The Grosse-Kempf interlocking nail: technique of femoral and tibial fractures.

Abstract

An anatomical reduction is required on both the lateral and AP view. In our hands this is easiest obtained and maintained with the patient in the supine position. The supine position facilitates better anesthesia care in the multiply injured patient and aids in movement of the image intensifer during the procedure. Each step should be carefully followed and the horizontal screw placement is possible only when the image of the holes is perfectly round. When the previously mentioned conditions and steps are followed, a successful locking nail insertion can be achieved.