Orthopedic & Muscular System: Current Research

Orthopedic & Muscular System: Current Research
Open Access

ISSN: 2161-0533


Weerasuriya TC

Weerasuriya TC
Tameside General Hospital,
Fountian Street, Ashton-under-Lyne, Manchester, OL6 9RW
United Kingdom

  • Research Article
    ‘K’ Nailing by a Medial Approach for Gustilo IIIC Fractures of the Shaft of Femur
    Author(s): Weerasuriya TCWeerasuriya TC

    Introduction Eleven patients with Gustilo IIIC fractures with a medial wound and vascular injury were included in this series from 2003- 2009. Seven of these patients had the vascular repair done by the surgeon doing the bone fixation. Method The patients are positioned supine and the involved side is brought to the edge of the table with a sand bag placed deep under the ipsilateral buttock. A fasciotomy is undertaken. The original wound on the medial side is debrided and vascular control is obtained. The Vastus medialis is lifted off the medial inter-muscular septum and the bone ends are delivered, irrigated and retrograde insertion of the K- nail is done. When the nail is protruding, the leg is adducted and the nail driven in fully. The fracture is reduced and the antegrade insertion of the K-nail is done. The vascular repair.. Read More»
    DOI: 10.4172/2161-0533.1000136

    Abstract PDF

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