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The Role of Medullary Reaming in Closed Nailing of Femur Fractures / JA. Amis, DJ. Frank, WZ. Burkhead, RW. Bucholz

Conference Author
Intramedullary Rods: Clinical Performance and Related Laboratory Testing (1987 : Cincinnati, Ohio)
Physical Description
1 online resource (11 pages) : illustrations, figures, tables
Additional Creators
Amis, JA., Bucholz, RW., Burkhead, WZ., Frank, DJ., American Society for Testing and Materials, and ASTM International
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Summary
This study compares results of unreamed Schneider intramedullary nailings with reamed K¿̐ưntscher intramedullary nailings. Eighty consecutive closed intramedullary roddings of femoral shaft fractures performed at Parkland Memorial Hospital, Dallas, were reviewed. In the first 40 cases, straight, narrow Schneider or K¿̐ưntscher rods with an average diameter of 10 mm were inserted following closed reduction. No reaming maneuvers and no effort to attain rigid cortical contact with either fracture fragment were made. In the next 40 cases, the standard K¿̐ưntscher technique with reaming and cortical impingement of the nail on both fragments was employed using K¿̐ưntscher nails of an average diameter of 13 mm. All patients were followed to fracture union. Analysis of patient and fracture variables (such as anatomic location and degree of comminution) showed no significant differences in the two groups. While both groups demonstrated multiple minor complications, including slight shortening, mild angulation, and variable degrees of malrotation, major complications were significantly greater in the nonrigid rod group. They included one nonunion, three implant failures, and several cases with unacceptable shortening.
Dates of Publication and/or Sequential Designation
Volume 1989, Issue 1008 (January 1989)
Subject(s)
Other Subject(s)
ISBN
9780803150737 (e-ISBN)
9780803111813
0803111819
Digital File Characteristics
text file PDF
Bibliography Note
Includes bibliographical references 24.
Other Forms
Also available online via the World Wide Web. Tables of contents and abstracts freely available; full-text articles available by subscription.
Full text article also available for purchase.
Also available in PDF edition.
Reproduction Note
Electronic reproduction. W. Conshohocken, Pa. : ASTM International, 1989. Mode of access: World Wide Web. System requirements: Web browser. Access may be restricted to users at subscribing institutions.
Technical Details
Mode of access: World Wide Web.
Source of Acquisition
ASTM International PDF Purchase price USD25.
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