Journal of Musculoskeletal Trauma

Case Report

Lateral Positioning for Proximal Femoral Nailing of the Intertrochanteric Fracture: Surgical Technique: Kwan Hee Lee, Hoon Jeong, Jong Kyoung Ha, Yong Ju Kim, Won Hee Jang; J Korean Fract Soc 2011;24(1):79-82. Published online January 31, 2011; DOI: https://doi.org/10.12671/jkfs.2011.24.1.79

In the treatment of intertrochanteric fractures, most of intramedullary nailings are performed on a fracture table in supine position. In supine position, however, soft tissue mass of the patients and drapes make it difficult to access to the piriformis fossa and to straighten the trajectory of reamer and nail insertion. To resolve these problems, we have treated twenty intertrochanteric fractures in lateral position on the general operation table with IM nail. Adjustment of the position of lag screw in femoral head was done with the technique that overlaps the shadows of the femoral head, nail and targeting guide in the lateral view. Because the entire injured limb can be moved readily, it was easy to reduce fracture and to convert to open procedure. In cases likely that the fracture table is unavailable in which patients are obese, have short stature or are amputated, and that open procedure is strongly likelihood, lateral position will be helpful technique in the treatment of intertrochanteric fractures with IM nail.

Citations

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Outcomes of Internal Fixation with Compression Hip Screws in Lateral Decubitus Position for Treatment of Femoral Intertrochanteric Fractures
Cheon-Gon Park, Taek-Rim Yoon, Kyung-Soon Park
Hip & Pelvis.2018; 30(4): 254. CrossRef
The Effects of Sa-Am Spleen-tonifying Acupuncture on Radial Pulse in Healthy Human Subjects
Kwang Sik Yoon, Hyun Lee
The Acupuncture.2013; 30(4): 1. CrossRef

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Original Article

Intramedullary Nailing of Femoral Shaft Fractures : Comparison between with and without the Fracture Table: Jung Jae Kim, Yong Gab Jeong, Kwang Hwan Jung, Soo Sung Park, Eu Gene Kim; J Korean Soc Fract 2000;13(2):320-326. Published online April 30, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.2.320

Abstract PDF

PURPOSE
: To evaluate and compare the efficacy of intramedullary nailin(IMnailing) between using radiolucent plane table in lateral position and using fracture table in supine position for femoral shaft fractures.
MATERIALS AND METHODS
: Consecutive 62 cases of the fresh fractures of femoral shaft treated with intramedullary nailing were divided into 2 groups; 31 cases on the fracture tables and the other 31 cases with the lateral position on the radiolucent plane table, and we analysed the difference the length of anesthetic time, preparation and draping time, operative time, postoperative complications between the two groups.
RESULT
: There was statistically significant decrease in the length of anesthetic time, operative time in the former group, but no difference in the postoperative complication(Wilcoxon test).
CONCLUSION
: Lateral position on radiolucent plane table with the traction device for intramedullary nailing for femoral shaft fracture considered to be generally accepted not only to the limited cases which fracture tables are not available but also to general cases.

Citations

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The PFNA Nail for Pertrochanteric Fracture of the Femur without Fracture Table
Jeoung Ho Kim, Sang Hong Lee, Kwang Chul Lee, Sung Won Cho
Journal of the Korean Fracture Society.2011; 24(3): 217. CrossRef

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