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Chapter
Indication and Contraindication of Femoral Nailing
Closed femoral nailing is a treatment of choice in femoral shaft fractures with various degrees of comminution. The static interlocking method enables us to fix them without a risk of collapse at the comminute...
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Chapter
Bone Defect Due to Open Fracture and/or Infection After Osteosynthesis
IM nailing is an attractive option for the open femoral shaft fracture, especially in Gustilo-Anderson type I and II. After meticulous debridement and soft tissue reconstruction, the indication can be expanded...
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Chapter
Subtrochanteric Fracture: Malalignment and Nonunion After IM Nailing
The proximal fragment usually has flexion, abduction, and external rotation deformity because of the iliopsoas and short external rotator muscles. Malalignment is usually associated with gaps resulting in many...
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Chapter
Intramedullary Nailing in the Deformed Medullary Canal
IM nailing is challenging in the deformed medullary canal caused by various reasons, such as malunion, osteopetrosis, osteogenesis imperfecta, rickets, and osteoblastic bone metastasis.
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Chapter
Various Problems Encountered During the Removal of the IM Nail
The removal of the nail is necessary if pain persists at the buttock and thigh due to the prominence of a nail tip or a lag screw after the bone union. The removal of metalwork occasionally causes unexpected p...
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Chapter
Fracture Healing Mechanism after IM Nailing
Fracture results in disruption of blood vessels and hematoma formation within the surrounding soft tissue. With the onset of inflammation, regeneration begins by migrating mesenchymal stem cells, endothelial c...
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Chapter
Ipsilateral Femoral Neck Fracture
Ipsilateral femoral neck fractures are associated with 1–9% of high-energy femoral shaft fractures. The displaced ipsilateral femoral neck fracture must be reduced and fixed at first, whatever the treatment me...
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Chapter
Isthmic or Non-isthmic Femoral Nonunion After IM Nailing
Most surgeons agree that IM nailing is the treatment of choice for femoral shaft fracture. The union rates of IM femoral nailing range from 97% to 99.1%. The introduction of interlocked nailing has decreased t...
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Chapter
Brief History of Evolution of Femoral Nail
During World War II, Gerhard Küntscher introduced a successful intramedullary (IM) nailing technique for femoral shaft fracture. He published his early work in “Technik der Marknagelung” (Intramedullary Nailin...
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Chapter
Antegrade Femoral Nailing for Femoral Shaft Fracture
Prominent lesser trochanter shown in the hip AP images indicates the external rotation of the proximal fragment. Internal rotation of the proximal fragment provides clear anatomic landmarks in the superior bor...
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Chapter
Atypical Femoral Fracture (AFF)
To satisfy the case definition of AFF, the fracture must be located along the femoral diaphysis from just distal to the lesser trochanter to just proximal to the supracondylar flare. In addition, at least four...
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Book
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Article
Estimating the future clinical and economic benefits of improving osteoporosis diagnosis and treatment among women in South Korea: a simulation projection model from 2020 to 2040
Using a microsimulation model, the impact of increased diagnosis and treatment of postmenopausal women with osteoporosis on anticipated reduction in fractures and associated costs in South Korea from 2020 to 2...
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Article
Anatomical landmarks for acetabular abduction in adult hips: the teardrop vs. the inferior acetabular rim
The purpose of this study is to compare the acetabular teardrop (the structure located inferomedially in the acetabulum, just superior to the obturator foramen. The medial lip is the interior, and the lateral ...
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Article
Assessment of patient-reported outcomes (PROs): treatment satisfaction, medication adherence, and quality of life (QoL) and the associated factors in postmenopausal osteoporosis (PMO) patients in Korea
Patient-reported outcomes (PROs) provide practical guides for treatment; however, studies that have evaluated PROs of women in Korea with postmenopausal osteoporosis (PMO) are lacking. This cross-sectional, mu...
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Article
Open AccessNeural predisposing factors of postoperative delirium in elderly patients with femoral neck fracture
Elderly adults are more likely to develop delirium after major surgery, but there is limited knowledge of the vulnerability for postoperative delirium. In this study, we aimed to identify neural predisposing f...
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Article
Amputated limb by cerclage wire of femoral diaphyseal fracture: a case report
An entrapment of the femoral artery by cerclage wiring is a rare complication after spiral diaphyseal femoral fractures. We report the case of an 82-year-old female treated by an antegrade intramedullary naili...
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Article
Open AccessA personality trait contributes to the occurrence of postoperative delirium: a prospective study
Although various physical risk factors for delirium have been identified, the effect of psychological aspects is currently unknown. This study aimed to examine psychological risk factors for postoperative deli...
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Article
Plate augmentation and autologous bone grafting after intramedullary nailing for challenging femoral bone defects: a technical note
The treatment of a large segmental defect of over 6 cm in a long bone is a challenging procedure. Treatment options include cancellous bone graft (e.g., the Masquelet technique), vascularized fibular graft (VF...
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Article
Early diagnosis of impending femoral insufficiency fractures by use of MRI: case report and review of the literature
