New problems in old bones: closed nailing of the shaft of the femur

Closed medullary nailing is now established as a routine treatment of fractures of the shaft of the femur. However, the quality of the bone in elderly patients is such that serious technical difficulties may arise during the operation. Three typical cases illustrate the problems that may occur and p...

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Veröffentlicht in:	Injury 1987-07, Vol.18 (4), p.274-277
Hauptverfasser:	Jenkins, N.H., Mintowt-Czyz, W.J., Graham, G.P., Jones, D.G.
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Aged, 80 and over Biological and medical sciences Female Femoral Fractures - diagnostic imaging Femoral Fractures - surgery Femur - diagnostic imaging Femur - surgery Fracture Fixation, Intramedullary - adverse effects Fracture Fixation, Intramedullary - methods Humans Injuries of the limb. Injuries of the spine Medical sciences Middle Aged Radiography Traumas. Diseases due to physical agents
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Beschreibung
Zusammenfassung:	Closed medullary nailing is now established as a routine treatment of fractures of the shaft of the femur. However, the quality of the bone in elderly patients is such that serious technical difficulties may arise during the operation. Three typical cases illustrate the problems that may occur and point the lesson that closed nailing in the elderly ought not to be undertaken by the inexperienced surgeon.
ISSN:	0020-1383 1879-0267
DOI:	10.1016/0020-1383(87)90013-1