Abstract
We have accumulated experience in the surgical treatment of diaphyseal fractures of the femur in 256 patients; closed intramedullary osteosynthesis was performed in 56 of them. Like a number of other authors, we performed this operation under the control of an electron-optical converter with bone marrow canal dissection. When the femoral canal is drilled out, part of the bone chips and bone marrow elements are embedded between the bone fragments, which improves the reparative process. This operation, which we perform usually on the 14th day after injury, does not damage the soft tissues in the fracture area, the periosteum and the femur itself. Fixation of bone fragments of the femur is performed using a powerful hollow metal nail with a slit, which, in our opinion, ensures stability of the fracture for the entire period of regeneration and saves the patient from additional external immobilization with a plaster cast with all its inherent drawbacks.
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