Operative Techniques in Orthopaedics
Volume 19, Issue 1 , Pages 24-30, January 2009

Surgical Technique for Adolescent Femur Fractures: The Trochanteric Entry Intramedullary Nail

  • R. Dale Blasier, MD, FRCS(C), MBA

      Affiliations

    • Corresponding Author InformationAddress reprint requests to R. Dale Blasier, MD, FRCS(C), MBA, Department of Orthopaedic Surgery, Arkansas Children's Hospital, 3 Children's Way, Little Rock, AR 72202

Department of Orthopaedic Surgery, Arkansas Children's Hospital and the University of Arkansas for Medical Sciences, Little Rock, AR

Locked intramedullary nailing provides a useful adjunct to the armamentarium of surgical treatment options for skeletally immature patients. It is particularly useful for older and heavier patients who are not well stabilized by flexible nails. New lateral entry nails and techniques enable safe nailing without a risk of avascular necrosis of the capital femoral epiphysis. Special consideration must be given during placement because the insertion point is not collinear with the axis of the femoral intramedullary canal.

Keywords: adolescent femur fracture, locked intramedullary nailing, lateral entry nail

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PII: S1048-6666(09)00079-2

doi:10.1053/j.oto.2009.03.007

Operative Techniques in Orthopaedics
Volume 19, Issue 1 , Pages 24-30, January 2009

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