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AN EVALUATION OF FEMORAL SHORTENING WITH INTRAMEDULLARY NAILING
T. Campbell Thompson; L. Ramsay Straub; Rolla D. Campbell
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Hospital for Special Surgery, New York
1954 by The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 1954 Jan 01;36(1):43-56
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Abstract

1. Between 1938 and 1951, forty patients at the Hospital for Special Surgery have had femoral shortening done by oblique osteotomy with screw fixation.

2. From 1948 through 1951 inclusive, there have been eleven patients with femoral shortening done by transverse osteotomy with intramedullary Küntscher-nail fixation.

3. In both groups, from 2.5 to 8.1 centimeters of femoral shortening have been accomplished.

4. In the former group, only three secondary operations were needed among forty patients; in the latter group, twelve secondary operative procedures were required for eleven patients.

5. Only one operative complication and four postoperative complications occurred in the much larger group treated by oblique osteotomy and screw fixation, while seven operative and thirteen postoperative complications occurred in the smaller group treated by transverse osteotomy and intramedullary nailing.

6. Postoperative external support by balanced suspension or spica for eight to ten weeks after femoral shortening by oblique osteotomy was followed by more rapid and consistent bone healing than was observed after transverse osteotomy, Küntscher intramedullary-nail fixation, and early ambulation.

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    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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