Intramedullary Nailing of the Femur: Reamed Versus Nonreamed

Interlocking Contoured Intramedullary Nail Fixation for Selected Diaphyseal Fractures of the Forearm in Adults

“…In an effort to circumvent these problems, intramedullary nailing has been proposed as an alternative method for stabilizing and maintaining the reduction of forearm fractures 13,14 . This technique is commonly used for femoral fixation and, increasingly, for fractures of the tibia and humerus [15][16][17] . However, intramedullary nailing has not been widely used for fixation of forearm fractures because of its limited indications, reportedly high rates of nonunion, and need for additional immobilization 18 .…”

Open Interlocking Nailing and Bone Grafting for Neglected Femoral Shaft Fractures

“…Closed reduction and internal fixation with an interlocking nail is the gold standard for the management of such fractures in adults. [2][3][4] In rural India, most patients still consider surgery to be taboo and insist on conservative management or traditional bone setting methods. Many even neglect the fracture and become bed ridden for months.…”

Comparison of non-compression and compression interlocking intramedullary nailing in rabbit femoral shaft osteotomy model

“…[1,2] Modern interlocking techniques maintain the length and rotational alignment of the bone. [3,11] The use of ICN in the treatment of long bone fractures combines the advantages of IMN (minimal invasive application and early weight bearing) with the compression feature of plate fixation. [11,12] In comparison to traditional static IMN, ICN significantly increases the stability of the fracture site in biomechanical studies and simultaneously reduces the rotation of the fracture site by increasing the contact pressure at the fracture ends.…”

“…[1] High rates of fracture union, low complication rates, and excellent return of limb function make this technique the gold standard treatment of femoral shaft fractures. [2,3] Interlocking compression nails (ICNs) generate interfragmentary compression at the fracture site. Active compression at the fracture site can enhance fracture healing by minimizing the fracture gap by forcing the bone fragments against each other.…”