What is intramedullary nailing procedure?
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 long does intramedullary nailing surgery take?
The operative time for the nailing in our study was 175 minutes. Treatment goals include allowing early mobilization of the patient, restoration and maintenance of normal length and alignment, the ability to consistently achieve union, and to maintain a normal, functional range of motion in the hip and knee.
What is an intramedullary fracture?
Intramedullary (IM) fracture fixation serves to stabilize fracture fragments and maintains alignment, while permitting motion at the fracture site during functional activities.
What are the key benefits to intramedullary nailing in the distal femur?
In any fracture fixation, the advantages of intramedullary nailing include indirect reduction with less stripping of periosteal blood supply and preservation of soft tissues and the fracture hematoma with its bone-forming cells and factors.
What is intramedullary nailing of femur?
An intramedullary nail is a metal rod that is inserted into the medullary cavity of a bone and across the fracture in order to provide a solid support for the fractured bone. Intramedullary nailing is currently considered the “gold standard” for treatment of femoral shaft fractures (Rudloff 2009).
Do intramedullary nails get removed?
Intramedullary nailing is the treatment of choice for fractures of the tibial shaft, which might necessitate the nail removal due to complications in the long-term. Although considered as a low-risk procedure, intramedullary nail removal is also associated with certain complications.
Should intramedullary nails be removed?
Is IM nailing the same as ORIF?
Compared with ORIF, IM nailing significantly reduced the operation time and complication rate. However, no significant differences were observed between the two surgical techniques in several outcomes, including time to union, union rate, radial bow magnitude, and loss of forearm rotation.
How long does pain last after femur fracture?
Your broken bone (fracture) was put into position and stabilized. You can expect some pain and swelling around the cut (incision) the doctor made. This should get better within a few days after your surgery. But it is normal to have some pain for 2 to 3 weeks after surgery and mild pain for up to 6 weeks after surgery.
What is intramedullary fixation?
Intramedullary nailing is an internal fixation technique mainly used for the surgical management of long bone diaphyseal fractures and since more recently, also in metaphyseal and periarticular fractures.
Is intramedullary nail an ORIF?
Humeral shaft fractures: a review. Definitive operative intervention for acute traumatic humeral shaft fractures generally consists of either open reduction with internal fixation (ORIF) or antegrade intramedullary nailing (IMN).