Complications of Intramedullary Nailing

Marschall B. Berkes; Milton T.M. Little; Dean G. Lorich

doi:10.1007/978-1-4471-6612-2_8

Complications of Intramedullary Nailing

Marschall B. Berkes
, Milton T.M. Little
, Dean G. Lorich

Research output: Chapter in Book/Report/Conference proceeding › Chapter › peer-review

4 Scopus citations

Abstract

Intramedullary nailing offers a safe and reliable means of osteosynthesis. Complications encountered when performing intramedullary fi xation are malalignment, infection, hardware failure, impaired bony healing and neurovascular injuries. Primary malalignment is largely a consequence of either an inappropriate entry point or fracture site malreduction. Secondary malalignment refers to a change in fracture reduction and alignment at some point during the postoperative period. Hardware failure is seen when the implant sustains more load than intended, either due to early excessive weight bearing or prolonged cyclical loading, as in a non-united fracture. Infection can result in secondary operations, increased risk of secondary complications, delayed/nonunion and worse clinical outcome for the patient.

Original language	English
Title of host publication	Intramedullary Nailing
Subtitle of host publication	a Comprehensive Guide
Publisher	Springer London
Pages	85-94
Number of pages	10
ISBN (Electronic)	9781447166122
ISBN (Print)	9781447166115
DOIs	https://doi.org/10.1007/978-1-4471-6612-2_8
State	Published - Jan 1 2015

Keywords

Complications
Delayed union
Entry point
Hardware failure
Impaired bone healing
Infection
Malrotation
Neurovascular
Nonunion
Primary and secondary malalignment
Valgus
Varus

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10.1007/978-1-4471-6612-2_8

Cite this

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abstract = "Intramedullary nailing offers a safe and reliable means of osteosynthesis. Complications encountered when performing intramedullary fi xation are malalignment, infection, hardware failure, impaired bony healing and neurovascular injuries. Primary malalignment is largely a consequence of either an inappropriate entry point or fracture site malreduction. Secondary malalignment refers to a change in fracture reduction and alignment at some point during the postoperative period. Hardware failure is seen when the implant sustains more load than intended, either due to early excessive weight bearing or prolonged cyclical loading, as in a non-united fracture. Infection can result in secondary operations, increased risk of secondary complications, delayed/nonunion and worse clinical outcome for the patient.",

keywords = "Complications, Delayed union, Entry point, Hardware failure, Impaired bone healing, Infection, Malrotation, Neurovascular, Nonunion, Primary and secondary malalignment, Valgus, Varus",

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AU - Lorich, Dean G.

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AB - Intramedullary nailing offers a safe and reliable means of osteosynthesis. Complications encountered when performing intramedullary fi xation are malalignment, infection, hardware failure, impaired bony healing and neurovascular injuries. Primary malalignment is largely a consequence of either an inappropriate entry point or fracture site malreduction. Secondary malalignment refers to a change in fracture reduction and alignment at some point during the postoperative period. Hardware failure is seen when the implant sustains more load than intended, either due to early excessive weight bearing or prolonged cyclical loading, as in a non-united fracture. Infection can result in secondary operations, increased risk of secondary complications, delayed/nonunion and worse clinical outcome for the patient.

KW - Complications

KW - Delayed union

KW - Entry point

KW - Hardware failure

KW - Impaired bone healing

KW - Infection

KW - Malrotation

KW - Neurovascular

KW - Nonunion

KW - Primary and secondary malalignment

KW - Valgus

KW - Varus

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BT - Intramedullary Nailing

PB - Springer London

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Complications of Intramedullary Nailing

Abstract

Keywords

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