Acta Chir Orthop Traumatol Cech. 2008; 75(1):52-60 | DOI: 10.55095/achot2008/009

Intramedullary Osteosynthesis in the Treatment of Lower Extremity FracturesIn-service-training

TH. HOHAUS, PH. BULA, F. BONNAIRE
Klinik für Unfall-, Wiederherstellungs- und Handchirurgie, Städtisches Klinikum Dresden - Friedrichstadt, Akademisches Lehrkrankenhaus der TU Dresden, Germany

AO Principles are described today as follows:
* appropriate reduction
* appropriate stabilization
* preservation of vascularity
* painless early mobilization
These requirements can all be met by intramedullary osteosynthesis for suitable indications. The modern generation of nails is highly user-friendly and application of the systems is very safe. Outcome predictions favor reamed locked nailing for suitable fractures, whereby reaming should be moderate. The need to activate the dynamization option should be evaluated six to eight weeks postoperatively.

Accepted: August 10, 2007; Published: February 1, 2008  Show citation

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HOHAUS T, BULA P, BONNAIRE F. Intramedullary Osteosynthesis in the Treatment of Lower Extremity Fractures. Acta Chir Orthop Traumatol Cech. 2008;75(1):52-60. doi: 10.55095/achot2008/009. PubMed PMID: 18315963.
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    References

    1. BLACHUT, P. A., O'BRIEN, P. J., MEEK, R. N., BROEKHUYSE, H. M.: Interlocking intramedullary nailing with and without reaming for the treatment of closed fractures of the tibial shaft. A prospective, randomized study. J. Bone Jt Surg., 79-A: 640-646, 1997. Go to original source... Go to PubMed...
    2. CHAN, K. Y., SINGH, V. A., MARIAPAN, S., CHONG, S. T. B.: Antegrade versus Retrograde Locked Intramedullary Nailing for Femoral Fractures: Which is Better? European Journal of Trauma and Emergency, 33: 135-140, 2007. Go to original source... Go to PubMed...
    3. FINKEMEIER, C. G., SCHMIDT, A. H., KYLE, R. F., TEMPLEMAN, D. C., VARECKA, T. F.: A prospective, randomized study of intramedullary nails inserted with and without reaming for the treatment of open and closed fractures of the tibial shaft. J. Orthop. Trauma, 14: 187-193, 2000. Go to original source... Go to PubMed...
    4. GONSCHOREK, O., HOFMANN, G. O., BUHREN, V.: Interlocking compression nailing: a report on 402 applications. Arch. Orthop. Trauma Surg., 117: 430-437, 1998. Go to original source... Go to PubMed...
    5. HAVEMANN, D., GOTTORF, T.: Kuntscher's intramedullary stabilization versus other osteosynthesis procedures. Chirurg, 61: 417-421, 1990.
    6. HONTZSCH, D., WELLER, S., ENGELS, C., KAISERAUER, S.: Change in the procedure from external fixator to intramedullary nailing osteosynthesis of the femur and tibia. Aktuelle Traumatol., 23, Suppl 1: 21-35, 1993. Go to PubMed...
    7. KEATING, J. F., O'BRIEN, P. J., BLACHUT, P. A., MEEK, R. N., BROEKHUYSE, H. M.: Locking intramedullary nailing with and without reaming for open fractures of the tibial shaft. A prospective, randomized study. J. Bone Jt Surg., 79-A: 334-341, 1997. Go to original source... Go to PubMed...
    8. KRETTEK, C.: Principles of intramedullary fracture stabilization (1). Unfallchirurg, 104: 639-651; Quiz 652, 2001. Go to original source... Go to PubMed...
    9. KRETTEK, C.: Principles of intramedullary fractures stabilization (2). Surgical technique. Unfallchirurg, 104: 749-769; Quiz 770-771, 2001. Go to original source... Go to PubMed...
    10. KÜNTSCHER, G., MAATZ, R.: Technik der Marknagelung. Edited, Leipzig, Georg Thieme Verlag 1945.
    11. LARSEN, L. B., MADSEN, J. E., HOINESS, P. R., OVRE, S.: Should insertion of intramedullary nails for tibial fractures be with or without reaming? A prospective, randomized study with 3.8 years' follow-up. J. Orthop. Trauma, 18: 144-149, 2004. Go to original source... Go to PubMed...
    12. MELCHER, G. A., CLAUDI, B., SCHLEGEL, U., PERREN, S. M., PRINTZEN, G., MUNZINGER, J.: Influence of type of medullary nail on the development of local infection. An experimental study of solid and slotted nails in rabbits. J. Bone Jt Surg., 76-B: 955-959, 1994. Go to original source...
    13. MULLER, C., FRIGG, R., PFISTER, U.: Effect of flexible drive diameter and reamer design on the increase of pressure in the medullary cavity during reaming. Injury, 24, Suppl 3: S40-47, 1993. Go to original source... Go to PubMed...
    14. OSTRUM, R. F., DiCICCO, J., LAKATOS, R., POKA, A.: Retrograde Intramedullary Nailing of Femoral Diaphyseal Fractures. In: OTA, Edited, 1997. Go to original source...
    15. PAPE, H. C., KRETTEK, C., MASCHEK, H., REGEL, G., TSCHERNE, H.: Fatal pulmonary embolization after reaming of the femoral medullary cavity in sclerosing osteomyelitis: a case report. J. Orthop. Trauma, 10: 429-432, 1996. Go to original source... Go to PubMed...
    16. PAPE, H. C., REGEL, G., DWENGER, A., KRUMM, K., SCHWEITZER, G., KRETTEK, C., STURM, J. A., TSCHERNE, H.: Influences of different methods of intramedullary femoral nailing on lung function in patients with multiple trauma. J. Trauma, 35: 709-716, 1993. Go to original source... Go to PubMed...
    17. RÜEDI, T. P., MURPHY, W. M.: AO Principles of Fracture Management. Edited, Stuttgart - New York, Thieme 2000.
    18. SANDERS, R., KOVAL, K. J., DiPASQUALE, T., HELFET, D. L., FRANKLE, M.: Retrograde reamed femoral nailing. J. Orthop. Trauma, 7: 293-302, 1993. Go to original source... Go to PubMed...
    19. SCHANDELMAIER, P., KRETTEK, C., WOLTER, K., TSCHERNE, H.: Ability to Kneel after Tibial Nailing: The Length of Incision Matters. In: OTA. Edited, 1999.
    20. TORNETTA, P. 3rd, TIBURZI, D.: The treatment of femoral shaft fractures using intramedullary interlocked nails with and without intramedullary reaming: a preliminary report. J. Orthop. Trauma, 11: 89-92, 1997. Go to original source... Go to PubMed...
    21. WENDA, K., RITTER, G., DEGREIF, J., RUDIGIER, J.: Pathogenesis of pulmonary complications following intramedullary nailing osteosyntheses. Unfallchirurg, 91: 432-435, 1988.

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