Evolution and principles of intramedullary locked nailing

Der Unfallchirurg
C HierholzerC von Rüden

Abstract

Key factors for successful osteosynthetic fracture stabilization are anatomical fracture reduction, restoration of axis and torsion alignment as well as tissue-preserving operative techniques. In long bone fractures, the use of intramedullary long bridging nailing offers ideal conditions for bone healing, as axial and rotational stability is provided by canal-filling nails and locking screws. In addition, the tissue in the fracture region is protected as the intramedullary nail insertion is distant from the fracture. The indication spectrum for modern intramedullary locked nailing includes diaphyseal fractures of long bones, metaphyseal fractures and reconstructions, as well as treatment of nonunion, osteotomy and arthrodesis of the lower extremities. Continuous improvements in nail design and instrumentation as well as the introduction of anatomical reconstruction nails will optimize the spectrum and effectiveness of intramedullary osteosynthesis even further.

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Citations

Jan 9, 2019·Der Unfallchirurg·T Gösling, C Krettek
Apr 22, 2020·Journal of Orthopaedic Surgery and Research·Johannes Christof HopfPol Maria Rommens
Jan 4, 2021·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Alexander M KepplerC Neuerburg
Oct 13, 2020·Injury·Peter AugatChristian von Rüden
May 22, 2021·Curēus·Maximiliano BarahonaCarlos A Infante

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