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January 1, 2010Journal of Trauma and Acute Care Surgery

Closed Intramedullary Nailing of the Femur in the Lateral Decubitus Position

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Key result

Intramedullary nailing of the femur in the lateral decubitus position was safe and effective, with only 8 of 158 patients requiring revision surgery for malreductions or hardware complications.

Why the study?

Does closed intramedullary nailing of the femur in the lateral decubitus position provide safe and effective clinical and radiographic outcomes in patients with femur fractures?

Population

158 patients with femur fractures treated by a single surgeon over a 3-year period

Design

Cohort

Authors

JBJulius A. BishopStanford MedicineEREdward K. RodriguezBeth Israel Deaconess Medical Center

Discussion

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Implication

Supports lateral decubitus femoral nailing without fracture table in observational data; leaves open need for randomized trials versus supine positioning.

Study Design

Type

Cohort (n=158)

Multicenter

No

Structured PICO

Does closed intramedullary nailing of the femur in the lateral decubitus position provide safe and effective clinical and radiographic outcomes in patients with femur fractures?

P
Population
158 patients with diaphyseal, intertrochanteric, subtrochanteric, or peritrochanteric femur fractures treated with intramedullary nailing in the lateral position by a single surgeon.
E
Exposure
Closed intramedullary nailing in the lateral decubitus position
O
Outcome
Clinical and radiographic outcomes (including malreductions, limb length discrepancy, hardware failure, nonunion, and traction-related complications)safety

Closed intramedullary nailing of the femur in the lateral decubitus position is a safe and effective technique that avoids the need for a fracture table and has a comparable complication incidence to supine positioning.

Cite This Study

Bishop et al. (2010) conducted a cohort in Femur fractures (n=158). Intramedullary nailing in the lateral decubitus position was evaluated on Clinical and radiographic outcomes (complications and revision surgery). Intramedullary nailing of the femur in the lateral decubitus position was safe and effective, with only 8 of 158 patients requiring revision surgery for malreductions or hardware complications.

synapsesocial.com/papers/6a97d652a2c7923eae15e03ehttps://doi.org/10.1097/ta.0b013e3181c488d8
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Length of Operative Procedures: Reamed Femoral Intramedullary Nailing Performed With and Without a Fracture Table1998 · 61 citations
  2. 2Proximal Thigh Pain after Femoral Nailing: Causes and Treatment1997 · 165 citations
  3. 3Evaluation and treatment of diastematomyelia.1993 · 98 citations
  4. 4PROXIMAL THIGH PAIN AFTER FEMORAL NAILING1997 · 43 citations