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Retrograde femoral nailing:Indications and techniques

Authors
Journal
Operative Techniques in Orthopaedics
1048-6666
Publisher
Elsevier
Publication Date
Volume
13
Issue
2
Identifiers
DOI: 10.1053/otor.2003.0167
Keywords
  • Retrograde
  • Intramedullary Nail
  • Femur
  • Fracture [T ]
Disciplines
  • Design

Abstract

Abstract Intramedullary nailing is the treatment of choice for fractures of the femoral shaft. Newer nail designs have allowed the orthopaedic surgeon to use a more “implant specific” approach to treating these fractures. Antegrade nailing is efficacious for the treatment of subtrochanteric and femoral diaphyseal fractures. Retrograde nailing has been shown to be equally effective in the treatment of fractures of the femoral shaft and very advantageous for distal one-third and supracondylar fractures. In addition, retrograde femoral nailing has been able to improve he treatment of femoral shaft fractures associated with other combined musculoskeletal injuries, The surgical technique although straightforward may be greatly improved by the understanding of the subtleties of this procedure.

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