The Marchetti-Vicenzi nail. A DGH experience.
From July 1993 to September 1997, 28 nailings were done on 26 patients using the Marchetti-Vicenzi flexible nail. The minimum length of follow-up was 1 year. All the patients were examined clinically and radiographically. All the 19 tibiae united. Of the nine femur fractures, one required exchange nailing. Complications were delayed union, mal-union, shortening and infection. The complication rate was 3/19 for the tibia and 2/19 for the femur. The mean operative time and the mean fluoroscopy time for the tibia nailings was 36 and 0.22 min and for the femur nailings was 39 and 0.20 min, respectively. This was much lower than that for Russell-Taylor nails.
Madan
S
S
Department of Orthopaedics, Poole Hospital, UK.
Natarajan
R
R
Walsh
S
S
Blakeway
C
C
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001858:Bone Nails / Q000009:adverse effects; D005260:Female; D005264:Femoral Fractures / Q000601:surgery*; D005500:Follow-Up Studies; D005594:Fracture Fixation, Intramedullary / Q000379:methods; D005599:Fractures, Ununited / Q000601:surgery; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011182:Postoperative Care; D011183:Postoperative Complications / Q000209:etiology; D013978:Tibial Fractures / Q000601:surgery