Supracondylar Nail

 Supracondylar Nail

The fix of supracondylar cracks of the femur with an intramedullary nail gives a few hypothetical benefits. Contrasted with plate osteosynthesis, intramedullary obsession requires significantly less great estimated analyzation and is biomechanically more noteworthy ideal. In the matured patient, these characteristics seem fundamental in view that bone quality, gigantic methodologies and bone uniting keep on being risky. Since August 1994 we have taken care of sixteen successive contained cracks of the distal femur (A.O. type: 7 A.1, two A.3, four C.1, and three C.2) with the Green-Seligson-Henry intramedullary retrograde supracondylar nail. Twelve matured and osteoporotic victims had experienced low-energy injury, three youthful victims had been worried in a guests mishap and one different more youthful impacted individual had attempted self destruction. The usable method, issues and results are portrayed. All cracks mended inside a couple of months (2 to 7) excepting bone uniting. No disappointment of the obsession material and no profound pollution had been experienced. With most matured victims the deliberate outcome was once judged agreeable, contemplating the general population examined. Intraoperative self control of arrangement and warding off shortening had been the prevalent troubles, especially with extended circuitous or comminuted breaks. Two chief issues have been experienced in the more youthful populace. In one event nail bulge in the intercondylar score incited a profound patellar ligament disintegration and thoughtful distrophy fundamental to a 15 phases flexion disfigurement. Another more youthful impacted individual needed a quadriceps send off at the break site and in outcome a femoral valgus osteotomy to harvest an optimal extreme outcome. In matured osteoporotic victims offering a remoted supracondylar crack, antegrade nailing stays the "most secure" approach by utilizing keeping off an unnecessary arthrotomy. While going before hip or knee surgery blocks the utilization of antegrade nailing techniques or when the break stretches out into the intercondylar district, retrograde supracondylar nailing gives an advantages as opposed to moderate treatment or plate osteosynthesis. On the different hand in more youthful patients, anatomic rebate and arrangement must be the objective, and open markdown with plate osteosynthesis, enhanced through bone uniting if necessary, need to remain the highest quality level. At the point when this shows up actually incomprehensible, the antegrade or retrograde addition of an intramedullary nail with intraoperative assessment of size and break arrangement is a captivating other option. In treating distal femur cracks, it very well may be trying to hold hard arrangement, because of the uneven draw of thigh and lower leg muscles. For examples managed with inward obsession, hard purchase of the distal section may likewise now not be enough because of the lack of right cortical bone. In 1967, Neer et al.1 supported a nonsurgical technique to supracondylar cracks subsequent to assessing 110 unselected cases, noticing an over the top cost of neighborhood issues and a low charge for impacted individual fulfillment. Early change to fashioned propping after a length of foothold was once later introduced,2,3 professing to furnish higher helpful results conversely, with broadened projecting all through the knee. Afterward, obsession with a horizontal condylar edge plate or its changes developed to be well known, because of the reality it permitted obsession of intraarticular breaks and early assembly of the knee joint.4-6 However, delicate tissue disturbance with open markdown and periosteal stripping for position of the embed may furthermore mediate with the rebuilding system, resulting in a stretch out in association or non-association. Bone joining used to be routinely indicated5,7 and wound pollution used to be not generally recognized with this approach.4,8,9 Flexible intramedullary nailing,10,11 altered antegrade TITANIUMSS. 316LSPECIFICATION(Prod. Code)Prod. Code(Diameter X Length, cm)T 120.01S 120.01ø9.0mm X 18cmT 120.02S 120.02ø9.0mm X 20cmT 120.03S 120.03ø9.0mm X 22cmT 120.04S 120.04ø9.0mm X 24cmT 120.05S 120.05ø9.0mm X 26cmT 120.06S 120.06ø9.0mm X 28cmT 120.07S 120.07ø9.0mm X 30cmT 120.08S 120.08ø10mm X 18cmT 120.09S 120.09ø10mm X 20cmT 120.10S 120.10ø10mm X 22cmT 120.11S 120.11ø10mm X 24cmT 120.12S 120.12ø10mm X 26cmT 120.13S 120.13ø10mm X 28cmT 120.14S 120.14ø10mm X 30cmT 120.15S 120.15ø11mm X 18cmT 120.16S 120.16ø11mm X 20cmT 120.17S 120.17ø11mm X 22cmT 120.18S 120.18ø11mm X 24cmT 120.19S 120.19ø11mm X 26cmT 120.20S 120.20ø11mm X 28cmT 120.21S 120.21ø11mm X 30cmT 120.22S 120.22ø12mm X 18cmT 120.23S 120.23ø12mm X 20cmT 120.24S 120.24ø12mm X 22cmT 120.25S 120.25ø12mm X 24cmT 120.26S 120.26ø12mm X 26cmT 120.27S 120.27ø12mm X 28cmT 120.28S 120.28ø12mm X 30cm.

Supracondylar Nail