Injury
Volume 41, Issue 3 , Pages 300-305 , March 2010

Computer-assisted three-dimensional correlation between the femoral neck-shaft angle and the optimal entry point for antegrade nailing

  • George Anastopoulos

      Affiliations

    • 2nd Dpt. of Orthopaedic & Trauma Surgery, ‘G. Gennimatas’ Hospital of Athens, Greece
    • ,
  • Dionisios Chissas

      Affiliations

    • 2nd Dpt. of Orthopaedic & Trauma Surgery, ‘G. Gennimatas’ Hospital of Athens, Greece
    • ,
  • Joseph Dourountakis

      Affiliations

    • 2nd Dpt. of Orthopaedic & Trauma Surgery, ‘G. Gennimatas’ Hospital of Athens, Greece
    • ,
  • Panagiotis G. Ntagiopoulos

      Affiliations

    • 2nd Dpt. of Orthopaedic & Trauma Surgery, ‘G. Gennimatas’ Hospital of Athens, Greece
    • Corresponding Author InformationCorresponding author at: 65A, Ethnikis Antistaseos St, 152 31 Psichiko, Athens, Greece. Tel.: +30 6978 448 160; fax: +30 210 6717072.
    • ,
  • Evaggelos Magnisalis

      Affiliations

    • N. Smirni, Athens, Greece
    • ,
  • Antonios Asimakopoulos

      Affiliations

    • 2nd Dpt. of Orthopaedic & Trauma Surgery, ‘G. Gennimatas’ Hospital of Athens, Greece
    • ,
  • Theodore A. Xenakis

      Affiliations

    • Dpt. of Orthopaedic Surgery, University Hospital of Ioannina, University of Ioannina School of Medicine, Ioannina, Greece

,Accepted 4 September 2009.

References 

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  3. Bostman O, Varjonen L, Vainionpaa S. Incidence of local complications after intramedullary nailing and after plate fixation of femoral shaft fractures. J Trauma. 1989;29:639–645
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  13. Hasselman CT, Gruen GS. Principles of operative fracture stabilization and fixation. In:  Fitzgerald RH editors. Orthopaedics. USA, Mosby: St. Louis; 2004;p. 233–235
  14. Johnson K, Tencer A, Blumenthal S. Biomechanical performance of locked intramedullary nail systems in comminuted femoral shaft fractures. Clin Orthop Relat Res. 1986;206:151
  15. Johnson K, Tencer A, Sherman M. Biomechanical factors affecting fracture stability and femoral bursting in closed intramedullary nailing in femoral shaft fractures, with illustrative case presentations. J Orthop Trauma. 1987;1:1–11
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  18. Kempf I, Grosse A, Lafforgue D. L’ apport due verrouillage dans l’ enclouage centro-medullaire des os longs. Rev Chir Orthop. 1978;64:635–651
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  20. Küntscher G. In: Thomas C, editor. Practice of intramedullary nailing. IL, USA, Springfield; 1967. pp. 105–14.
  21. Küntscher G. In:  Küntscher G editors. Praxis de Marknagelung. Karger: Gemering/Munchen; 1962;
  22. Maruyama M, Feinberg JR, Capello WN, D’Antonio JA. The Frank Stinchfield Award: morphologic features of the acetabulum and femur: anteversion angle and implant positioning. Clin Orthop Relat Res. 2001;393:52–65
  23. Mileski R, Garvin K, Crosby L. Avascular necrosis of the femoral head in an adolescent following intramedullary nailing of the femur. J Bone Joint Surg Am. 1994;76A:1706–1708
  24. Miller SD, Burkart B, Damson E, et al. The effect of the entry hole for an intramedullary nail on the strength of the proximal femur. J Bone Joint Surg Br. 1993;75(2):202–206
  25. Moein CM, Verhofstad MH, Bleys RL, van der Werken C. Soft tissue injury related to choice of entry point in antegrade femoral nailing: piriform fossa or greater trochanter tip. Injury. 2005;36(11):1337–1342
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  27. Ricci WM, Schwappach J, Tucker M, et al. Trochanteric versus piriformis entry portal for the treatment of femoral shaft fractures. J Orthop Trauma. 2006;20(10):663–667
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☆ Level of Evidence: II; Development of diagnostic criteria on basis of consecutive cases.

PII: S0020-1383(09)00476-8

doi: 10.1016/j.injury.2009.09.007

Injury
Volume 41, Issue 3 , Pages 300-305 , March 2010

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