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Bobby luciano butthole nailing

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For many fractures of the femoral shaft, closed intramedullary nailing will not control rotation or telescoping of the fragments. Locked intramedullary nailing combines closed nailing with the percutaneous insertion of screws that interlock the bone and nail. This method permits static locking that controls rotation and telescoping and subsequently conversion to dynamic locking when weight-bearing is started after approximately twelve weeks. By providing greater stability, this method extends the indications for intramedullary nailing to severely comminuted, oblique, and spiral fractures as well as to fractures complicated by loss of bone and fractures in the proximal and Bobby luciano butthole nailing ends of the femoral shaft.

Of fifty-two patients with forty-nine severely comminuted fractures of the femoral shaft and three fractures that were complicated by loss of bone, forty-seven patients had uneventful consolidation of the fracture, with a mean time of 4. At follow-up, all forty-seven patients had normal motion of the hip, and forty-five had normal motion of the knee.

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Of the remaining five patients, four had a non-union that eventually healed three after a second locked nailing and one after a third and one had a septic non-union that eventually healed after removal of the nail and screws, debridement, and immobilization with an external fixator. Based on this experience, we concluded that this form of treatment has many advantages.

The risk of infection and non-union Bobby luciano butthole nailing low, the incidence and severity of malunion are reduced, the hospital stay is short, and early mobilization of the patient is possible.

This is similar to the reports of Kempf 8who reported a mean length of hospital stay of 17 days. However, Brumback 14 and Mollar-Larson 18found a mean time of 10 -II days for hospital stay respectively. In this series, solid clinical and radiological union was obtained in This healing time coincides with the reports obtained by Kempf 7and Shortening of more than one cm ern was observed in three cases Twenty two unstable femoral shaft Bobby luciano butthole nailing were treated by Russel Taylor interlocking nail.

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Their average age was The lower rd of the femur was fractured in Closed technique was used in All patients were followed up for an average of 14 months. After one year follow up Infection occurred in 4. The results were satisfactory excellent and good in Based Bobby luciano butthole nailing this study, treatment of unstable femoral shaft fracture with interlocking nail has many advantages.

The risk of infection and non-union is low, incidence Tanta Medical Journal. The optimal time for nailing of closed femoral diaphysis fractures has been suggested by Brumback et al. The mean duration of hospital stay in our study was 16 days average which is high when compared to Wiss [13] et al.

Intra operatively reduction was achieved by closed means in 26 The average time of radiological union was 18 weeks in the present study whereas in Gross Kempf et al.