intramedullary nail femur physical therapy pdf

Early Rehabilitation Following Surgical Fixation of a

· The patient was treated with internal fixation of the left femur by use of an antegrade intramedullary nail with a piriformis fossa entry portal. The patient underwent physical therapy 2 times per day in the hospital and was released from the hospital after 3 days. He continued with outpatient physical therapy, beginning 10 days following

A Patient's Guide to Femur Fractures

A Patient's Guide to Femur Fractures. The thigh bone, or . femur. is the longest and strongest bone of the body. It takes a lot of force . to break the femur in an adult so it is often accompanied by other injuries.

Is There a Standard Rehabilitation Protocol After Femoral

Is There a Standard Rehabilitation Protocol After Femoral Intramedullary Nailing? Article · Literature Review in Journal of orthopaedic trauma 23(5 Suppl):S · May with 2,047 Reads

Is There a Standard Rehabilitation Protocol After Femoral

Initiation of phase 1 of the femur fracture rehabilitation protocol begins postoperative day 1 in the hospital. Inpatient physical therapy consists of gentle ROM, initiation of a WB as tolerated (WBAT) ambulation program with an assistive device, and initiation of lower extremity isometrics. Upon discharge from the hospital, the patient is

Intramedullary nailing of femoral and tibial shaft fractures

Intramedullary nail fixation of these fractures, although technically demanding, may be less traumatic than conventional techniques, especially in critically ill patients, and can obtain similar outcomes.3 In any patient with multiple trauma, the general medical status is of paramount importance. An adequate determination of …

Femoral Fracture: Case Study Intramedullary Rod

Initial findings at start of physical therapy (postop week 7): • No femoral shaft fracture bone growth on x-ray at 6 weeks postop • Hip flexion 90 degrees, hip extension 5 degrees, knee flexion 95 degrees, knee extension -3 degrees, hip ER degrees, hip IR degrees, ABD 25 degrees, ADD 10 degrees Femoral Fracture: Intramedullary Rod

Femur Shaft Fracture Treatment | Boston Medical Center

Currently, the method most surgeons use for treating femoral shaft fractures is intramedullary nailing. During this procedure, a specially designed metal rod is inserted into the canal of the femur. The rod passes across the fracture to keep it in position. An intramedullary nail can be inserted into the canal either at the hip or the knee

Femoral Fractures - Physiopedia

A femoral fracture is a fracture of the femur (thigh bone). A femoral shaft fracture is defined as a fracture of the diaphysis occurring between 5 cm distal to the lesser trochanter and 5 cm proximal to the adductor tubercle occurs by chronic, repetitive activity that is common to runners and military. These …

Hip Fracture Program - Baylor Scott & White Health

nursing, and physical therapy. Makes arrangements for continued care after discharge if needed, and interacts with insurance companies as needed. • Physical Therapy/Occupational Therapy—Teach you exercises to increase your strength, work with you on an exercise program, instruct you on the correct way to walk and teach you daily living

Physical therapy in the postoperative of proximal femur

· The proximal femoral fracture in the elderly is a serious public health problem. Surgical treatment of this fracture is used to reduce morbidity, together with postoperative physical therapy. The objective was to conduct a systematic review of physical therapy protocols in postoperative for fractures of the proximal femur in elderly. We

Intramedullary nailing of femoral and tibial shaft fractures

· Introduction. Intramedullary nail fixation has become the standard of treatment for both femoral and tibial shaft fractures, with reported union rates for the femur approaching 97%.1,2 Because of this success and the ease of intramedullary nailing, the indications for this procedure have been expanded to include the periarticular portions of the long bones.

Proximal Hip Fracture Open Reduction/Internal Fixation and

1 Proximal Hip Fracture Open Reduction/Internal Fixation and Rehabilitation Surgical indications and Considerations Anatomical Considerations: The hip is a ball and socket joint with the femoral head aligned towards the pelvic acetabulum.

