpose of this study was to compare blood loss and operative times associated with long versus short intramedullary nails for intertrochanteric fracture fixation and rate of periprosthetic fracture.

Design: A retrospective study.

Setting: Level 1 trauma center.