What is antegrade nailing?

Antegrade nailing is useful for the treatment of proximal femoral fractures; however, studies have found it to result in damage to the hip abductors and sometimes the pudendal nerve if the patient is in the supine position on a fracture table.

What is retrograde nailing?

Purpose of the study: Retrograde nailing represents an established fixation method for fractures of the distal femur and offers in femoral shaft fractures an alternative to the existing technique of antegrade nailing.

What is retrograde intramedullary nailing?

Retrograde intramedullary nailing is a good surgical option in the management of distal femur fracture with osteoporosis. Scheerlinck et al.5) reported good surgical results for twelve elderly and osteoporotic patients with a femoral supracondylar nail.

When do you use retrograde femoral nails?

Conclusions The indications for retrograde nailing are ipsilateral femoral and acetabular fractures, ipsilateral patellar and femoral shaft fractures, ipsilateral tibial amd femoral shaft fractures, multiple trauma, femoral fracture with previous ipsilateral hip fusion, bilateral femoral shaft fractures, the obese or …

What is an IM nailing?

An intramedullary nail is a metal rod that is inserted into the medullary cavity of a bone and across the fracture in order to provide a solid support for the fractured bone. Intramedullary nailing is currently considered the “gold standard” for treatment of femoral shaft fractures (Rudloff 2009).

What is Cephalomedullary nail?

The Cephalomedullary Nail was designed to help treat fractures of the femur, especially intertrochanteric and subtrochanteric fractures. The nail features a small proximal section that is designed to minimize the amount of bone that must be removed for nail insertion.

What is a retrograde hip?

Retroversion refers to an abnormal backward rotation of the hip relative to the knee. This condition can affect patients of all ages and leads to abnormal stress in the low back, hip and knee, as well as an abnormal gait (walking stance).

What is prophylactic nailing?

Prophylactic femoral nailing is a procedure to stabilize the femoral bone that has become weak due to the presence of a tumor. The procedure involves passing a nail or rod through the intramedullary canal or central canal of the bone to reinforce the bone along its entire length.

What is CRIF surgery?

One of those procedures is closed reduction internal fixation (CRIF). It is a surgical treatment to fix severely broken bones and is performed by an orthopedic surgeon. The procedure is used when a cast or splint is not sufficient for the fracture to heal properly.

What is apex distance?

introduced the definition of the tip–apex-distance (TAD) as the sum of the distance, measured on anteroposterior and lateral radiographs, between the tip of the lag screw and the femur head apex. They defined the optimal cut-off for TAD as 25 mm15. In 2012, Kuzyk et al.

What is CMN in Ortho?

Both cephalomedullary nails (CMN), and sliding hip screws (SHS) are utilized as the standard of care for fixation of these fractures. Operative management with either fixation device allows for early rehabilitation and decreased morbidity and mortality.

What is anteversion and retroversion of the hip?

Because the lower part of the femur is connected to the knee, this also means that the knee is twisted outward relative to the hip. The opposite condition, in which the femur has an abnormal forward (inward) rotation, is called femoral anteversion. Femoral retroversion can occur in one or both legs.

What does anteversion mean?

Anteversion refers to an abnormal forward rotation.

What is ORIF and CRIF?

Emergency internal fixation is one of the main options for the treatment of displaced femoral neck fractures [5]. It contains open reduction internal fixation (ORIF) and closed reduction internal fixation (CRIF). Both of the two methods have their advantages and disadvantages [6].

What is shift of curve in surveying?

The distance through which the curve is shifted is known as shift (S) of the curve, and is equal to , where L is the length of each transition curve and R is the radius of the desired circular curve (EFE’).

How is Apex calculated?

Detailed Solution

1. Concept:
2. Apex Distance: It is the distance between the point of Intersection and the apex (highest point) of the curve.
3. Apex distance = R ( ⁡ – 1)
4. Arc Definition: If R is the radius of the curve and D is its degree for 30 m arc, then.
5. R × D × = 30.
6. Calculation:

What is the difference between retroversion and anteversion?

Femoral retroversion is a rotational or torsional deformity in which the femur twists backward (outward) relative to the knee. The opposite condition, in which the femur has an abnormal forward (inward) rotation, is called femoral anteversion. The condition is usually congenital, meaning children are born with it.

What is femoral anteversion and Retroversion?

What causes anteversion?

What causes femoral anteversion? Femoral anteversion can be the result of stiff hip muscles due to the position of the baby in the uterus. It also has a tendency to run in families. Typically, a child’s walking style looks like that of his or her parents.

What is CRIF in orthopedic?

Is retrograde femoral intramedullary nailing an alternative to antegrade nailing?

No knee problems were associated with the retrograde femoral intramedullary nailing technique. The one septic knee raises concerns about the use of retrograde nailing in severe open femoral shaft fractures. Retrograde femoral nailing should be given serious consideration as an alternative to antegrade femoral nailing.

What are the benefits of antegrade nailing of the femur?

… 1,12,13 Patients with femoral head injuries may also benefit, because the antegrade approach can lead to significant hetero-topicossification of the hip joint and importantly RN shortens the corresponding operation time. 11,14, 15 Over the past 2 decades, RN of the femur has evolved to address some of these limitations of antegrade nailing.

Does retrograde nailing cause knee pain?

Studies show that the incidence of postoperative knee pain after retrograde nailing can be as high as 70%.7,29Our study revealed that a statistically greater number of patients undergoing retrograde nailing than antegrade nailing experienced knee pain.

What is the prevalence of antegrade nailing in femur fractures?

Antegrade and retrograde intramedullary nailing of diaphyseal femur shaft fractures demonstrated a mean WOMAC of 23.5%±23.6% (range, 0%-82.3%) and 29.7%±24.0% (range, 0%-88%), respectively (P=.23).