Retrograde entry portal for femoral interlocking nailing in femoral nonunion after plate failure: a prospective comparative study with antergrade portal

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• 作者：Yasser Assaghir
• 关键词：Failed plate fixation ; Interlocking nail femur ; Retrograde portal of entry ; Antegrade nailing ; Femoral nonunion
• 刊名：Journal of Orthopaedics and Traumatology
• 出版年：2017
• 出版时间：March 2017
• 年：2017
• 卷：18
• 期：1
• 页码：77-82
• 全文大小：802KB
• 刊物类别：Medicine
• 刊物主题：Orthopedics; Conservative Orthopedics; Surgical Orthopedics; Rheumatology; Sports Medicine; Traumatic Surgery;
• 出版者：Springer International Publishing
• ISSN：1590-9999
• 卷排序：18

文摘

The piriformis fossa is the ideal portal of entry for antegrade interlocking nailing. Localizing this portal can be difficult and its eccentricity leads to complications. This prospective comparative study was designed to compare an innovative way to obtain the ideal portal from inside the medullary canal in cases of plate failure and compare it to the classic antegrade portal. It included 41 cases (19 antegrade and 22 retrograde). The retrograde portal was significantly better in terms of entry time, radiation time, blood-loss, and wound length. The proper portal was rapidly and easily achieved in all retrograde cases without complications; while four in antegrade cases had complications. Minimum follow-up was 2 years.