Cargando…

Definitive Treatment of Femoral Shaft Fractures: Comparison between Anterograde Intramedullary Nailing and Monoaxial External Fixation

Background: Femoral shaft fractures result from high-energy trauma. Despite intramedullary nailing (IMN) representing the gold standard option of treatment, external fixation (EF) can be used temporarily for damage control or definitively. The purpose of this study is to compare two different option...

Descripción completa

Detalles Bibliográficos
Autores principales: Testa, Gianluca, Vescio, Andrea, Aloj, Domenico Costantino, Papotto, Giacomo, Ferrarotto, Luigi, Massé, Alessandro, Sessa, Giuseppe, Pavone, Vito
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6723720/
https://www.ncbi.nlm.nih.gov/pubmed/31357687
http://dx.doi.org/10.3390/jcm8081119
_version_ 1783448835832414208
author Testa, Gianluca
Vescio, Andrea
Aloj, Domenico Costantino
Papotto, Giacomo
Ferrarotto, Luigi
Massé, Alessandro
Sessa, Giuseppe
Pavone, Vito
author_facet Testa, Gianluca
Vescio, Andrea
Aloj, Domenico Costantino
Papotto, Giacomo
Ferrarotto, Luigi
Massé, Alessandro
Sessa, Giuseppe
Pavone, Vito
author_sort Testa, Gianluca
collection PubMed
description Background: Femoral shaft fractures result from high-energy trauma. Despite intramedullary nailing (IMN) representing the gold standard option of treatment, external fixation (EF) can be used temporarily for damage control or definitively. The purpose of this study is to compare two different options, anterograde IMN and monoaxial EF, for the treatment of femoral shaft fractures. Methods: Between January 2005 and December 2014, patients with femoral shaft fractures operated on in two centers were retrospectively evaluated and divided into two groups: the IMN group (n = 74), and the EF group (n = 73). For each group, sex; laterality; age; and AO classification type mean follow-up, mean union time, and complications were reported. Results: Both groups were found to have no statistical differences (p > 0.05) in sex, laterality, age, and AO classification types. In the IMN group the average surgery duration was 79.7 minutes (range 45–130). The average time for bone union was 26.9 weeks. Major complications occurred in 4 (5.4%) patients. In the EF group the average follow-up duration was 59.8 months (range 28–160). The average time for bone union was 24.0 weeks. Major complications occurred in 16 (21.9%) patients. Conclusions: IMN is the gold standard for definitive treatment of femoral shaft fractures. In patients with severe associated injuries, EF should be a good alternative.
format Online
Article
Text
id pubmed-6723720
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-67237202019-09-10 Definitive Treatment of Femoral Shaft Fractures: Comparison between Anterograde Intramedullary Nailing and Monoaxial External Fixation Testa, Gianluca Vescio, Andrea Aloj, Domenico Costantino Papotto, Giacomo Ferrarotto, Luigi Massé, Alessandro Sessa, Giuseppe Pavone, Vito J Clin Med Article Background: Femoral shaft fractures result from high-energy trauma. Despite intramedullary nailing (IMN) representing the gold standard option of treatment, external fixation (EF) can be used temporarily for damage control or definitively. The purpose of this study is to compare two different options, anterograde IMN and monoaxial EF, for the treatment of femoral shaft fractures. Methods: Between January 2005 and December 2014, patients with femoral shaft fractures operated on in two centers were retrospectively evaluated and divided into two groups: the IMN group (n = 74), and the EF group (n = 73). For each group, sex; laterality; age; and AO classification type mean follow-up, mean union time, and complications were reported. Results: Both groups were found to have no statistical differences (p > 0.05) in sex, laterality, age, and AO classification types. In the IMN group the average surgery duration was 79.7 minutes (range 45–130). The average time for bone union was 26.9 weeks. Major complications occurred in 4 (5.4%) patients. In the EF group the average follow-up duration was 59.8 months (range 28–160). The average time for bone union was 24.0 weeks. Major complications occurred in 16 (21.9%) patients. Conclusions: IMN is the gold standard for definitive treatment of femoral shaft fractures. In patients with severe associated injuries, EF should be a good alternative. MDPI 2019-07-28 /pmc/articles/PMC6723720/ /pubmed/31357687 http://dx.doi.org/10.3390/jcm8081119 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Testa, Gianluca
Vescio, Andrea
Aloj, Domenico Costantino
Papotto, Giacomo
Ferrarotto, Luigi
Massé, Alessandro
Sessa, Giuseppe
Pavone, Vito
Definitive Treatment of Femoral Shaft Fractures: Comparison between Anterograde Intramedullary Nailing and Monoaxial External Fixation
title Definitive Treatment of Femoral Shaft Fractures: Comparison between Anterograde Intramedullary Nailing and Monoaxial External Fixation
title_full Definitive Treatment of Femoral Shaft Fractures: Comparison between Anterograde Intramedullary Nailing and Monoaxial External Fixation
title_fullStr Definitive Treatment of Femoral Shaft Fractures: Comparison between Anterograde Intramedullary Nailing and Monoaxial External Fixation
title_full_unstemmed Definitive Treatment of Femoral Shaft Fractures: Comparison between Anterograde Intramedullary Nailing and Monoaxial External Fixation
title_short Definitive Treatment of Femoral Shaft Fractures: Comparison between Anterograde Intramedullary Nailing and Monoaxial External Fixation
title_sort definitive treatment of femoral shaft fractures: comparison between anterograde intramedullary nailing and monoaxial external fixation
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6723720/
https://www.ncbi.nlm.nih.gov/pubmed/31357687
http://dx.doi.org/10.3390/jcm8081119
work_keys_str_mv AT testagianluca definitivetreatmentoffemoralshaftfracturescomparisonbetweenanterogradeintramedullarynailingandmonoaxialexternalfixation
AT vescioandrea definitivetreatmentoffemoralshaftfracturescomparisonbetweenanterogradeintramedullarynailingandmonoaxialexternalfixation
AT alojdomenicocostantino definitivetreatmentoffemoralshaftfracturescomparisonbetweenanterogradeintramedullarynailingandmonoaxialexternalfixation
AT papottogiacomo definitivetreatmentoffemoralshaftfracturescomparisonbetweenanterogradeintramedullarynailingandmonoaxialexternalfixation
AT ferrarottoluigi definitivetreatmentoffemoralshaftfracturescomparisonbetweenanterogradeintramedullarynailingandmonoaxialexternalfixation
AT massealessandro definitivetreatmentoffemoralshaftfracturescomparisonbetweenanterogradeintramedullarynailingandmonoaxialexternalfixation
AT sessagiuseppe definitivetreatmentoffemoralshaftfracturescomparisonbetweenanterogradeintramedullarynailingandmonoaxialexternalfixation
AT pavonevito definitivetreatmentoffemoralshaftfracturescomparisonbetweenanterogradeintramedullarynailingandmonoaxialexternalfixation