Physical Therapy Protocol: FEMORAL SHAFT FRACTURE P.T

· physical therapy (1) physical therapy of ACL reconstruction (1) physical therapy program of femoral fracture (1) protocol of femoral fracture (1) rehabilitation of femoral shaft fracture (1) rehabilitation of post-operative of acl (1) taping (1) therapy (1) treatment of acl injuries (1)

Rehabilitation Following Bilateral Tibial Intramedullary

JOURNAL OF STUDENT PHYSICAL THERAPY RESEARCH | !VOLUME 7, NUMBER 3, ARTICLE 1 Rehabilitation Following Bilateral Tibial Intramedullary Nail Placement in an Elite Athlete Sharon Young Abney, SPT; Deborah Michael Wendland, PT, DPT, PhD, CPed Mercer University – Atlanta, GA ABSTRACT

(PDF) Rigid intramedullary nail fixation of femoral

Femoral fracture in adolescents is a significant injury. It is generally agreed that operative fixation is the treatment of choice, and rigid intramedullary nail fixation is a treatment option.

Hip Fracture Rehabilitation Protocol - Heywood Ortho

Hip Fracture Rehabilitation Protocol OUTPATIENT or SUBACUTE PHYSICAL THERAPY­­­PHASE I (Weeks 1­6 post­op) Patient is evaluated weekly in outpatient PT unless deemed otherwise, or in inpatient setting GOALS: ­ Safe ambulation with or without assistive device, with min to no assist

Intramedullary Nailing of Tibial Shaft Fracture

Intramedullary Nailing of Tibial Shaft Fracture ACADEMIC DISSERTATION To be presented, with the permission of the board of School of Medicine of the University of Tampere, for public discussion in the Jarmo Visakorpi Auditorium, of the Arvo Building, Lääkärinkatu 1, Tampere, on April 1st, , at …

Femur Fracture - Physical Therapy Library

Physical therapy rehabilitation typically follows treatment for a femur fracture. You will learn exercises to increase range of motion, flexibility, and strength. People that receive intramedullary fixation may be able to bear weight and walk sooner than people with other types of treatments.

Flexible Intramedullary Nails for Femur Fractures in

ures. Methods: An IRB approved, retrospective review of all patients who sustained a femoral shaft fracture treated by retrograde, stainless-steel Ender’s FIMN was performed at a level 1 pediatric trauma center from to Preoperative radiographs were analyzed to determine fracture pattern, location, and isthmic canal diameter. Patient weight was measured on presentation to the ...

TREATMENT OF PEDIATRIC DIAPHYSEAL FEMUR FRACTURES EVIDENCE

children age six months to five years with a diaphyseal femur fracture with less than 2 cm of shortening. Grade of Recommendation: Moderate ELASTIC INTRAMEDULLARY NAILS Limited evidence supports the option for physicians to use flexible intramedullary nailing to treat children age five to eleven years diagnosed with diaphyseal femur fractures.

TREATMENT OF PEDIATRIC DIAPHYSEAL FEMUR FRACTURES

TREATMENT OF PEDIATRIC DIAPHYSEAL FEMUR FRACTURES . GUIDELINE AND EVIDENCE REPORT Adopted by the AAOS Board of Directors June 19, . AAOS v 061909 . Endorsed by: Disclaimer . This Clinical Practice Guideline was developed by an AAOS physician volunteer Work Group based on a systematic review of the current scientific and clinical information and accepted approaches to treatment and/or ...

Antegrade Intramedullary Nailing of the Femur

Antegrade Intramedullary Nailing of the Femur Navid M. Ziran Bruce H. Ziran DEFINITION A femoral shaft fracture is any fracture of the femoral diaphysis from 5 cm below the lesser trochanter to within 6 to 8 cm of the distal femoral articular surface. Some fracture lines extend proximal or distal to the shaft and are…

Femoral Shaft Fracture, with ORIF -

Femoral Shaft Fracture, with ORIF Synonyms. None. Definition. Stabilization of fracture fragments using open surgical procedures to place devices, such as plate-and-screw, intramedullary rods, wires, and pins and nails to reduce displacement and promote healing.

