Pertrochanteric Fractures: Cement Augmentation
Fig. 17.1 An 88-year old lady sustained a right hip fracture by stumbling from a single stair. (a) The preoperative pelvic overview shows an unstable pertrochanteric fracture, AO/OTA classification 32-A2….
Preoperative Planning
Fig. 5.1 A computerized navigation tool for determining femoral version and rotational reduction. As proximally the center of the femoral head and the greater trochanteric tip are marked, distally the…
Physiologic Effects Associated with Intramedullary Reaming
Nutrient artery: blood supply of the inner 2/3 of the cortical bone Periosteal arterial vessels: blood supply of the outer 1/3 of the cortical bone Venous system = capacity vessels = venous pooling Veins…
Interlocking
Fig. 4.1 Sequence of locking/‘backslap technique’. Backslap technique for avoiding fragment diastasis. (a) Schematic drawing of a midshaft fracture with a bending wedge. (b) Friction between the nail and the…
History of Intramedullary Nailing
Fig. 1.1 A case from Bircher [4], the ivory peg was removed and the fracture went on to union During the turn of the century, as Europeans explored the tropics,…
Intramedullary Nailing of the Clavicle
Displacement of the two main fragments of more than shaft diameter Comminution Clavicle shortening of more than 1.5 cm compared to uninjured side Angulation of more than 30° Open fractures…
Hindfoot Arthrodesis
Fig. 28.1 Preoperative (a anteroposterior and b lateral) and postoperative (c anteroposterior and d lateral) radiographs in a patient with hindfoot arthritis and stress fracture of the fibula secondary to…
Complications of Intramedullary Nailing
Fig. 8.1 Example of intramedullary nail fixation in a proximal tibia fracture with severe primary valgus deformity and distraction in the fracture site An accurately placed entry point for any…
Soft Tissue Management and Postoperative Care
Fig. 7.1 (a) Midshaft transverse fracture of the tibia (AO/OTA type 42-A3) after a soccer accident in an 18 year old male. Radiograph ad admission. (b, c) Intramedullary nailing with…