A viable surgical treatment for distal femur fractures with osteoporosis is retrograde intramedullary nailing. For further mechanical stability, shape memory alloy and cement augmentation can both be used. This surgical method encourages early rehabilitation and fracture healing, making it highly beneficial for distal femur fractures caused by osteoporosis.
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Retrograde nailing is what?
DEFINITION. Any femoral nailing procedure with a distal entry from the condyles or through an intercondylar, intra-articular starting site is referred to as retrograde femoral nailing.
What situations call for retrograde femoral nails?
For the treatment of femoral diaphyseal fractures and subtrochanteric fractures, antegrade nailing is effective. Retrograde nailing has been proven to be particularly beneficial for distal one-third and supracondylar fractures as well as equally successful in the treatment of femoral shaft fractures.
What exactly does intramedullary nailing entail?
An intramedullary nail is used during surgery to stabilize and heal fractured bones. The thigh, shin, hip, and upper arm are the bones that are most frequently treated using this technique. The core of the bone is drilled for a permanent nail or rod. It will make it easier for you to bear weight on the bone.
Antegrade intramedullary nail: What is it?
The nail is inserted into the femoral canal using the antegrade technique, passing via the piriformis fossa from the proximal femur. Retrograde nailing, on the other hand, entails the insertion of the nail.
Describe the proximal femoral nail.
The proximal femoral nail (PFN) is an osteosynthetic implant created for the closed intramedullary fixing of proximal femoral fractures in the trochanter region.
Similar to the gamma nail, the proximal femoral nail is an intramedullary nail in the shape of a funnel that is slightly bent to mirror the anatomy of the proximal femoral diaphyseal trochanteric. The proximal femoral nail, unlike the gamma nail, has two proximal openings: one bigger for a large femoral neck lag screw and one smaller for a smaller anti-rotation screw/pin. The larger aperture is further distally. At the distal end of the nail, there are tiny holes for locking screws.
A variation of the proximal femoral nail can extend caudally all the way to the distal femoral metaphysis. To treat low and extensive subtrochanteric fractures as well as trochanteric and femoral shaft fractures together, longer nails are used. For various CCD angles, there are various versions available.
In difficult subtrochanteric fractures, it can be paired with a wire cerclage and an open reduction for added stability 2.
What is a fracture of the femur shaft?
The longest and strongest bone in your body is the thighbone, or femur. Because of the femur’s strength, breaking it typically requires a lot of power. For instance, femur fractures are most frequently caused by car accidents.
The femoral shaft is the name given to the long, straight portion of the femur. A femoral shaft fracture occurs when any point along this length of bone breaks. Almost always, this kind of fractured limb needs surgery to recover.
Cephalomedullary nail: What is it?
The Cephalomedullary Nail was created to aid in the treatment of femur fractures, particularly subtrochanteric and intertrochanteric fractures. To reduce the quantity of bone that needs to be removed for nail insertion, the nail has a short proximal region.
A distal femur is what?
The bone spreads out like an upside-down funnel at the distal femur. The region of the leg directly above the knee joint is known as the distal femur. Most frequently, distal femur fractures occur in older patients with fragile bones or in younger patients with high-energy wounds, as those sustained in auto accidents.
a bone in a femur?
The femur is the bone in your thigh. The longest and sturdiest bone in your body is this one. Your capacity to stand and move depends on it. Numerous crucial muscles, tendons, ligaments, and components of your circulatory system are supported by your femur as well.
Due to its strength, breaking your femur typically requires a substantial trauma, such as a fall or automobile collision. If you do suffer a fracture, you’ll probably require surgery to fix the broken bone and physical therapy to help you get stronger and move more freely again.
How painful is intramedullary nailing?
Knee pain is a frequent side effect of intramedullary nailing for tibial shaft fractures. Oblique locking screws seem to violate the proximal tibiofibular joint, which is a substantial source of knee pain. When using this nail design, the surgeon must be careful not to pierce the tibiofibular joint.