The Cephalomedullary Nail was
designed to help treat fractures of the femur
, especially intertrochanteric and subtrochanteric fractures. The nail features a small proximal section that is designed to minimize the amount of bone that must be removed for nail insertion.
What is a femur CMN?
Stable trochanteric femur fractures are most often fixed by
cephalomedullary nails
(CMN) or sliding hip screws (SHS).
What is CMN surgery?
Cephalomedullary nails (CMN) are commonly
used for the treatment of intertrochanteric (IT) hip fractures
. Total hip arthroplasty (THA) is commonly used as a salvage procedure for failed IT hip fractures that progress to post-traumatic arthritis.
Is Cephalomedullary the same as intramedullary?
This new class of intramedullary nail, the so-called “cephalomedullary nail” includes the Long Gamma Nail (LGN), the Trochanteric Femoral Nail (TFN), and the Intertroch/Subtroch Nail (ITST).
What is a DHS surgery?
Dynamic hip screws (DHS) are
a femoral head-sparing orthopaedic device used to treat femoral neck fractures
. It is sometimes referred to as a pin and plate.
Can a broken femur heal without surgery?
Most people with a fractured femur need some sort of surgery, usually ORIF.
Without the surgery, your broken femur may not heal properly
. ORIF can place your bones back into their proper configuration. This significantly increases the chance that your bone will heal properly.
How long does pain last after femur fracture?
Knee pain was the most common and most severe source of patient discomfort
12 months
after isolated femur fractures, and demonstrated moderate to good correlation with general and joint-specific functional outcome measures.
What is an IM nailing?
An intramedullary nail is
a metal rod that is inserted into the medullary cavity of a bone and across the fracture in order to provide a solid support for the
fractured bone. Intramedullary nailing is currently considered the “gold standard” for treatment of femoral shaft fractures (Rudloff 2009).
Is a Cephalomedullary nail an intramedullary nail?
A
locked hip screw
-intramedullary nail (cephalomedullary nail) for the treatment of fractures of the proximal part of the femur combined with fractures of the femoral shaft.
Are there hip precautions with IM nailing?
Movement Precautions
If pins, screws, nails, or plates were used to repair your broken hip,
do not put more weight on the operative side than your Doctor
, Nurses or Therapists say you can. Use a pillow between your legs for comfort when you are lying in bed.
Why is it called a gamma nail?
The gamma nail was named as such
because it resembles the Greek letter gamma (g)
[25] . … … The modifications allowed a more anatomic fit in the proximal femur, which eliminated the ”threepoint” fixation that occurred with the first generation Gamma nail.
What is apex distance?
The Tip Apex Distance (TAD) is
a simple measurement that predicts screw cut-out in the femoral head from trochanteric fractures treated
with a fixed angle sliding hip screw device [1].
What is Gamma nail surgery?
Gamma is a
comprehensive intramedullary nailing system for the treatment of a wide range of proximal femur fractures as well as associated femoral shaft fractures
. The system is the result of over 25 years of continuous innovation and clinical history.
How long are you in hospital after broken hip surgery?
Recovering from hip surgery
How long you’ll need to stay in hospital will depend on your condition and mobility. It may be possible to be discharged after around 1 week, but most people need to stay in hospital for
around 2 weeks
.
How long does it take to walk after hip surgery?
Most hip replacement patients are able to walk
within the same day or next day of surgery
; most can resume normal routine activities within the first 3 to 6 weeks of their total hip replacement recovery. Once light activity becomes possible, it’s important to incorporate healthy exercise into your recovery program.
How long is recovery from hip fracture surgery?
Most people are able to return to work 4 weeks to 4 months after surgery. But it
may take 6 months to 1 year
for you to fully recover. Some people, especially older people, are never able to move quite as well as they used to. You heal best when you take good care of yourself.
