title: Extending fixation beyond the working length of an intramedullary nail with a linked intramedullary and extramedullary fixation in complex femoral fractures; a brief series.
abstract: We report the use of a fixed-angle side-plate device linked to an intramedullary nail in the femur with the interlocking screws applied through the plate. The 95 degrees device extends the effective length of the nail and increases the stability of the fixation. This technique is one of various adaptations that can be recommended to stabilise a complex combination of femoral fractures. This is a report of four such patients.
authors.affiliation: Department of Orthopaedics and Traumatology, St James's University Hospital, Beckett Street, Leeds LS9 7TF, UK.
authors.forename: B
authors.initials: B
authors.lastname: Venkateswaran
authors.forename: R M
authors.initials: RM
authors.lastname: Smith
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001858:Bone Nails; D016267:External Fixators; D005260:Female; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D005269:Femur / Q000000981:diagnostic imaging / Q000601:surgery*; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation / Q000379:methods*; D017102:Fracture Healing; D006801:Humans; D016268:Internal Fixators; D008297:Male; D008875:Middle Aged; D011859:Radiography