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Antegrade and Retrograde Femoral Nailing

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Handbook of Orthopaedic Trauma Implantology

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Abstract

Most femoral shaft fractures are treated surgically. Early surgical stabilization is linked to lower mortality and fewer complications An intramedullary nail is a metal rod that is placed across the fracture and into the medullary cavity of a bone to give the damaged bone a strong support. The most effective method of treating femoral shaft fractures is intramedullary nailing (IMN). Early fixation within 24–48 h after systemically stable patients’ onset lowers the risk of pulmonary problems, infection rates, and mortality. Intramedullary nailing is currently the “gold standard” for treating femoral shaft fractures. Intramedullary nailing has benefits such as short hospital stays, quick fracture healing, and early limb function. Patients with multiple injuries who were hemodynamically stable benefited the most from early fixation. The IMN’s insertion site lies outside the area of injury, keeping the blood flow in the area and conserving the hematoma’s helpful bone development hormones. Early weight-bearing after intramedullary nailing has additional advantages for maintaining muscle mass, function, strength, and mobility. Intramedullary nailing of diaphyseal femur fractures provides a stable fixation construct that can be applied using indirect reduction techniques and yield high union rate. Extended indication of nailing in complex fractures, a variety of intramedullary nails with modifications in designs, and related procedures are available depending on the pattern of the fracture.

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Authors and Affiliations

  1. Gadegone Orthopaedic and Trauma Care Hospital, Chandrapur, India

    Wasudeo Gadegone & Piyush Gadegone

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  1. Wasudeo Gadegone
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  2. Piyush Gadegone
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Editor information

Editors and Affiliations

  1. NH Narayana Superspeciality and Multispeciality Hospitals, Howrah, West Bengal, India

    Arindam Banerjee

  2. Technical University of Munich, Munich, Germany

    Peter Biberthaler

  3. Sri Lakshmi Narayana Institute of Medical Sciences, Puducherry, India

    Saseendar Shanmugasundaram

Section Editor information

  1. Nitte University, Tejasvini Hospital Group of Institutions, Mangalore, Karnataka, India

    Shantharam Shetty

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Gadegone, W., Gadegone, P. (2023). Antegrade and Retrograde Femoral Nailing. In: Banerjee, A., Biberthaler, P., Shanmugasundaram, S. (eds) Handbook of Orthopaedic Trauma Implantology. Springer, Singapore. https://doi.org/10.1007/978-981-19-7540-0_11

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  • DOI: https://doi.org/10.1007/978-981-19-7540-0_11

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-19-7539-4

  • Online ISBN: 978-981-19-7540-0

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