The incidence of fractures in the proximal femoral area has risen with the increasing numbers of elderly persons with osteoporosis and traffic accidents in young adults.
Fractures about the trochanteric area are classified according to the Orthopaedic Trauma Association classification system as AO/OTA 31-A, which delineates them as extracapsular fractures of the hip. These fractures are subdivided into groups A1, A2 and A3. A1 fractures are simple, two part fractures, whereas A2 fractures have multiple fragments. A3 fractures include reverse oblique and transverse fracture patterns.
There are two main types of implant available for the treatment of these fractures, namely, extramedullary and intramedullary implants [1–3]. Although the most widely used extramedullary implant is the dynamic hip screw, which consists of a sliding neck screw connected to a plate in the lateral femoral cortex, most authors have reported that this device is not suitable for AO/OTA 31-A3 reverse oblique or transverse fractures due to high incidence of fixation failures. Thus, the treatment of these unstable trochanteric femoral fractures is still challenging, and clinical reports regarding intramedullary hip nailing for reverse obliquity intertrochanteric fractures are few in number.
Features & Benefits
In orthopedic surgery, femoral fractures are a common occurrence. Femoral nails are frequently used to fix such fractures. The reversed femoral nail is a new and innovative method of fixing fractures, particularly in elderly patients. In this article, we'll discuss everything there is to know about reversed femoral nails, including their benefits, indications, and potential complications.
A reversed femoral nail is an orthopedic device used to treat femoral fractures. It is a relatively new technique that involves inserting the nail from the bottom of the femur upwards, which is opposite to the conventional method. The nail is inserted through a small incision in the knee joint and is fixed in place using screws at both ends.
The reversed femoral nail technique is particularly useful in certain circumstances, such as:
Elderly patients who have fragile bones
Patients with a distal femoral fracture
Patients with a subtrochanteric fracture
Patients with a fracture in the metaphyseal region
In these cases, the reversed femoral nail technique may be a better option than conventional techniques.
Reversed femoral nails offer several benefits over conventional techniques. These include:
Reduced blood loss during surgery
Less trauma to the surrounding soft tissues
Less pain and a quicker recovery period
Lower risk of infection
Reduced risk of non-union (a condition in which the bone fails to heal properly)
The reversed femoral nail procedure is similar to conventional femoral nail surgery, with a few key differences. The surgery is performed under general anesthesia, and the patient is positioned on their back with their legs elevated.
The surgical team will make a small incision just above the knee joint and insert a guide wire through the knee and up into the femur. The guide wire will be used to guide the nail into place. The nail is then inserted through the knee joint and up into the femur, with screws placed at both ends to hold it in place.
Like all surgical procedures, reversed femoral nails carry some risks. These include:
Infection at the surgical site
Fracture of the femur during surgery
Blood vessel damage
Failure of the bone to heal properly
Patients who have undergone a reversed femoral nail procedure should monitor their recovery closely and report any unusual symptoms to their doctor immediately.
Recovery from a reversed femoral nail procedure is similar to recovery from conventional femoral nail surgery. Patients may experience some pain and swelling at the surgical site, which can be managed with pain medication and rest. Patients will need to use crutches or a walker for a period of time after surgery to avoid putting weight on the affected leg.
Patients should follow their doctor's instructions carefully to ensure a full and speedy recovery.
What is the recovery time for a reversed femoral nail procedure?
The recovery time varies depending on the patient and the extent of the surgery, but most patients can expect to return to normal activities within 6-12 weeks.
Is a reversed femoral nail procedure painful?
There may be some pain and discomfort after surgery, but this can be managed with pain medication.
Can anyone have a reversed femoral nail procedure?
No, the reversed femoral nail procedure is not suitable for all patients. Your doctor will assess your individual circumstances to determine if it is the bestoption for you.
How long does the reversed femoral nail stay in place?
The nail is typically left in place for 6-12 months to allow the bone to heal properly.
Can a reversed femoral nail be removed?
Yes, the nail can be removed once the bone has healed. Your doctor will assess whether removal is necessary and discuss the risks and benefits with you.
Reversed femoral nails offer several benefits over conventional techniques for fixing femoral fractures. The technique is particularly useful in elderly patients or those with certain types of fractures. While there are potential complications associated with the procedure, the benefits often outweigh the risks. Patients who have undergone a reversed femoral nail procedure should follow their doctor's instructions carefully to ensure a full and speedy recovery.
In summary, the reversed femoral nail is a new and innovative method of fixing femoral fractures that offers several benefits over conventional techniques. If you are experiencing a femoral fracture, speak to your doctor to determine if the reversed femoral nail technique is right for you.