Caption: Figure 1: (a) AP radiographs of a patient with atypical femoral shaft fracture (b) treated with an intramedullary nail
and intraoperative peri-implant fracture occurred.
The mean duration of surgery for InterTan intramedullary nail
in the late group of patients was 64.97 (95% CI 59.59 to 70.36) min, similar to the operative time reported in earlier research that ranged from 48 to 73.91 min [4, 5, 15,1 8-20], excluding one study that reported an average time that was less than 30 minutes .
have added advantages over plating in these cases, like restoration of anatomical length and alignment of comminuted fractures, biological fixation resulting in high union rates, strength for femoral shaft fracture in all three planes of loading - bending, compression, and torsion, early joint mobilisation, early muscle rehabilitation, shortened hospital stay, reduces the incidence of complications like infection, cortical osteopenia, mal-union, and non-union.
are routinely used in the treatment of fracture for femur and tibia.
The working prototype consists of a fixed magnet that is placed inside the intramedullary nail
and a handheld unit housing the sensors, electronics, and drill sleeve.
(3,5-7) However, no previous case of radial nerve traction injury due to this type of intraoperative positioning during Kuntscher intramedullary nail
insertion has been reported in the literature.
Keywords: Child, Complications, Flexible intramedullary nails
, Fracture fixation.
Distal radius fracture fixation with an intramedullary nail
. Tech Hand Up Extremity Surg.
An intramedullary nail
can be a useful adjunct to this technique.
Overall several different classification systems have been developed including the Russell-Taylor classification which is based on the presence of lesser trochanter comminution and fracture extension into the piriformis fossa which helped to guide treatment prior to the development of trochanteric start point intramedullary nails
. The AO classification system also has a classification system describing fracture morphology and mechanism.
Two days after injury, the patient underwent internal fixation with an intramedullary nail
via the lateral approach with gentle traction, internal rotation, and adduction using a traction table (Figure 1(b)).
Ilizarov, "Limb lengthening and then insertion of an intramedullary nail
: A case-matched comparison," Clinical Orthopaedics and Related Research, vol.