Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Intramedullary osteosynthesis after external fixation.

S Paderni1, P Trentani, G Grippo

  • 1VII Divisione, Istituto Ortopedico Rizzoli, Bologna.

La Chirurgia Degli Organi Di Movimento
|May 25, 2002
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

The Avantage ® dual mobility cup in primary total hip arthroplasty: A registry study.

Journal of orthopaedics·2024
Same author

Two-stage reimplantation for periprosthetic knee infection: Influence of host health status and infecting microorganism.

The Knee·2012
Same author

Total knee arthroplasty for post-traumatic proximal tibial bone defect: three cases report.

The open orthopaedics journal·2011
Same author

Total knee arthroplasty in stiff knee compared with flexible knees.

Musculoskeletal surgery·2011
Same author

Gap balancing versus measured resection technique using a mobile-bearing prosthesis in computer-assisted surgery.

Musculoskeletal surgery·2011
Same author

Three-dimensional analysis of image-free navigation system for total knee arthroplasty.

Musculoskeletal surgery·2010
Same journal

Delay in diagnosis of acute on chronic exertional compartment syndrome of the leg.

La Chirurgia degli organi di movimento·2009
Same journal

Stress fracture of the fourth metatarsal in a child: a case report and review of the literature.

La Chirurgia degli organi di movimento·2009
Same journal

Early aseptic loosening of a porous tantalum knee prosthesis.

La Chirurgia degli organi di movimento·2009
Same journal

Nonunion of a Hoffa fracture in an adult.

La Chirurgia degli organi di movimento·2009
Same journal

Tibial plateau fractures in elderly patients.

La Chirurgia degli organi di movimento·2009
Same journal

Acetabular transverse nonunion treated by a hemispherical press-fit cup and structural autologous bone graft.

La Chirurgia degli organi di movimento·2009
See all related articles

This study found that sequential intramedullary osteosynthesis after external fixation effectively achieves bone consolidation in tibia and femur fractures, even in complex open fracture cases. Post-operative infections did not impede fracture healing.

Area of Science:

  • Orthopedic Surgery
  • Trauma Management

Background:

  • External fixation is often used for severe tibia and femur fractures, especially open ones.
  • Subsequent intramedullary osteosynthesis is a common treatment for nonunion or delayed union after external fixation.

Purpose of the Study:

  • To evaluate the efficacy of sequential intramedullary osteosynthesis following external fixation for tibia and femur fractures.
  • To assess outcomes, including consolidation rates and infection complications.

Main Methods:

  • Retrospective study of 30 patients with tibia and femur fractures treated with external fixation followed by intramedullary osteosynthesis.
  • Fractures included open injuries (Gustilo Anderson types I, II, III) and cases of nonunion or delayed union.
  • Data collected on duration of external fixation, timing of intramedullary nailing, and consolidation time.

Related Experiment Videos

Main Results:

  • All 30 cases achieved bone consolidation, with an average time of 31 weeks post-trauma.
  • Intramedullary osteosynthesis was performed after external fixation for nonunion/delayed union in 24 cases and as planned treatment in 6 cases.
  • Infection occurred in 13.33% during external fixation and 10% overall, but did not prevent consolidation.

Conclusions:

  • Sequential intramedullary osteosynthesis is a successful treatment for achieving consolidation in tibia and femur fractures previously managed with external fixation.
  • The technique demonstrates effectiveness even in complex cases involving open fractures and delayed healing.
  • While infection is a risk, it does not necessarily compromise the final outcome of fracture consolidation.