Secondary Logo

Journal Logo

Institutional members access full text with Ovid®

The Technique of Venting the Femoral Canal

Stephen, David M.D., F.R.C.S.(C)

Techniques in Orthopaedics: March 2004 - Volume 19 - Issue 1 - p 45-48
ARTICLES
Buy

The preferred method of stabilization for an impending or actual pathologic fracture of the femoral diaphysis is an intramedullary nail. Unfortunately, cardiopulmonary abnormalities can occur during or after the nail insertion and are recognized as a potentially fatal but preventable complication. Although numerous management modalities are implemented before, during, and after nailing, no single strategy can eliminate the occurrence of fat embolism. One technique that can be used to decrease the incidence of fat emboli is distal venting, either in the case of the intact femur or in cases of fracture proximal to the isthmus of the femoral canal.

From the University of Toronto, Sunnybrook and Women's College Health Science Center, Toronto, Ontario, Canada.

Address correspondence and reprint requests to David Stephen, MD, FRCS(C), University of Toronto, Sunnybrook and Women's College Health Science Center, Toronto, Ontario, Canada. E-mail: David.Stephen@sw.ca.

© 2004 Lippincott Williams & Wilkins, Inc.