mal-union in femoral fracture treated by titanium elastic nailing department of orthopaedics,...
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Mal-union in Femoral Fracture Treated by Titanium Elastic nailing
Department of Orthopaedics, College of Medicine, Chung-Ang University,
Seoul, Korea
Ho-Joong Jung
Discussion
What’s wrong in treatment? This patient was just 8 years old and simple transverse fracture.
Nail entry pointPostoperative rehabilitation or protectionFracture nature (Fracture location or injury
force)
Discussion
Relatively short distance(distal shaft fracture)
Medial entry point results in Valgus deformity in prox. Tibia Fx.
Wrong entry point problem !
Discussion Postoperative management
ROM exercise was allowed without protection at imm-POP.Crutch walking is allowed if the patient is tolerable.
This is the first case which showed so terrible result.I have to think it over about post operative rehab.
Discussion Fracture nature
Relatively high injury force seemed to be related with delayed union.
Distal third fracture tend to have more complication.- related with fixation stability ? - more wide canal, - close to entry point
I’ll pay more attention if I meet high injury, distal third femoral fracture, next time !
Flynn et al. J Bone Joint Surg Br, 2006
Cx in TEN of femur Fx in children