There are several definitions for bony nonunion. We use the one that defines it as no clinical, radiographic, or scintigraphic evidence of healing 12 months after injury and by the need for secondary surgery. Delayed union is defined as the completion of union Letter to the Editor Immediate interlocking nailing versus external fixation followed by delayed interlocking nailing for Gustilo type I...

conclusions the functional outcome 22 months post injury showed that although primary treatment method uses locked imn in humeral shaft fractures, unlocked imn can be used in appropriate cases. less injury risk to the axillary and radial nerve, short period of surgery, and less radiation can be considered as advantages of this technique. introduction although intramedullary nailing (imn) is use...

INTRODUCTION: It is common knowledge that the fracture healing process is strongly influenced by the mechanical behaviour of the bone implant complex (BIC) due to the resulting interfragmentary movement (IFM) of the bone fragments at the fracture site. Unreamed intramedullary nailing reduces the disturbance of blood supply in comparison to reamed nailing but leads to a more flexible stabilizati...

PURPOSE To evaluate whether the operating time correlates with the survival and outcome in patients who underwent intramedullary nailing for metastatic femoral fractures. METHODS Records of 10 men and 11 women aged 43 to 86 (mean, 66) years who underwent intramedullary nailing (4 bilaterally) for metastatic femoral fractures between 1999 and 2003 were reviewed. The patients were followed up f...

Antegrade reamed femoral nailing via the piriformis entry point is the technique of choice in treating femoral shaft fractures, with retrograde nailing as an alternative. The supine position is favored to reduce complications, especially rotational malalignment. With navigation and robotic assistance fracture reduction can be supported and the rate of rotational, axis and length malalignement c...

PURPOSE To compare closed intramedullary nailing to open reduction and internal fixation using a fixed angle blade plate for the management of subtrochanteric femoral fractures. METHODS 58 patients were equally randomised to undergo either an intramedullary nailing (IN) or fixed angle blade plating (BP). RESULTS There were no significant differences between the 2 groups with regard to age, ...

Both-bones diaphyseal forearm fractures are common injuries in the paediatric age group and are potentially unstable. Both-bones intramedullary nailing for these fractures is a minimally invasive procedure that maintains alignment, and promotes rapid bony healing. Good results have also been shown with single-bone fixation. We report our experience in treating these common injuries with radius-...

We report the use of Grosse-Kempf reamed intramedullary nailing in the treatment of 41 Gustilo type II and III open tibial fractures. The union times and infection rates were similar to those previously reported for similar fractures treated by external skeletal fixation, but the incidence of malunion was less and fewer required bone grafting. The role of exchange nailing is discussed and a tre...