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X-ray showing the proximal portion of a fractured tibia with an intramedullary nail Proximal femur nail with locking and stabilisation screws for treatment of femur fractures of left thigh An intramedullary rod , also known as an intramedullary nail (IM nail) or inter-locking nail or Küntscher nail (without proximal or distal fixation), is a ...
For femoral shaft fractures, reduction and intramedullary nailing is currently recommended. [14] The bone is re-aligned, then a metal rod is placed into the femoral bone marrow, and secured with nails at either end. This method offers less exposure, a 98–99% union rate, lower infection rates (1–2%) and less muscular scarring. [14] [15] [17]
Another study found that in 2011, femur neck fractures were among the most expensive conditions seen in US hospitals, with an aggregated cost of nearly $4.9 billion for 316,000 inpatient hospitalizations. [60] Rates of hip fractures are declining in the United States, possibly due to increased use of bisphosphonates and risk management. [61]
Kuntscher nail for fracture of the shaft of the femur [25] Luque rod: for fixation of the spine [26] Moore's pin for fracture of the neck of the femur; Neer's prosthesis for shoulder replacement [27] Rush nail for diaphyseal fractures of a long bone [28] Smith-Petersen nail for fracture of the neck of femur
His advocacy of the use of Thomas splint for the initial treatment of femoral fractures reduced mortality of open fractures of the femur from 87% to less than 8% in the period from 1916 to 1918. [9] The use of intramedullary rods to treat fractures of the femur and tibia was pioneered by Gerhard Küntscher of Germany.
Common sizes of femoral heads are 28 mm (1.1 in), 32 mm (1.3 in) and 36 mm (1.4 in). While 22.25 mm (7 ⁄ 8 in) was common in the first modern prostheses, now even larger sizes are available from 38 to over 54 mm. Larger-diameter heads lead to increased stability and range of motion whilst lowering the risk of dislocation. At the same time ...
X-ray of Femoral Osteotomy hardware to correct femoral rotation caused by hip dysplasia. X-ray of the right hip in female patient in early thirties. Two main types of osteotomies are used in the correction of hip dysplasias and deformities to improve alignment/interaction of acetabulum – (socket) – and femoral head – (ball), innominate osteotomies and femoral osteotomies.
This may be accomplished by internal fixation, using intramedullary rod, Kirschner wire or dynamic compression plate; or by external fixation, using a spanning external fixator, Taylor Spatial Frame or Ilizarov apparatus. [citation needed]