What sequelae does intramedullary nail fixation have

summary

I had to ride a motorcycle because I had to show off my ability. As a result, I accidentally crashed. At that time, I went to the hospital for femoral shaft fracture surgery and intramedullary nail fixation. I heard from my friends that if I didn't pay attention to postoperative care, there would be a lot of sequelae, so I was very worried. Let's talk about the sequelae of intramedullary nail fixation.

What sequelae does intramedullary nail fixation have

The first is the incarceration of the intramedullary needle, which is usually caused by too thick intramedullary needle, stuck in the narrow part of the medullary cavity, or inserted into the cortical bone in the wrong direction. The size of intramedullary needle and the direction of needle insertion should be selected. Once it happens, it should be corrected in time to avoid a dilemma.

Second: splitting fracture, if the needle is forced to enter the needle without removing part of the bone, or if the intramedullary nail incarceration is not corrected in time, the needle is forced to enter instead, which can cause splitting fracture. The treatment should be based on the fracture. Or pull out and re insert, and fix with steel wire. Or use other internal fixation.

Third: infection, we must strictly abide by aseptic operation technology. For open fractures over 8-12 hours, the wound should be treated first, and internal fixation can be performed only after the soft tissue is healed. Once postoperative infection occurs, there is no need to rush to pull out the intramedullary needle, first according to the treatment of acute osteomyelitis. When there was a part of callus at the fracture end, the intramedullary nail was removed and the osteomyelitis operation was performed.

matters needing attention

Intramedullary nail tail too long may affect walking, because too long will lift the buttock muscles, so after treatment, also need to move in life, see if it affects, if there is any influence, try to do less bending action, fracture healing after timely pull out.