Total femur fixation using the “nail-plate docking technique” for ipsilateral femur shaft fracture
In an aging society, the number of femoral fractures is increasing, as well as the incidence of periprosthetic fractures. These secondary fractures are often difficult to fixate stably because of the osteoporotic bone and the existence of the former implant. Herein, we present two cases of secondary...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-12-01
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| Series: | Trauma Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352644022001182 |
| _version_ | 1811178665033072640 |
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| author | Hirokazu Takai Yuto Nonoue Masato Kitajima Shingo Hama Tomoki Takahashi |
| author_facet | Hirokazu Takai Yuto Nonoue Masato Kitajima Shingo Hama Tomoki Takahashi |
| author_sort | Hirokazu Takai |
| collection | DOAJ |
| description | In an aging society, the number of femoral fractures is increasing, as well as the incidence of periprosthetic fractures. These secondary fractures are often difficult to fixate stably because of the osteoporotic bone and the existence of the former implant. Herein, we present two cases of secondary femoral shaft fractures after osteosyntheses for distal femur fractures with polyaxial locking plates (Non-Contact-Bridging Distal Femur, NCB-DF®, ZimmerBIOMET, Winterthur, Switzerland). Antegrade intramedullary nails (Natural Nail®-GT Femoral, ZimmerBIOMET, Winterthur, Switzerland) were utilized without removal of the NCB-DFs. In these osteosyntheses, proximal locking screws of NCB-DFs were inserted and locked into the distal inter-locking holes of Natural Nails. This “nail-plate docking technique” could allow for more stable fixation of the whole femur with minimally invasive surgical intervention while preserving the existing implant. Although there are a few surgical technical knacks and pitfalls in inserting the screw, further fractures of the femur could also be prevented with this technique. |
| first_indexed | 2024-04-11T06:23:24Z |
| format | Article |
| id | doaj.art-d4cc3ae258054f8daa790f3eb58640b5 |
| institution | Directory Open Access Journal |
| issn | 2352-6440 |
| language | English |
| last_indexed | 2024-04-11T06:23:24Z |
| publishDate | 2022-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Trauma Case Reports |
| spelling | doaj.art-d4cc3ae258054f8daa790f3eb58640b52022-12-22T04:40:30ZengElsevierTrauma Case Reports2352-64402022-12-0142100722Total femur fixation using the “nail-plate docking technique” for ipsilateral femur shaft fractureHirokazu Takai0Yuto Nonoue1Masato Kitajima2Shingo Hama3Tomoki Takahashi4Corresponding author at: Department of Orthopaedic Surgery, Kumamoto Kinoh Hospital, 6-8-1 Yamamuro, Kitaku, Kumamoto 860-8518, Japan.; Department of Orthopaedic Surgery, Kumamoto Kinoh Hospital, Kumamoto, Kumamoto, JapanDepartment of Orthopaedic Surgery, Kumamoto Kinoh Hospital, Kumamoto, Kumamoto, JapanDepartment of Orthopaedic Surgery, Kumamoto Kinoh Hospital, Kumamoto, Kumamoto, JapanDepartment of Orthopaedic Surgery, Kumamoto Kinoh Hospital, Kumamoto, Kumamoto, JapanDepartment of Orthopaedic Surgery, Kumamoto Kinoh Hospital, Kumamoto, Kumamoto, JapanIn an aging society, the number of femoral fractures is increasing, as well as the incidence of periprosthetic fractures. These secondary fractures are often difficult to fixate stably because of the osteoporotic bone and the existence of the former implant. Herein, we present two cases of secondary femoral shaft fractures after osteosyntheses for distal femur fractures with polyaxial locking plates (Non-Contact-Bridging Distal Femur, NCB-DF®, ZimmerBIOMET, Winterthur, Switzerland). Antegrade intramedullary nails (Natural Nail®-GT Femoral, ZimmerBIOMET, Winterthur, Switzerland) were utilized without removal of the NCB-DFs. In these osteosyntheses, proximal locking screws of NCB-DFs were inserted and locked into the distal inter-locking holes of Natural Nails. This “nail-plate docking technique” could allow for more stable fixation of the whole femur with minimally invasive surgical intervention while preserving the existing implant. Although there are a few surgical technical knacks and pitfalls in inserting the screw, further fractures of the femur could also be prevented with this technique.http://www.sciencedirect.com/science/article/pii/S2352644022001182Femoral shaft fracturePeriprosthetic fractureDistal femoral fractureOsteosynthesisPolyaxial locking plateIntramedullary nail |
| spellingShingle | Hirokazu Takai Yuto Nonoue Masato Kitajima Shingo Hama Tomoki Takahashi Total femur fixation using the “nail-plate docking technique” for ipsilateral femur shaft fracture Trauma Case Reports Femoral shaft fracture Periprosthetic fracture Distal femoral fracture Osteosynthesis Polyaxial locking plate Intramedullary nail |
| title | Total femur fixation using the “nail-plate docking technique” for ipsilateral femur shaft fracture |
| title_full | Total femur fixation using the “nail-plate docking technique” for ipsilateral femur shaft fracture |
| title_fullStr | Total femur fixation using the “nail-plate docking technique” for ipsilateral femur shaft fracture |
| title_full_unstemmed | Total femur fixation using the “nail-plate docking technique” for ipsilateral femur shaft fracture |
| title_short | Total femur fixation using the “nail-plate docking technique” for ipsilateral femur shaft fracture |
| title_sort | total femur fixation using the nail plate docking technique for ipsilateral femur shaft fracture |
| topic | Femoral shaft fracture Periprosthetic fracture Distal femoral fracture Osteosynthesis Polyaxial locking plate Intramedullary nail |
| url | http://www.sciencedirect.com/science/article/pii/S2352644022001182 |
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