PediNail™ Pediatric Femoral IM Nail - Animation - YouTube

· PediNail provides an excellent solution for femur fractures in patients with open physes. PediNail™ is anatomically designed to meet the unique needs of pediatric and adolescent patients. For a

Hip Fracture Surgery Options and Physical Rehabilitation

Hip fracture surgery options include: surgical treatment with either a compression hip screw or an intramedullary nail (IM Nail) for the following hip fractures: Femoral Fractures (Intracapsular) , Intertrochanteric Fracture , Subtrochanteric Fracture . Many hip fracture cases, including hip fractures in the elderly, require extensive Physical therapy is very important to recover after hip

Physical Therapy in Corpus Christi for Hip - Adult Femur

Physical Therapy in Corpus Christi for Hip Issues. Welcome to Humpal Physical Therapy & Sports Medicine Centers Guide to Adult Femur Fractures. Welcome to Humpal Physical Therapy & Sports Medicine Centers Guide to Adult Femur Fractures. The thigh bone, or femur is the longest and strongest bone of the body. It takes a lot of force to break the

Femur shaft fracture Intramedullary nailing with the

· In this presentation, fixation of a B2 femoral shaft fracture is demonstrated using the Expert Lateral Femoral Nail, or ng Objectives: - Features of the LFN and the entry point ...

Understanding Your Intramedullary Nail - Twin Palm Orthopedics

It will also help you better understand what to typically expect over the next few days and weeks as you leave the hospital, begin physical therapy and follow up with your orthopaedic surgeon and physical therapist. What is an Intramedullary Nail? To align the fractured bones and provide optimal healing support, the orthopaedic surgeon makes a

Femur Shaft Fractures (Broken Thighbone) - OrthoInfo - AAOS

An intramedullary nail can be inserted into the canal either at the hip or the knee. Screws are placed above and below the fracture to hold the leg in correct alignment while the bone heals. Intramedullary nails are usually made of titanium. They come in various lengths and diameters to fit most femur bones.

Hip Fracture Surgical Treatment and Rehabilitation

Hip Fracture Surgical Treatment and Rehabilitation Craig Lareau, MD, and Gregory Sawyer, MD complaints of pain on the affected side and an inability to ambulate. The af-fected limb is often shortened and exter-nally rotated due to the muscular forces on the fracture fragments. Radiographs confirm the diagnosis, with standard

Femoral Fracture | Rehab My Patient

An intramedullary nail is inserted into canal at either the knee or the hip through a small incision. The nail will be screwed in at either end, which help to keep the nail and the bone where they need to be in the healing process. The nails are often made from titanium. They come in an array of different lengths and diameters to accommodate the majority of femur bones.

Femur Fracture Rehab & Recovery Time Case Study | AlterG

Femur fractures can occur a variety of ways, but no matter how they happen, we know that the recovery time is going to be a long one! Check out this case study, and learn more about the difference that unweighting can make in femur fracture rehab!

Cephalomedullary Nailing of the Proximal Femur

Cephalomedullary Nailing of the Proximal Femur Thomas A. Russell DEFINITION Fractures of the proximal femur are usually grouped into four major types reflecting differences in the anatomic and physiologic character of these regions: Femoral head fractures Intracapsular femoral neck fractures Pertrochanteric fractures (also referred to …

Intramedullary Nail System - Smith & Nephew

The Intramedullary Nail System consists of metallic implants including interlocking intramedullary nails, interlocking fusion nails, and nail caps. Intramedullary nails contain holes proximally and distally to accept locking screws. Intramedullary Interlocking Nails are provided with a variety of screw placement options based on surgical

New intramedullary nail aids femur fracture healing | JAMA

A new "closed" operative procedure using an intra-medullary nail to treat fractures of the proximal portion of the femur has been developed by California orthopedic surgeon Leslie J. Harris, MD. Harris, assistant clinical professor of orthopedic surgery at the University of California, Los Angeles,

Lengthening of the Femur Over an Existing Intramedullary Nail

intramedullary (IM) nail. (C) Proximal and distal femur pins inserted posterior to the IM nail. q Lippincott Williams & Wilkins | J Orthop Trauma Volume 25, Number 11, November 2011 Lengthening of the Femur Over an Existing IMN

Clinical evaluation of the Asian proximal femur

· The preferred treatment of intertrochanteric fractures in aged patients is controversial. The purpose of the present study was to evaluate the outcomes of the Asian proximal femur intramedullary nail antirotation system (PFNA-II) for stabilization of such fractures. The PFNA-II was used to treat intertrochanteric fractures in elderly patients from March 2010 to March 2013. The patients ...

