Abstract
The desirable conditions for adequate immobilization of fracture-site by the method of osteosynthesis are as follows: trauma of the soft tissue on operation should be minimized as littie as possible, fixation of the fracture should be strong enough for as early exercise and weight-bearing, and it results in solid union and no deficit in the strength of the bone.Television image intensifier faciliates us the closed intramedullary nailing. Our several trials could conquer the weak-points of it. These are: (1) use of two television image intensifiers for reduction of the fracture, (2) employment of the apparatus for dynamic compression of the fracture, exercise of the fracture-site under compressive traction, and transverse fixation of the intramedullary nail with two screws which hold back rotation of the nail in marrow cavity, (3) compressive intramedullary nailing was devised using modified clover-nail with a special bolt for compression at the one-end.Compressive intramedullary nailing could satisfy the desirable conditions for the adequate immobilization of the fracture-site.
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