What is intramedullary nailing of hip?
Intramedullary nailing is surgery to repair a broken bone and keep it stable. The most common bones fixed by this procedure are the thigh, shin, hip, and upper arm. A permanent nail or rod is placed into the center of the bone. It will help you be able to put weight on the bone.
How do you fix an intertrochanteric fracture?
Intertrochanteric fractures are treated surgically with either a sliding compression hip screw and side plate or an intramedullary nail. The compression hip screw is fixed to the outer side of the bone with bone screws. A large secondary screw (lag screw) is placed through the plate into the femoral head and neck.
How is intramedullary nailing done?
To align the fractured bones and provide optimal healing support, the orthopaedic surgeon makes a small incision through the skin and tissue closest to one end of the broken bones. The surgeon then inserts a small rod-like nail device into the hollow center of the bone, called the medullary cavity.
What type of fracture is intertrochanteric?
An intertrochanteric fracture is a type of hip fracture or broken hip. The hip is made up of two bones—the femur, or “thigh bone,” and the pelvis, or “socket.” The hip is an important ball-in-socket joint that allows you to move your leg when walking.
What is flexible intramedullary nail?
Flexible intramedullary nailing, by allowing micromotion at fracture site, promotes bone healing without violating open physis and, being a closed procedure, has a low risk of infection.
When do you use intramedullary nails?
By using these principles, intramedullary nailing has been used successfully to treat fractures of the distal femur. When antegrade interlocked intramedullary nailing is done with the patient in the lateral decubitus position, the weight of the leg can cause valgus angulation.
What is internal fixation of intertrochanteric fracture?
Internal fixation is a most common surgical treatment for intertrochanteric fractures3, and intramedually (nails) and extramedually (screws or plates) fixations are two commonly used approaches8.
When is intramedullary nailing indicated in the treatment of intertrochanteric fractures?
Intramedullary nailing of an unstable intertrochanteric fracture with the Gamma nail, preoperatively, 1 month and 6 months after surgery Open in a separate window
Are nails better fixation devices for intertrochanteric fractures?
They found that the SHS was a better fixation device for the intertrochanteric fractures than nails. They also suggested intramedullary nails have advantages over extramedullary plates/screws for some unstable intertrochanteric fractures.
What is the goal of the operative treatment of intertrochanteric hip fractures?
The goal of the operative treatment of the intertrochanteric hip fractures is the stabilisation of the fracture and early patient mobilisation, restoring the function of the limb. This was achieved satisfactorily with the use of the two implant designs studied.