This Article
Right arrow Full Text (PDF)
Right arrow Letters to the Editor: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Letters to the Editor are posted
Right arrow Alert me if a correction is posted
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrowReprints and Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Hajek, P. D.
Right arrow Articles by Saha, S.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Hajek, P. D.
Right arrow Articles by Saha, S.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Technorati  
What's this?

The Journal of Bone and Joint Surgery, Vol 75, Issue 4 519-525, Copyright © 1993 by Journal of Bone and Joint Surgery, Inc

JOURNAL CONTENTS

The use of one compared with two distal screws in the treatment of femoral shaft fractures with interlocking intramedullary nailing. A clinical and biomechanical analysis

PD Hajek, HR Bicknell, WE Bronson, JA Albright and S Saha
Department of Orthopaedic Surgery, Louisiana State University Medical Center, Shreveport 71130-3932.

The torsional and compressive biomechanical characteristics of a system for intramedullary fixation with a slotted locking nail and either one or two distal locking screws were evaluated in sixteen femora obtained from eight cadavera. No significant difference was found in the torsional rigidity or axial load to failure when one as opposed to two distal screws had been used. We also managed twenty-seven patients who had a fracture of the femoral shaft with interlocking fixation, using only a single distal screw for distal fixation. The average duration of follow-up was nine months (range, three to twenty-five months). The average time to radiographic healing was three months (range, two to six and one-half months). There were no non-unions or failures of the implant. Clinically unimportant migration of the distal screw occurred in five patients. We concluded that one distal screw provides adequate distal fixation of fractures of the femoral shaft treated with interlocking intramedullary nailing.
Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Technorati Technorati    What's this?


This article has been cited by other articles:


Home page
 JBJSHome page
R. J. BRUMBACK, T. R. TOAL, M. S. MURPHY-ZANE, V. P. NOVAK, and S. M. BELKOFF
Immediate Weight-Bearing After Treatment of a Comminuted Fracture of the Femoral Shaft with a Statically Locked Intramedullary Nail
J. Bone Joint Surg. Am., November 1, 1999; 81(11): 1538 - 44.
[Abstract] [Full Text]