Retention of flexible intramedullary nails following

· Flexible intramedullary nails are commonly used for the treatment of diaphyseal femur fractures in children. Although, their removal after fracture healing is advocated by some, there are no definitive studies to support the routine removal of these implants. The purpose of this study is to determine the natural history of children with diaphyseal fractures of the femur treated with flexible

Outcome of intramedullary nailing treatment for

whether the intramedullary nail and what type of intrame-dullary nail is beneficial for intertrochanteric femur frac-tures [13, 17]. Therefore, the purpose of this study was to evaluate a series of intramedullary nail treatment of intertrochan-teric femoral fractures (type 31 A3 according to the OTA/AO-classification) in regard to surgical

intertrochanteric femur fractures

• Barton TM, Gleeson R, Topliss C, Greenwood R, Harries WJ, Chesser TJ. A comparison of the long gamma nail with the sliding hip screw for the treatment of AO/OTA A2 fractures of the proximal part of the femur: a prospective randomized trial. J Bone JoinSurgt Am. ;92(4):792-8. • Baumgaertner MR, Curtin SL, Lindskog DM, Keggi JM. The ...

Femur Injuries and Fractures Treatment & Management: Acute

· Physical Therapy. With trauma-related femur fractures, physical therapy following stable fixation of the fracture to improve hip and knee range of motion, strengthening and gait training is recommended. Weight-bearing status is dependent upon fracture pattern and surgical intervention. Ambulatory aids, such as crutches, are used in the initial

Retention of Xexible intramedullary nails following

Flexible intramedullary nailing is a common procedure used to treat diaphyseal femur fractures in children between the ages of 5 and 16 with excellent outcomes reported [4–6, 8, 13, 15]. The main complication of this procedure is pain and soft tissue irritation by the extra-osseous portion of the nail tip at the nail insertion site [7, 13, 14

Treatment Strategies for Intramedullary Nailing of Femoral

Orthopedics | Abstract Intramedullary nailing has become the gold standard to treat femoral shaft fractures. It is unknown which nailing technique orthopedic surgeons prefer. The goal of this

Tibia Intramedullary Nail Post-op Instructions

Tibia Intramedullary Nail Post-op Instructions Wound Care/ Bathing: You may shower the day of surgery and the following 5 days with your bandage on as long as the bandage and knee stay dry. I recommend you buy a shower stool to sit on. You may remove your bandage 5 days after surgery (except the steri-strips on the skin, if you have them). You

Treatment of Impending Pathological Fractures of the Femur

Orthopedics | ABSTRACT: Thirty-nine patients with fifty impending pathological fractures of the femur were prophylactically stabilized with flexible intramedullary nails. Indications included

Our Surgical Techniques - Limb Lengthening

Surgical Techniques Used at the Limb Lengthening and Complex Reconstruction Service. Our doctors use various surgical techniques to achieve correction of the limb discrepancies and injuries we see in our patients.

Retention of flexible intramedullary nails following

Retention of flexible intramedullary nails following treatment of pediatric femur fractures Archives of Orthopaedic and Trauma Surgery , Jan Saam Morshed , Marcie Humphrey , Luis A. Corrales , Meredith Millett , Scott A. Hoffinger

Femur Fracture - Rehab Advantage & Sports Medicine

Physical therapy rehabilitation typically follows treatment for a femur fracture. You will learn exercises to increase range of motion, flexibility, and strength. People that receive intramedullary fixation may be able to bear weight and walk sooner than people with other types of treatments.

Prophylactic Nailing of Incomplete Atypical Femoral Fractures

Introduction. Recent reports have described the occurrence of low-energy subtrochanteric and femoral shaft fractures associated with long-term bisphosphonate use. Although information regarding the surgical treatment of these atypical femoral fractures is increasing, it is unclear if the preventive operation is useful in incomplete fractures.

intramedullary nail femur physical therapy pdf