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Arthroscopy-Assisted Retrograde Nailing of Femoral Shaft Fractures

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Intraarticular Fractures

Abstract

The potential benefits of arthroscopic retrograde femoral nailing versus standard arthrotomy include early recovery as well as advantages related to direct visualization, such as the ability to treat concomitant intra-articular pathologies, remove intra-articular loose bodies and debris, and avoid or reduce the negative effects of ionizing radiation during fluoroscopic examination after nail insertion. Development of compartment syndrome should be avoided by maintaining the arthroscopic pressure below 50 mmHg. Arthroscopic retrograde femoral nailing is a safe technique for treating femoral fractures, especially in patients with concomitant intra-articular injuries.

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References

  • Acharya KN, Rao MR (2006) Retrograde nailing for distal third femoral shaft fractures: a prospective study. J Orthop Surg (Hong Kong) 14:253–258

    Article  CAS  Google Scholar 

  • Born CT, King PJ, Rehman S, Khoury L, Delong WG Jr (2006) Arthroscopically-assisted removal of retrograde intramedullary femoral nails. J Orthop Trauma 20:212–215

    Article  Google Scholar 

  • Clement H, Heidari N, Kosuge D, Grechenig W, Tesch NP, Weinberg AM (2011) Anatomical structures at risk with the proud retrograde femoral nail. Arch Orthop Trauma Surg 131:1539–1544

    Article  Google Scholar 

  • Gliatis J, Kouzelis A, Matzaroglou C, Lambiris E (2006) Arthroscopically assisted retrograde intramedullary fixation for fractures of the distal femur: technique, indications and results. Knee Surg Sports Traumatol Arthrosc 14:114–119

    Article  CAS  Google Scholar 

  • Guerra JJ, Della Valle CJ, Corcoran TA, Torg JS, Duda JR (1995) Arthroscopically assisted placement of a supracondylar intramedullary nail: operative technique. Arthroscopy 11:239–244

    Article  CAS  Google Scholar 

  • Krause M, Preiss A, Meenen NM, Madert J, Frosch KH (2016) “Fracturoscopy” is superior to fluoroscopy in the articular reconstruction of complex tibial plateau fractures—an arthroscopy assisted fracture reduction technique. J Orthop Trauma 30:437–444

    Article  Google Scholar 

  • Poyanli OS, Soylemez S, Ozkut AT, Esenkaya I, Unal OK, Kılınçoğlu V (2016) Use of provisional K wires instead of Poller screws for treatment of diametaphyseal fractures of the distal femur and proximal and distal tibia. Acta Orthop Belg 82:579–558

    CAS  PubMed  Google Scholar 

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Poyanli, O., Uygur, M.E., Söylemez, M.S. (2019). Arthroscopy-Assisted Retrograde Nailing of Femoral Shaft Fractures. In: Doral, M., Karlsson, J., Nyland, J., Benedetto, K. (eds) Intraarticular Fractures. Springer, Cham. https://doi.org/10.1007/978-3-319-97602-0_27

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  • DOI: https://doi.org/10.1007/978-3-319-97602-0_27

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-97600-6

  • Online ISBN: 978-3-319-97602-0

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