Article
Oncology
Sebastian Koob, Milena M. Ploeger, Rahel Bornemann, Ramona P. Lehmann, Dana Alex, Richard Placzek
Summary: This retrospective cohort study compared the outcomes of compound plate osteosynthesis and intramedullary (IM) nailing in managing diaphyseal pathologic fractures of the humerus. The study found that IM nailing resulted in significantly lower blood loss compared to plate osteosynthesis, while complication rate, implant survival, and operation length were similar between the two groups.
AMERICAN JOURNAL OF CLINICAL ONCOLOGY-CANCER CLINICAL TRIALS
(2022)
Article
Critical Care Medicine
A. Ortega-Yago, A. Balfagon-Ferrer, M. Barres-Carsi, J. L. Bas-Hermida
Summary: Proximal humerus fractures with metaphysodiaphyseal extension are challenging for orthopedic surgeons due to their rarity and the lack of consensus on the ideal treatment approach. Both antegrade intramedullary nailing and MIPO technique with the Philos plate are valid options, with no differences observed in terms of fracture consolidation time or functional results.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2022)
Article
Medicine, General & Internal
Petra Grahn, Juha-Jaakko Sinikumpu, Yrjana Nietosvaara, Johanna Syvanen, Anne Salonen, Matti Ahonen, Ilkka Helenius
Summary: Children with displaced both bone forearm shaft fractures aged 7-12 years are being studied in a multicenter, randomized trial comparing closed reduction and cast immobilization with flexible intramedullary nailing. The primary outcome measures at 1-year follow-up include PROMIS pediatric upper extremity and forearm range of motion.
Article
Orthopedics
Elisa Pala, Alberto Procura, Giulia Trovarelli, Antonio Berizzi, Pietro Ruggieri
Summary: This study compared titanium and carbon fiber intramedullary nails in terms of response to radiotherapy, disease control, surgery time, fluoroscopy exposure, and complications. The results suggested that carbon fiber nails had shorter surgical time and faster healing.
EFORT OPEN REVIEWS
(2022)
Article
Surgery
Bin Peng, Teng Wan, Wenfu Tan, Weiming Guo, Min He
Summary: This retrospective study evaluated the fracture healing time and functional recovery in patients with distal tibial fractures treated with retrograde intramedullary nailing. The results showed that the new retrograde tibial intramedullary nail treatment achieved good efficacy in fracture healing and functional outcomes.
FRONTIERS IN SURGERY
(2022)
Article
Orthopedics
Achilles Bekos, Spyridon Sioutis, Andreas Kostroglou, Theodosios Saranteas, Andreas F. Mavrogenis
Summary: Intramedullary nailing has revolutionized the treatment of long bone fractures, with continuous innovations and advancements leading to the emergence of second-generation nails. Modern technologies have played a crucial role in enhancing the effectiveness of intramedullary nailing as the standard treatment for long bone fractures.
INTERNATIONAL ORTHOPAEDICS
(2021)
Article
Orthopedics
Min He, Ziyu Jiang, Wenfu Tan, Zhengmao Li, Bin Peng
Summary: The study aimed to determine the optimal entry point and direction for retrograde intramedullary nailing of the tibia. Using computer-aided design and simulation, the ideal entry point was found to be the midpoint of the medial malleolus, and the ideal direction was along the anatomical axis of the medial malleolus in the anteroposterior position and the distal tibial metaphysis in the lateral position.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2023)
Article
Medicine, General & Internal
Rasmus Holm Hansen, Jan Duedal Rolfing, Christian Lind Nielsen, Ole Brink, Per Hviid Gundtoft
Summary: The aim of this study was to evaluate if the ADAPT system reduces the number of outliers with a TAD > 20 mm. Unfortunately, the results showed that the use of the ADAPT system did not meet the expectation, as there were still outliers with a TAD > 20 mm. Therefore, the use of the ADAPT system was discontinued.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Medicine, General & Internal
Shibo Liu, Yanlong Zhang, Jinchao Cao, Shijie Fu, Aqin Peng
Summary: This study compared the effects of external-fixation technique using the combination of K-wires and bone-cement versus close reduction and internal fixation technique using elastic stable intramedullary nail for the treatment of pediatric displaced proximal humerus fractures. The results showed no significant differences in bone healing time and surgical time between the two groups, but there were significant differences in surgical cost and postoperative angle at bone healing. In conclusion, external cemented K-wire fixation is a useful and reliable alternative technique for the treatment of severely displaced proximal humerus fractures in children.
