Literature DB >> 27398255

An Alternative Instrument for Making Entry Point for Elastic Intramedullary Nail.

G S Dharmshaktu1, I Khan1.   

Abstract

Entities:  

Year:  2016        PMID: 27398255      PMCID: PMC4924497          DOI: 10.4103/2141-9248.183938

Source DB:  PubMed          Journal:  Ann Med Health Sci Res        ISSN: 2141-9248


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Dear Sir, We read with great interest the article titled, “An alternative instrument for making entry point for elastic intramedullary nail” under section Methods and Devices.[1] This letter might be a corollary to the article in conception and practice. The versatility of the described method goes beyond the femoral fractures and can be applied very effectively for forearm fractures in pediatric age. We have been using the similar method for making entry point for elastic nailing in pediatric forearm fractures and found the method equally useful. The slender forearm bone with particular reference to radius which has curved trajectory for introduction of nails through dorsal entry point is easily made accessible with curved shape of the suction trocar. The ulnar entry is also made easy when we approach for a curved olecranon physeal-sparing technique. The intramedullary nailing has been shown to work as very good internal splint and resist rotational forces to considerable magnitude.[23] Availability of different sizes of suction drain trocars proves helpful in selecting the right one for particular thickness of the forearm bones. Besides it, sharp pointed end makes entry a smooth and less traumatic experience for the patient and surgeon alike. The method, we found, works equally well for introducing intramedullary nails other than elastic nails such as square nails for forearm bones. We agree with the authors to have these readily available instruments in our armamentarium for potential and relevant use.

Financial support and sponsorship

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Conflicts of interest

There are no conflicts of interest.
  3 in total

1.  Rotational stability of diaphyseal fractures of the radius and ulna fixed with Rush pins and/or fracture bracing.

Authors:  M Ono; J E Bechtold; R L Merkow; R E Sherman; R B Gustilo
Journal:  Clin Orthop Relat Res       Date:  1989-03       Impact factor: 4.176

2.  Biomechanical study of flexible intramedullary nails.

Authors:  Clint W Johnson; Kelly D Carmichael; Randal P Morris; Brian Gilmer
Journal:  J Pediatr Orthop       Date:  2009 Jan-Feb       Impact factor: 2.324

3.  An alternative instrument for making entry point for elastic intramedullary nail.

Authors:  P Sharma; S Meena; S Gangary; B Chowdhury
Journal:  Ann Med Health Sci Res       Date:  2015 Mar-Apr
  3 in total

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