Does electromagnetic-manual guided distal locking influence rotational alignment in antegrade femoral nailing?

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• 作者：Mert Ciftdemir ; Sedat A. Tuncel ; Mert Ozcan ; Cem Copuroglu…
• 关键词：Femoral fractures ; Intramedullary nailing ; Malrotation ; Electromagnetic ; manual guided distal interlocking
• 刊名：International Orthopaedics
• 出版年：2015
• 出版时间：March 2015
• 年：2015
• 卷：39
• 期：3
• 页码：507-512
• 全文大小：560 KB
• 参考文献：1. Jaarsma, RL, Pakvis, DFM, Verdonschot, N, Biert, J, Kampen, A (2004) Rotational malalignment after intramedullary nailing of femoral fractures. J Orthop Trauma 18: pp. 403-409 CrossRef
  2. Riehl, JT, Widmaier, JC (2009) Techniques of obtaining and maintaining reduction during nailing of femur fractures. Orthopedics 32: pp. 581 CrossRef
  3. Jaarsma, RL, Kempen, A (2004) Rotational malalignment after fractures of the femur. J Bone Joint Surg (Br) 86-B: pp. 1100-1104 CrossRef
  4. Gugala, Z, Qaisi, YT, Hipp, JA, Lindsey, RW (2011) Long-term functional implications of the iatrogenic rotational malalignment of healed diaphyseal femur fractures following intramedullary nailing. Injury 26: pp. 274-277
  5. Strecker, W, Keppler, P, Gebhard, F, Kinzl, L (1997) Length and torsion of the lower limb. J Bone Joint Surg (Br) 79-B: pp. 1019-1023 CrossRef
  6. Gugenheim, JJ, Probe, RA, Brinker, MR (2004) The effects of femoral shaft malrotation on lower extremity anatomy. J Orthop Trauma 18: pp. 658-664 CrossRef
  7. Bretin, P, O’Loughlin, PF, Suero, EM, Kendoff, D, Ostermeier, S, Hüfner, T (2011) Influence of femoral malrotation on knee joint alignment and intra-articular contact pressures. Arch Orthop Trauma Surg 131: pp. 1115-1120 CrossRef
  8. Jaarsma, RL, Ongkiehong, BF, Grüneberg, C, Verdonschot, N, Duysens, J, Kampen, A (2004) Compensation for rotational malalignment after intramedullary nailing for femoral shaft fractures. An analysis by plantar pressure measurements during gait. Injury 35: pp. 1270-1278 CrossRef
  9. T?nnis, D, Heinecke, A (1991) Diminished femoral antetorsion syndrome: a cause of pain and osteoarthritis. J Pediatr Orthop 11: pp. 419-431 CrossRef
  10. Krettek, C Intramedullary nailing. In: Rüedi, TP, Buckley, RE, Moran, CG eds. (2007) AO Principles of Fracture Management. Thieme, New York, pp. 257-287
  11. Krettek, C, Miclau, T, Grün, O, Schandelmaier, P, Tscherne, H (1998) Intraoperative control of axes, rotation and length in femoral and tibial fractures. Injury 29: pp. C29-39 CrossRef
  12. Madan, S, Blakeway, C (2002) Radiation exposure to surgeon and patient in intramedullary nailing of the lower limb. Injury 33: pp. 723-727 CrossRef
  13. Gardner, MJ, Citak, M, Kendoff, D, Krettek, C, Hüfner, T (2008) Femoral fracture malrotation caused by freehand versus navigated distal interlocking. Injury 39: pp. 176-180 CrossRef
  14. Grewal I, Carter P (2012) Focus on: distal locking of intramedullary nails. andjoint.org.uk/sites/default/files/Focus%20On%20Distal%20locking%20of%20intramedullary%20nails.pdf" class="a-plus-plus">http://www.boneandjoint.org.uk/sites/default/files/Focus%20On%20Distal%20locking%20of%20intramedullary%20nails.pdf. Accessed 03 October 2014
  15. Marsh, JL, Slongo, TF, Agel, J (2007) Fracture and dislocation classification compendium-2007: Orthopaedic Trauma Association classification, database and outcomes committee. J Orthop Trauma 21: pp. S1-133 CrossRef
  16. Gustilo, RB, Anderson, JT (1976) Prevention of infection in the treatment of one thousand and twenty five open fractures of long bones. J Bone Joint Surg Am 58: pp. 453-458
  17. Pinar, R (2005) Reliability and construct validity of the SF-36 in Turkish cancer patients. Qual Life Res 14: pp. 259-264 CrossRef
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Orthopedics
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1432-5195

文摘

Purpose The aim of this study was to determine whether distal locking using an electromagnetic-manual guided distal locking decreases the malrotation rate in femur fractures treated with intramedullary nailing. Methods A total of 113 adult patients having unilateral femoral shaft fractures treated using IM nails were evaluated regarding demographic features, injury mechanism, fracture type, interval between trauma and nailing, operation time and number of image intensifier shots during the operation at least one?year after nailing. Patients were divided into two groups according to distal locking technique. All patients had also undergone clinical examination for lower extremity alignment and range of motion and filled out the SF-36 questionnaire and undergone ultrasound measurement of femoral anteversion angles to reveal any rotational femoral malalignment. Results Group 1 consisted of 47 patients (41.6?%) with electromagnetic-manual targeting guided distal locking and group 2 consisted of 66 patients (58.4?%) with free-hand distal locking. Both groups were statistically similar regarding demographic features, injury mechanism, fracture type, interval between trauma and nailing, clinical examination and SF-36 results. Operation time and number of image intensifier shots were significantly less in group 1. No statistically significant difference was found between the femoral anteversion angles of injured and uninjured sides of the patients in both groups. Conclusions Although there is no significant effect on malrotation, previously known advantages lead us to state that electromagnetic-manual guided distal interlocking is an advantageous treatment option in femoral shaft fractures.