|
KMID : 0386419920050020378
|
|
Journal of the Korean Fracture Society
1992 Volume.5 No. 2 p.378 ~ p.382
|
|
|
Proximal Femral Fracture During Closed Intramedullary Interlocking Delta Nailing -2
|
|
정필현
유문집/강석/차응남/김용민/김종원
|
|
|
Abstract
|
|
|
Closed intramedullary nailing is a complex technique which usually requires fracture table and image intensifier, so that the patient and surgeon are exposed to the radiation. But this techique affords considerable advantages such as high rate of
union,
less infection rate and early weight bearing, etc.
The main causes of failure or complication of this procedure are inapproprisate entry point and inadequate nail size. These are especially important problems in the patient who's femoral canal diameter is very small(8 or 9mm). The Delta femoral
interlocking nails(diameter 10mm and 11mm)were devised for the femurs with narrow canal diameter. However, proximal portion of the Delta nail(about 7cm from the proximal end)is thick(diameter 13mm)to gin strength enough tor holking the insertion
device
and fixation of the interlocking screws.
If the insertion point is not correct or proximal reaming is inadequate, iatrogenic proximal femoral fracture may occur during final insertion of the nail.
We experienced 2 cases of this complication during fixation shaft fractures asing the Delta nails. We managed this problem with hip spical immobilization in one case, and mutiple pinning of femur neck in the other.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|