When do you use retrograde or antegrade nails?
When do you use retrograde or antegrade nails?
With the numbers available, immediate retrograde nailing appears as safe and effective as antegrade nailing for gunshot femur fractures. Immediate retrograde nailing is as safe as antegrade nailing for gunshot femur fractures. Retrograde versus antegrade nailing of femoral shaft fractures.
What is retrograde femoral intramedullary nailing?
Retrograde femoral intramedullary nail placement is advantageous in cases of multisystem injury, as well as ipsilateral femoral neck, subtrochanteric, and/or hip fractures. It also has an easier implant insertion in obese patients when compared with antegrade interlocked intramedullary nail procedures.
What is femoral nailing procedure?
Currently, the method most surgeons use for treating femoral shaft fractures is intramedullary nailing. During this procedure, a specially designed metal rod is inserted into the canal of the femur. The rod passes across the fracture to keep it in position.
What is proximal femoral nail?
The proximal femoral nail (PFN) is an osteosynthetic implant designed to treat proximal femoral fractures in the trochanter area with a closed intramedullary fixation method.
What is the difference between antegrade and retrograde?
is that retrograde is directed backwards, retreating; reverting especially inferior state, declining; inverse, reverse; movement opposite to normal or intended motion, often circular motion while antegrade is moving or directed forward.
What is a retrograde nail?
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 bone takes the longest to heal?
The femur — your thigh bone — is the largest and strongest bone in your body. When the femur breaks, it takes a long time to heal. Breaking your femur can make everyday tasks much more difficult because it’s one of the main bones used to walk.
Can a broken femur heal without surgery?
Most people with a fractured femur need some sort of surgery, usually ORIF. Without the surgery, your broken femur may not heal properly. ORIF can place your bones back into their proper configuration. This significantly increases the chance that your bone will heal properly.
What is Cephalomedullary nail?
Cephalomedullary nailing is the surgical stabilization of the fracture with an intramedullary device usually inserted through the piriformis fossa, the tip or lateral greater trochanter, or the medial greater trochanter.
What is bipolar prosthesis?
A bipolar prosthesis has an additional artificial joint between the two components of the prosthesis. Both treatments are clinically proven and common around the world. No clinical trial has proven benefits of one or the other prosthesis design.
What are the risks of retrograde nailing?
Care should be taken with the approach for retrograde nailing as several anatomical structures are at risk. The most important potential hazard is damage to the anterior cruciate ligament. In addition, cartilage from the weight bearing zone may be damaged if a non-anatomic approach is selected.
Where is the entry point of the retrograde femur?
ANATOMY The femoral shaft is tubular in shape over the extent of the isthmus, gradually flaring infraisthmally into the distal femur, which is trapezoidal in cross-section. The entry point for the retrograde femoral nail is located at the distal end of the patellofemoral grove, just anterior to the posterior cruciate ligament insertion (FIG 1A).
Can a distal femur be treated with retrograde nailing?
Retrograde femoral nailing may be considered in certain supracondylar distal femoral fractures. We find that Muller’s AO classification system of distal femoral fractures 16 best elucidates which of these fractures can be addressed with retrograde femoral nailing ( FIG 5 ).
Can a retrograde nail be used without a bump?
Supine positioning without bump allows for multiple surgical team approach to patient. Supine positioning without bump affords ability to maintain spine precautions throughout the procedure. Short supracondylar retrograde nails can be used to treat the fracture with a minimally invasive technique.
