PubMed Health⌕ Search
Home/Archive/PubMed

PubMed · 2270491

[Indications for interlocking nailing].

E Brug·D Pennig
View original source ↗Export metadata ↓

Abstract

For closed diaphyseal fractures of femur and tibia in adults, medullary nailing with interlocking nails has become the treatment of choice. Their use has been extended to certain intraarticular fractures in combination with shaft fractures, compound fractures with low-grade wound contamination, malunion, non-union and pathologic fractures. Locked nailing should be performed as a closed procedure, and callus bone healing should be expected. Fracture hematoma, drill debris and preservation of periosteal circulation are of particular relevance in achieving this. Dynamization by removal of the locking screw(s) opposite the fracture site accelerates the transformation and ossification of early fixation callus.

Explore related subjects

Bone NailsBone ScrewsFemoral FracturesFracture Fixation, IntramedullaryFractures, SpontaneousHumansRadiographyTibial FracturesJournal Article

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

E Brug, D Pennig. 1990. [Indications for interlocking nailing].. https://pubmed.ncbi.nlm.nih.gov/2270491/

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed1992

[Hand fractures and epiphyseal injuries in childhood].

Anatomic features of the hand in childhood are presented that are responsible for the types of certain injuries. On the basis of the data in the literature and of the authors' own experience of 92 cases the main points of the diagnosis and therapy of metacarpal and phalanx fractures are summarized. The possibility of finger-replantation is also mentioned. Their statements are illustrated by their own cases. In order to recognize late growth disturbances, the necessity of the follow up is emphasized.

Bone Nails↗
PubMed1992

[Initial experiences with the humerus interlocking nail].

A preliminary report is given on the good results of eleven patients, who had been treated with a locking nail for a fracture of the humerus at three different trauma departments. No non-union, infection or radial palsy has been seen nor was there any neurovascular complication intraoperatively. Four patients had misalignments of up to 15 degrees, whereof three of them had combined varus-recurvation-angulations without functional or cosmetic sequelae. All but one had excellent functional results six months postoperatively. Bone healing could be confirmed three months postoperatively. Only transverse and spiral fractures of the second to fifth sixth had been treated until now, though open fractures up to the second degree can be managed too. Finally, some technical issues are considered, which include a better guiding device, the use of cancellous screws for proximal looking, a more oblique position of one of the proximal screwholes to obtain some kind of interfragmentary compression for appropriate fractures, and the use of a Williams-screwdriver.

Bone Nails↗