Advertisement

Arthroscopy-Assisted Retrograde Nailing of Femoral Shaft Fractures

  • Oğuz Poyanli
  • Mehmet Esat Uygur
  • Mehmet Salih Söylemez
Chapter

Abstract

The potential benefits of arthroscopic retrograde femoral nailing versus standard arthrotomy include early recovery as well as advantages related to direct visualization, such as the ability to treat concomitant intra-articular pathologies, remove intra-articular loose bodies and debris, and avoid or reduce the negative effects of ionizing radiation during fluoroscopic examination after nail insertion. Development of compartment syndrome should be avoided by maintaining the arthroscopic pressure below 50 mmHg. Arthroscopic retrograde femoral nailing is a safe technique for treating femoral fractures, especially in patients with concomitant intra-articular injuries.

Keywords

Retrograde femoral nailing Arthroscopy 

References

  1. Acharya KN, Rao MR (2006) Retrograde nailing for distal third femoral shaft fractures: a prospective study. J Orthop Surg (Hong Kong) 14:253–258CrossRefGoogle Scholar
  2. Born CT, King PJ, Rehman S, Khoury L, Delong WG Jr (2006) Arthroscopically-assisted removal of retrograde intramedullary femoral nails. J Orthop Trauma 20:212–215CrossRefGoogle Scholar
  3. Clement H, Heidari N, Kosuge D, Grechenig W, Tesch NP, Weinberg AM (2011) Anatomical structures at risk with the proud retrograde femoral nail. Arch Orthop Trauma Surg 131:1539–1544CrossRefGoogle Scholar
  4. Gliatis J, Kouzelis A, Matzaroglou C, Lambiris E (2006) Arthroscopically assisted retrograde intramedullary fixation for fractures of the distal femur: technique, indications and results. Knee Surg Sports Traumatol Arthrosc 14:114–119CrossRefGoogle Scholar
  5. Guerra JJ, Della Valle CJ, Corcoran TA, Torg JS, Duda JR (1995) Arthroscopically assisted placement of a supracondylar intramedullary nail: operative technique. Arthroscopy 11:239–244CrossRefGoogle Scholar
  6. Krause M, Preiss A, Meenen NM, Madert J, Frosch KH (2016) “Fracturoscopy” is superior to fluoroscopy in the articular reconstruction of complex tibial plateau fractures—an arthroscopy assisted fracture reduction technique. J Orthop Trauma 30:437–444CrossRefGoogle Scholar
  7. Poyanli OS, Soylemez S, Ozkut AT, Esenkaya I, Unal OK, Kılınçoğlu V (2016) Use of provisional K wires instead of Poller screws for treatment of diametaphyseal fractures of the distal femur and proximal and distal tibia. Acta Orthop Belg 82:579–558PubMedGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Oğuz Poyanli
    • 1
  • Mehmet Esat Uygur
    • 1
  • Mehmet Salih Söylemez
    • 2
  1. 1.Department of Orthopedics and Traumatologyİstanbul Medeniyet University HospitalİstanbulTurkey
  2. 2.Department of Orthopedics and TraumatologyBingöl State HospitalBingölTurkey

Personalised recommendations