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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Factors influencing neck anteversion during femoral nailing: A retrospective analysis of 220 torsion-difference CTs
Injury, Volume 42, No. 11, Year 2011
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Description
Background: Rotational malalignment is a well-known complication following intramedullary nailing of femoral shaft fractures. The hypothesis of this study is that various modifiable factors, such as position on the surgical table or nailing technique, influence the incidence of torsional abnormalities. Methods: For this retrospective study, we analysed the data of 220 consecutive patients with femoral shaft fractures and postoperative torsion-difference computed tomographies (CTs), performed from 2001 to 2009 in our institution. Mean age of the patients was 33 ± 15 years. Average delay to surgery was 8 ± 11 days. The average postoperative neck anteversion difference between both sides was 11 ± 8°. A p value <0.05 was considered to be statistically significant. Results: The average postoperative neck anteversion difference between both sides was not significantly affected from the position of the patient on the surgical table (supine or lateral, p = 0.698), the delay till surgery (p = 0.989), the nailing technique (antegrade or retrograde, p = 0.793; reamed or unreamed, p = 0.930), the type of the implant (p = 0.885) and the experience of the surgeon (p = 0.055). Furthermore, the learning curve regarding this complication was long and not predictable. Conclusions: We could not identify any risk factors that are associated with an increased incidence of torsional deformities, and thus our hypothesis could not be confirmed. The inability to identify such risk factors renders the prevention of this complication particularly problematic. The invention of new techniques for better intra-operative control of the torsion is probably the only solution to further reduce the incidence of postoperative malrotational deformities. © 2011 Elsevier Ltd. All rights reserved.
Authors & Co-Authors
Liodakis, Emmanouil
Germany, Hannover
Hannover Medical School
Kenawey, Mohamed Omar
Egypt, Sohag
Faculty of Medicine
Petri, Maximilian
Germany, Hannover
Hannover Medical School
Zümrüt, Azad
Germany, Hannover
Hannover Medical School
Hawi, Nael
Germany, Hannover
Hannover Medical School
Krettek, Christian C.
Germany, Hannover
Hannover Medical School
Citak, Musa
Germany, Hannover
Hannover Medical School
Statistics
Citations: 23
Authors: 7
Affiliations: 2
Identifiers
Doi:
10.1016/j.injury.2011.06.004
ISSN:
00201383
e-ISSN:
18790267
Research Areas
Health System And Policy
Violence And Injury
Study Design
Cohort Study