Introduction : In the field of trauma surgery, fractures of the leg remain the injuries with a higher complication rate. The optimum treatment for fractures of the tibia remains controversial. When the aim is stable fixation with early restoration of function without use of plaster, intramedullary nailing offers an attractive treatment option.Newer tibial nail designs has widened the range of i...

A major drawback of conventional fixator system is the penetration of fixator pins into the medullary canal. The pins create a direct link between the medullary cavity and outer environment, leading to higher infection rates on conversion to intramedullary nailing. This study was designed to prospectively evaluate the role of new rapid pinless external fixators in primary stabilization of open ...

Internal lengthening nail (ILN) is a recent development in limb lengthening and deformity correction specialty. The ILN has the distinct advantage of combining acute deformity correction with gradual lengthening of bone. While using ILN, the short metaphyseal bone fragment may develop a deformity at the time of osteotomy and nail insertion or during bone lengthening because of the wide medullar...

of diaphyseal long bone fractures. Interlocking nails have transverse cannulations that accommodate transcortical screws, allowing surgeons to firmly fix the rod within the medullary canal, thereby effectively neutralizing bending, rotational, and axial forces that act on fractures. Interlocking nails have become increasingly To counter axial and rotational forces, intramedullary nails were dev...

Nonunion of long bones fixed with nails may result in implant failure. Removal of a broken intramedullary nail may be a real challenge. Many methods have been described to allow for removal of the broken piece of the nail. In this paper, we are reviewing the different techniques to extract a broken nail, classifying them into different subsets, and describing a new technique that we used to rem...

The development of intramedullary nailing, introduced in 1939 by Küntscher, 1 revolutionised the treatment of fractures of the long bones. Initially, this mechanism of stabilisation consisted of the maintenance of close contact and friction between the implant and the inner cortex by a cloverleaf nail. The technique was limited to simple fractures of the midshaft only. Once established, reaming...

INTRODUCTION Comminuted distal humerus fractures often require large access to the distal humerus for anatomic reconstruction of the joint surface. In these cases an olecranon osteotomy is usually performed, allowing the triceps muscle to be moved out of the way with clear access to the distal humerus. After fixing the distal humerus, the olecranon is often fixed with two k-wires inserted longi...