Abstract

The authors present in this article a new inflatable self-locking intramedullary nailing system for treatment of long bone fractures. The features of this system and the advantages of the technique are shown: fixation along the entire length of the nail, lack of proximal or distal interlocking screws, optional reaming, reduced exposure of the surgeon to x-rays and reduced operating room time. The clinical and radiographic results are reported: out of 82 implants in closed fractures classified according to A. O. method, 58 were available up to date for follow-up. We observed in all 58 cases (100 %) fracture consolidation, with absence of non-unions, infections or rotational malalignments. Only 4 (6.9 %) cases of complication are reported, consisting in opening of the fracture after inflation of the nail: a good stability of the nail, however, assured a complete callus formation. The authors conclude that this intramedullary nail is an innovative, effective, simple and minimally invasive procedure for treating long bone shaft fractures.

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