While closed
interlocking nail remains the gold standard in the treatment of femoral shaft fractures, open Kuntscher nailing may still have its relevance in the developing countries as reported by other author.
An in vitro biomechanical investigation of MP35N intramedullary
interlocking nail system for repair of third metacarpal fractures in adults horses.
Due to the space limit of the
interlocking nail, the positioning magnet made of NdFeB (N52, Asia Magnets Co.
There is reported literature, which shows increased blood loss, increased operating time, increased risk of pulmonary embolism and adult respiratory distress syndrome after reamed
interlocking nail. We have a reasonable policy to wait and stabilize the patient who has certain risk factors such as associated chest trauma etc.
Key Words: Femoral shaft femur, Intramedullary
interlocking nail, Angulation, Time of union.
When intermediate fragment is split or there is comminution of either level of segmental fracture, the
interlocking nail is the only best available implant, since the conventional IM nailing does not provide adequate fixation.3,4
The rigidity of a plate or
interlocking nail was indicated to counter the significant impact forces; however, the relatively small medullary canal of the tarsometatarsal bone, accessible only through a joint surface, eliminated the possibility of using an
interlocking nail.
The
interlocking nail widens the range of indications for medullary osteosynthesis of femoral and tibial shaft fractures [10].
``The
interlocking nail provides excellent stability to the femur whilst the fracture heals and Roley should regain full limb function.''
Kuntscher nail and
Interlocking nail alternatively.
Dynamization: The procedure done in cases of delayed union of femoral and tibial shaft fractures fixed with intramedullary
interlocking nail in which screws farthest from the fracture site are removed.