Abstract

Accuracy of Distal Long Femur Nail Locking with Different Techniques

Highlights

  • Nowadays intramedullary nailing of long-bone shaft fractures is generally accepted as a gold standard treatment

  • Insideout distal locking method was shown excellent result with an accuracy of 100%

  • A prospective-randomized comparison of 4 different distal locking methods were discussed in this paper

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Summary

Introduction

Nowadays intramedullary nailing of long-bone shaft fractures is generally accepted as a gold standard treatment. Küntscher nail was tight fitting and unlocked. This is the first described nail which has some disadvantages such as rotational instability and causing bone necrosis [1]. In the past, these kind of disadvantages has limited the use of unlocked nails. Locked intramedullary nailing of the femur has showed increasing popularity in the past two decades. The inflatable self-locking nails were used such as the Fixion Owing to the locked nails, the length of the bone-implant construction is still effectively maintained because the interlocking screws prevent shortening and intramedullary nail migration

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