Article
Orthopedics
Raffaele Vitiello, Carlo Perisano, Tommaso Greco, Luigi Cianni, Chiara Polichetti, Rocco Maria Comodo, Ivan De Martino, Vincenzo La Vergata, Giulio Maccauro
Summary: This study analyzed the efficacy of a single type of intramedullary nailing or hip megaprosthesis in the treatment of metastases in the trochanteric region of the femur. The results showed that compared to the megaprostheses group, the intramedullary group had a shorter operative time and higher functional scores after surgery, but patients in this group may experience malnutrition and a pro-inflammatory state. The type of surgery, surgery duration, and the ratio of white blood cells to neutrophils were found to affect functional recovery. Overall, intramedullary nailing allows for rapid functional recovery, while hip megaprosthesis is more suitable for patients with a better prognosis.
BMC MUSCULOSKELETAL DISORDERS
(2022)
Article
Medicine, General & Internal
Phillip W. Lam, David Putnam, Marissa M. Song Mayeda, Kenneth R. Gundle
Summary: This study aimed to investigate mortality rates and hospital stay duration in patients with pathologic proximal femur fractures treated with either intramedullary nailing or arthroplasty within the Veterans Health Administration system. Hospital stays were similar for both groups, and mortality was associated with increased age and comorbidity scores. Arthroplasty showed a survival benefit even when accounting for age and comorbidities in treating metastatic disease of the proximal femur.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Oncology
Andriy Kobryn, Patrick Nian, Joydeep Baidya, Tai L. L. Li, Aditya V. Maheshwari
Summary: Although IMN is the standard treatment for femur metastatic diseases, the optimal treatment for humeral impending and/or pathologic fractures is still unclear. In this study, we compared cemented and uncemented IMN in terms of survival, function, blood loss, transfusions, and complications. Both groups had similar outcomes, but the cemented group had higher blood loss. Therefore, intramedullary nailing with or without cement is a safe and effective treatment for metastatic humeral disease.
Article
Medicine, General & Internal
Syed Imran Ghouri, Fuad Mustafa, Ahad Kanbar, Hisham Al Jogol, Adam Shunni, Ammar Almadani, Nuri Abdurraheim, Atirek Pratap Goel, Husham Abdelrahman, Elhadi Babikir, Ahmed F. Ramzee, Khalid Ahmed, Mutaz Alhardallo, Mohammad Asim, Hassan Al-Thani, Ayman El-Menyar
Summary: This study evaluated the timing of nailing management and analyzed the pattern of fracture union and outcome in patients with femur shaft fractures. The results showed that patients who underwent delayed nailing treatment had more severe injuries, more complications, and longer hospitalization. The proportion of nonunion was higher in patients with early nailing treatment, while delayed union was higher in patients who underwent nailing after 24 hours.
Article
Medicine, General & Internal
Michalis Panteli, James S. H. Vun, Robert M. West, Anthony Howard, Ippokratis Pountos, Peter V. Giannoudis
Summary: This study aimed to investigate the incidence, risk factors and pathogenic microorganisms causing infection in patients with subtrochanteric femoral fractures managed with an intramedullary nail. Deep infection was associated with non-union, open fracture, massive transfusion, post-operative transfusion and prolonged length of stay. Staphylococcus aureus and coliforms were the most common microorganisms identified in superficial and deep infections, respectively, with polymicrobial infection present in a significant proportion of cases.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Orthopedics
Abhiram R. Bhashyam, Caleb Yeung, Alisha Sodhi, Raylin F. Xu, Olivier Q. Groot, Sean Kelly, Santiago Lozano-Calderon
Summary: This study describes the failure rate of fixation using CFR-PEEK and titanium intramedullary nails for humeral diaphyseal bone tumors. CFR-PEEK has a certain risk of failure in stabilization after wide excision.
JOURNAL OF SHOULDER AND ELBOW SURGERY
(2023)