Mini-Open Intramedullary Nailing of Acute Femoral Shaft Fracture: Reduction Through a Small Incision Without a Fracture Table

Jen Chung Liao, Pang Hsin Hsieh, Tai Yuan Chuang, Juin Y. Su, Chih H. Chen, Yeung J. Chen

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Background: Femoral shaft fractures are usually treated with intramedullary nailing. In this study, we report on a modified surgical technique with reduction through a small incision for this type of fracture. Methods: From 1994 to 1997, this technique was used on 74 patients with 82 femoral shaft fractures. Seventy patients (76 fractures) with at least 3 years of postoperative follow-up were included for clinical evaluation. The surgical technique involves a mini-wound at the fracture site, and fracture reduction is performed with 1 finger or a bone hook without the use of a fracture table. Results: Seventy-four fractures (97%) healed in the first 6 months. In 2 patients, there was little evidence of fracture union at 6 months. One of these 2 patients was treated with an open bone graft, and the other was treated with a closed exchanging nail. Finally these 2 patients healed. The mean operation time for this procedure was 75 minutes. Conclusion: The advantages of this procedure include that no fracture table is needed, there is a shorter operation time, there is a small amount of blood loss, and it is especially suitable for multiple trauma patients.

Original languageEnglish
Pages (from-to)660-668
Number of pages9
JournalChang Gung Medical Journal
Volume26
Issue number9
Publication statusPublished - Sep 2003
Externally publishedYes

Fingerprint

Intramedullary Fracture Fixation
Fracture Fixation
Femoral Fractures
Bone and Bones
Multiple Trauma
Nails
Fingers
Transplants
Wounds and Injuries

Keywords

  • Femur
  • Fracture
  • Mini-open
  • Nail

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Mini-Open Intramedullary Nailing of Acute Femoral Shaft Fracture : Reduction Through a Small Incision Without a Fracture Table. / Liao, Jen Chung; Hsieh, Pang Hsin; Chuang, Tai Yuan; Su, Juin Y.; Chen, Chih H.; Chen, Yeung J.

In: Chang Gung Medical Journal, Vol. 26, No. 9, 09.2003, p. 660-668.

Research output: Contribution to journalArticle

@article{f02eace07a0a49aeaf9431383845fb09,
title = "Mini-Open Intramedullary Nailing of Acute Femoral Shaft Fracture: Reduction Through a Small Incision Without a Fracture Table",
abstract = "Background: Femoral shaft fractures are usually treated with intramedullary nailing. In this study, we report on a modified surgical technique with reduction through a small incision for this type of fracture. Methods: From 1994 to 1997, this technique was used on 74 patients with 82 femoral shaft fractures. Seventy patients (76 fractures) with at least 3 years of postoperative follow-up were included for clinical evaluation. The surgical technique involves a mini-wound at the fracture site, and fracture reduction is performed with 1 finger or a bone hook without the use of a fracture table. Results: Seventy-four fractures (97{\%}) healed in the first 6 months. In 2 patients, there was little evidence of fracture union at 6 months. One of these 2 patients was treated with an open bone graft, and the other was treated with a closed exchanging nail. Finally these 2 patients healed. The mean operation time for this procedure was 75 minutes. Conclusion: The advantages of this procedure include that no fracture table is needed, there is a shorter operation time, there is a small amount of blood loss, and it is especially suitable for multiple trauma patients.",
keywords = "Femur, Fracture, Mini-open, Nail",
author = "Liao, {Jen Chung} and Hsieh, {Pang Hsin} and Chuang, {Tai Yuan} and Su, {Juin Y.} and Chen, {Chih H.} and Chen, {Yeung J.}",
year = "2003",
month = "9",
language = "English",
volume = "26",
pages = "660--668",
journal = "Chang Gung Medical Journal",
issn = "0255-8270",
publisher = "Chang Gung Medical Journal",
number = "9",

}

TY - JOUR

T1 - Mini-Open Intramedullary Nailing of Acute Femoral Shaft Fracture

T2 - Reduction Through a Small Incision Without a Fracture Table

AU - Liao, Jen Chung

AU - Hsieh, Pang Hsin

AU - Chuang, Tai Yuan

AU - Su, Juin Y.

AU - Chen, Chih H.

AU - Chen, Yeung J.

PY - 2003/9

Y1 - 2003/9

N2 - Background: Femoral shaft fractures are usually treated with intramedullary nailing. In this study, we report on a modified surgical technique with reduction through a small incision for this type of fracture. Methods: From 1994 to 1997, this technique was used on 74 patients with 82 femoral shaft fractures. Seventy patients (76 fractures) with at least 3 years of postoperative follow-up were included for clinical evaluation. The surgical technique involves a mini-wound at the fracture site, and fracture reduction is performed with 1 finger or a bone hook without the use of a fracture table. Results: Seventy-four fractures (97%) healed in the first 6 months. In 2 patients, there was little evidence of fracture union at 6 months. One of these 2 patients was treated with an open bone graft, and the other was treated with a closed exchanging nail. Finally these 2 patients healed. The mean operation time for this procedure was 75 minutes. Conclusion: The advantages of this procedure include that no fracture table is needed, there is a shorter operation time, there is a small amount of blood loss, and it is especially suitable for multiple trauma patients.

AB - Background: Femoral shaft fractures are usually treated with intramedullary nailing. In this study, we report on a modified surgical technique with reduction through a small incision for this type of fracture. Methods: From 1994 to 1997, this technique was used on 74 patients with 82 femoral shaft fractures. Seventy patients (76 fractures) with at least 3 years of postoperative follow-up were included for clinical evaluation. The surgical technique involves a mini-wound at the fracture site, and fracture reduction is performed with 1 finger or a bone hook without the use of a fracture table. Results: Seventy-four fractures (97%) healed in the first 6 months. In 2 patients, there was little evidence of fracture union at 6 months. One of these 2 patients was treated with an open bone graft, and the other was treated with a closed exchanging nail. Finally these 2 patients healed. The mean operation time for this procedure was 75 minutes. Conclusion: The advantages of this procedure include that no fracture table is needed, there is a shorter operation time, there is a small amount of blood loss, and it is especially suitable for multiple trauma patients.

KW - Femur

KW - Fracture

KW - Mini-open

KW - Nail

UR - http://www.scopus.com/inward/record.url?scp=0242428343&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0242428343&partnerID=8YFLogxK

M3 - Article

C2 - 14651164

AN - SCOPUS:0242428343

VL - 26

SP - 660

EP - 668

JO - Chang Gung Medical Journal

JF - Chang Gung Medical Journal

SN - 0255-8270

IS - 9

ER -