Undetected iatrogenic lesions of the anterior femoral shaft during intramedullary nailing: a cadaveric study

BACKGROUND: The incidence of undetected radiographically iatrogenic longitudinal splitting in the anterior cortex during intramedullary nailing of the femur has not been well documented. METHODS: Cadaveric study using nine pairs of fresh-frozen femora from adult cadavers. The nine pairs of femora un...

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Detalles Bibliográficos
Autores principales: Papadakis, Stamatios A, Zalavras, Charalampos, Mirzayan, Raffy, Shepherd, Lane
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2008
Materias:
Research Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2490680/
https://www.ncbi.nlm.nih.gov/pubmed/18637197
http://dx.doi.org/10.1186/1749-799X-3-30
Descripción
Sumario:BACKGROUND: The incidence of undetected radiographically iatrogenic longitudinal splitting in the anterior cortex during intramedullary nailing of the femur has not been well documented. METHODS: Cadaveric study using nine pairs of fresh-frozen femora from adult cadavers. The nine pairs of femora underwent a standardized antegrade intramedullary nailing and the detection of iatrogenic lesions, if any, was performed macroscopically and by radiographic control. RESULTS: Longitudinal splitting in the anterior cortex was revealed in 5 of 18 cadaver femora macroscopically. Anterior splitting was not detectable in radiographic control. CONCLUSION: Longitudinal splitting in the anterior cortex during intramedullary nailing of the femur cannot be detected radiographically.

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