Document Detail


Intramedullary nailing of multiple long-bone fractures of the lower extremity at the same surgery: a single-center experience.
MedLine Citation:
PMID:  12768471     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We evaluated the outcome of multiple intramedullary nailing at the same surgery for traumatic long-bone fractures. All but 2 of 27 patients (average age 40) had been involved in motor vehicle accidents, and 17 of them presented with other associated nonorthopedic injuries. Ten patients had open fractures. Sixty-one nails were used. The average time from accident to fixation was 8.16 h, and the average time in the operating room was 5.4 h. No patients died; all required blood transfusion; and eight patients were admitted for at least 24 h to the intensive care unit. The average hospital stay was 27 days, the mean time to full weight-bearing was 4 months, and the average time to radiographic healing was 7.5 months. Three patients required dynamization to achieve fracture union; three underwent exchange nailing for nonunion and one for nail breakage. Thus, early fixation of multiple long-bone fractures by intramedullary nailing in polytrauma patients is an acceptable treatment method.
Authors:
Adel Sabboubeh; Paul A Banaszkiewicz; Ian McLeod; George Patrick Ashcroft; Nicola Maffulli
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association     Volume:  8     ISSN:  0949-2658     ISO Abbreviation:  J Orthop Sci     Publication Date:  2003  
Date Detail:
Created Date:  2003-05-27     Completed Date:  2003-09-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9604934     Medline TA:  J Orthop Sci     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  313-8     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, University of Aberdeen Medical School, Aberdeen AB25 2ZD, Scotland, UK.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Fracture Fixation, Intramedullary* / adverse effects
Humans
Injury Severity Score
Multiple Trauma / surgery*
Tibial Fractures / surgery
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Correction of tibial deformity in adults.
Next Document:  Scaphotrapeziotrapezoid fusion: long-term follow-up study.