Locked Femoral Nailing
- 1 November 1993
- journal article
- Published by Wolters Kluwer Health in Journal of the American Academy of Orthopaedic Surgeons
- Vol. 1 (2) , 95-105
- https://doi.org/10.5435/00124635-199311000-00004
Abstract
Anter to the supracondylar area. Achieving a closed reduction and selecting the proper starting point in the piriformis region are crucial to a successful result. Following the proper surgical technique for the specific nail used is more important than nail material or design. Large-diameter reamed nails provide greater strength than unreamed nails. Static locking has been shown to yield nearly the same high union rates as dynamic locking and is now the accepted standard. Distal targeting of the interlocking screw remains the most difficult aspect of the surgical technique; most surgeons prefer freehand targeting with a sharp trocar. Second-generation (reconstruction) nails, with screws directed toward the femoral head, has extended the indications for locked nailing proximally to subtrochanteric fractures and combined femoral neck-shaft fractures....Keywords
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