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Web End = Cell Biochem Biophys (2015) 73:261265
DOI 10.1007/s12013-015-0622-8
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Web End = Interlocking Intramedullary Nails in Fracture Treatment
Xiao Ouyang Jing Rong Wang Shi Dong Hong
Feng Xin Lin Wang Xiao Wei Yang Jian Wang
Published online: 4 March 2015 Springer Science+Business Media New York 2015
Abstract The aim of this study is to evaluate interlocking intramedullary nails in the treatment of fractures. We retrospectively reviewed 68 adult patients (for a total of 95 fractures) with isolated long-bone fractures who were treated with interlocking intramedullary nails between January 2010 and January 2012. The patients were followed for 18 months to observe the healing of the fracture, time, and the occurrence of complications in the shoulder, knee, and hip joint functions. After about a follow-up period of 26.2 months (range 1839 months), all cases obtained bony union. The mean time to fracture union was 5.2 months. Cases of knees and hip joint functions of the femoral or tibial fracture and shoulder functions of the humeral fractures were observed.
The interlocking intramedullary nails may be considered as an alternative method for isolated diaphyseal fractures of the extremities. The advantages of this method include small operative scars, reliable xations, better fracture healings, and fewer complications.
Keywords Interlocking intramedullary nail Extremities
diaphyseal fractures Curative effect Security
Introduction
With the development of biotechnology, interlocking intramedullary nails have become the golden standard in the treatment of diaphyseal fractures of the extremities. Present studies of the intramedullary nails are concentrated in certain positions, and the follow-up period is not long enough. Interlocking intramedullary nails (include gamma, reconstructive interlocking intramedullary, femoral interlocking intramedullary, retrograde interlocking intramedullary, tibial interlocking intramedullary, and humeral interlocking intramedullary nails) were used in the fracture treatment of 65 patients (a total of 95 fractures), whom were followed-up to evaluate the treatment.
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Patients
The study included 95 fractures of 68 patients (77 male, 18 female; average age: 37.8 years; range 1879 years). These fractures include 52 cases of femoral fractures (37 fresh fractures; 15 revisions of the original internal xation operation...