Femoral nailing for metastatic disease of the femur: a comparison of reamed and unreamed femoral nailing.

A total of 73 consecutive intramedullary femoral nails were inserted for metastatic disease of the femur; 43 were reamed and 30 were solid nails. The two groups were similar with regards to age, type of primary tumour, anatomical site, acute or 'impending' fracture and postoperative surviv...

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Main Authors: Cole, A, Hill, G, Theologis, T, Gibbons, C, Willett, K
Format: Journal article
Language:English
Published: 2000
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author Cole, A
Hill, G
Theologis, T
Gibbons, C
Willett, K
author_facet Cole, A
Hill, G
Theologis, T
Gibbons, C
Willett, K
author_sort Cole, A
collection OXFORD
description A total of 73 consecutive intramedullary femoral nails were inserted for metastatic disease of the femur; 43 were reamed and 30 were solid nails. The two groups were similar with regards to age, type of primary tumour, anatomical site, acute or 'impending' fracture and postoperative survival. The 'solid' nail offers a satisfactory alternative form of stabilisation for metastatic disease of the femur with rates of implant failure which are comparable with the reamed nail. In this series bilateral nailing was not associated with any increase in mortality. Contrary to other reports, imposing a delay in patients with pain and a short life expectancy seems unjustified. The use of the 'solid' femoral nail does not prevent sudden death due to massive fat embolism.
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spelling oxford-uuid:3b3abeef-5b65-4444-89f9-be3c893bdf662022-03-26T14:06:22ZFemoral nailing for metastatic disease of the femur: a comparison of reamed and unreamed femoral nailing.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:3b3abeef-5b65-4444-89f9-be3c893bdf66EnglishSymplectic Elements at Oxford2000Cole, AHill, GTheologis, TGibbons, CWillett, KA total of 73 consecutive intramedullary femoral nails were inserted for metastatic disease of the femur; 43 were reamed and 30 were solid nails. The two groups were similar with regards to age, type of primary tumour, anatomical site, acute or 'impending' fracture and postoperative survival. The 'solid' nail offers a satisfactory alternative form of stabilisation for metastatic disease of the femur with rates of implant failure which are comparable with the reamed nail. In this series bilateral nailing was not associated with any increase in mortality. Contrary to other reports, imposing a delay in patients with pain and a short life expectancy seems unjustified. The use of the 'solid' femoral nail does not prevent sudden death due to massive fat embolism.
spellingShingle Cole, A
Hill, G
Theologis, T
Gibbons, C
Willett, K
Femoral nailing for metastatic disease of the femur: a comparison of reamed and unreamed femoral nailing.
title Femoral nailing for metastatic disease of the femur: a comparison of reamed and unreamed femoral nailing.
title_full Femoral nailing for metastatic disease of the femur: a comparison of reamed and unreamed femoral nailing.
title_fullStr Femoral nailing for metastatic disease of the femur: a comparison of reamed and unreamed femoral nailing.
title_full_unstemmed Femoral nailing for metastatic disease of the femur: a comparison of reamed and unreamed femoral nailing.
title_short Femoral nailing for metastatic disease of the femur: a comparison of reamed and unreamed femoral nailing.
title_sort femoral nailing for metastatic disease of the femur a comparison of reamed and unreamed femoral nailing
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AT hillg femoralnailingformetastaticdiseaseofthefemuracomparisonofreamedandunreamedfemoralnailing
AT theologist femoralnailingformetastaticdiseaseofthefemuracomparisonofreamedandunreamedfemoralnailing
AT gibbonsc femoralnailingformetastaticdiseaseofthefemuracomparisonofreamedandunreamedfemoralnailing
AT willettk femoralnailingformetastaticdiseaseofthefemuracomparisonofreamedandunreamedfemoralnailing