¿Are the unreamed nails indicated in diaphyseal fractures of the lower extremity? A biomechanical study

Femoral intramedullary nailing was first described by Gerhard K üntscher, becoming an excellent choice in the treatment of long bones fractures, both in diaphyseal as in many cases of metaphyseal location [1]. In 1953 Modny and Bambara described interlocking nails [2]. In 1989, unreamed locking nails with a triangular solid cross section [3] appeared as an opti on in the treatment of open tibial fractures and fractures associated with major soft tissue injuries. The rationale for this new nail is that reaming destroys endosteal vascularisation [4,5], although vascular flow returns to normal within 12 weeks [4].

Source: Injury - February 24, 2021 Category: Orthopaedics Authors: J. Albareda, E. Ibarz, J. Mateo, S. Su ñer, C. Lozano, J. Gómez, B. Redondo, A. Torres, A. Herrera, L. Gracia Source Type: research