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1

Zelimir, Korac, Bozic-Bozo Nenad, Bakota Bore, Jankovic Andrija, and Grbacic Zlatko. "Locking intramedullary osteosynthesis of lower extremity fractures in General Hospital Karlovac." Acta Chirurgica Croatica 9, no. 1 (2012): 19–24. https://doi.org/10.5281/zenodo.3534122.

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Authors analyze the application of locking intramedullary implants (long and short Gamma 2 Stryker nail, Femoral locking S2 Stryker nail and Tibial locking S2 Stryker nail). Four and a half years follow up resulted with 183 GAMMA nails, 42 Femoral and 37 Tibial locking nails being implanted. Gamma nails were used to treat significantly older patients (average age 68.2 years) in comparison with patients treated with Tibial nails (average age 37.1 years) and Femoral nails (average age 38.1 years). We analyzed the length of hospital stay, technique of application (static or compressive), the rela
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2

Chen, Hongfeng, Zhen Li, Dongsong Yang, et al. "Clinical study of intramedullary nailing fixation for the treatment of Danis-Weber B in lateral malleolus fracture." Journal of International Medical Research 49, no. 10 (2021): 030006052110473. http://dx.doi.org/10.1177/03000605211047371.

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Objective To compare the clinical effects between anatomical locking plates and interlocking intramedullary nails in patients with Danis-Weber B lateral malleolus fractures. Methods This retrospective study enrolled patients with Danis-Weber B fractures of the lateral malleolus. All the operations were completed by the same group of surgeons. The reduction effect, operation time, intraoperative blood loss, hospital stay, fracture healing time and ankle functional outcomes (Olerud-Molander Ankle Score [OMAS]) were compared. Postoperative complications, including incision infections, fixation di
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Walmsley, David, Bruce Nicayenzi, Paul RT Kuzyk, et al. "Biomechanical analysis of the cephalomedullary nail versus the trochanteric stabilizing plate for unstable intertrochanteric femur fractures." Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine 230, no. 12 (2016): 1133–40. http://dx.doi.org/10.1177/0954411916676508.

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Unstable intertrochanteric fractures are commonly treated with a cephalomedullary nail due to high failure rates with a sliding hip screw. The Omega3 Trochanteric Stabilizing Plate is a relatively new device that functions like a modified sliding hip screw with a proximal extension; however, its mechanical properties have not been evaluated. This study biomechanically compared a cephalomedullary nail, that is, Gamma3 Nail against the Omega3 plate. Unstable intertrochanteric fractures were created in 24 artificial femurs. Experimental groups were as follows: Nail (i.e. Gamma3 Nail) (n = 8), Pla
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DC, Gopal Sagar, and Sandeep Gurung. "Broken Femoral Intramedullary Locking Nails with Nonunion: A difficult combination!" Journal of Nepalgunj Medical College 16, no. 1 (2018): 58–62. http://dx.doi.org/10.3126/jngmc.v16i1.24232.

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Background: The diaphyseal fracture of femur is universally treated with intramedullary interlocking nails. Non-union with properly done interlocking nail is not very common. When broken nail and non-union coexist, it becomes a real challenge. We reviewed our isolated femoral shaft fractures treated with antegrade interlocking nails that presented with broken nails, bolts and non-union. We discuss our simple technique of retrieval of broken nail units, their management and results with revision nailing.
 Materials and methods: We reviewed our cases of femoral intramedullary locking nails
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Rohilla, Rajesh, Roop Singh, Narender Magu, Ashish Devgun, Ramchander Siwach, and Ashish Gulia. "Nail over nail technique for distal locking of femoral intramedullary nails." International Orthopaedics 33, no. 4 (2008): 1107–12. http://dx.doi.org/10.1007/s00264-008-0579-y.

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6

Viant, W. J., R. Phillips, J. G. Griffiths, et al. "A computer assisted orthopaedic surgical system for distal locking of intramedullary nails." Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine 211, no. 4 (1997): 293–300. http://dx.doi.org/10.1243/0954411971534412.

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This paper presents a prototype system for computer assisted surgery, the purpose of which is to assist orthopaedic surgeons when performing distal locking of intramedullary nails. This system comprises three components, namely: an Intelligent Image Intensifier, a Trajectory Tactician and an Intelligent Trajectory Guide. The Intelligent Image Intensifier is an X-ray vision system that provides accurate X-ray images. Such images enable the Trajectory Tactician software to analyse the operation site and calculate the trajectory required for a screw to lock an intramedullary nail. This involves t
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7

M, Vinod Kumar, and Avinash G. "A Comparative Functional Assessment of Proximal Femoral Nailing and Proximal Femoral Locking Plate for Subtrochanteric Fractures of Femur." International Journal of Pharmaceutical and Clinical Research 15, no. 11 (2023): 1610–14. https://doi.org/10.5281/zenodo.11239639.

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Subtrochanteric fractures of the femur accounts 7- 44% of all proximal femur fractures. Conservative management in these fractures has no role. Two options exist for unstable fractures, either angular locking plate or a sliding neck screw via a closed technique. Current study compared the functional Outcome of Subtrochanteric fractures those were managed with proximal femoral nail or Proximal Femoral Locking Plate using the modified Harris hip score as an assessment tool at follow-up visits at 6, 12, and 24 wks post-surgery. The mean duration of surgery in proximal femoral nail group was 80 mi
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8

Schulz, A. P., M. Münch, T. Barth, J. Frese, N. Hinz, and M. Hartel. "INITIAL CONSTRUCT STABILITY OF LONG CEPHALOMEDULLARY NAILS WITH CONVENTIONAL DISTAL LOCKING COMPARED TO SIMILAR NAILS WITH SUPERIOR LOCKING FOR COMPLEX TROCHANTERIC FRACTURES AO31-A2.2: A BIOMECHANICAL STUDY." Orthopaedic Proceedings 106-B, SUPP_18 (2024): 120. http://dx.doi.org/10.1302/1358-992x.2024.18.120.

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IntroductionA long nail is often recommended for treatment of complex trochanteric fractures but requires longer surgical and fluoroscopy times. A possible solution could be a nail with an appropriate length which can be locked in a minimally invasive manner by the main aiming device. We aimed to determine if such a nail model* offers similar structural stability on biomechanical testing on artificial bone as a standard long nail when used to treat complex trochanteric fractures.MethodAn artificial osteoporotic bone model was chosen. As osteosynthesis material two cephalomedullary nails (CMN)
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Rosemberg, Dov Lagus, Rodrigo Sousa Macedo, Rafael Barban Sposeto, Marcos Hideyo Sakaki, Alexandre Leme Godoy-Santos, and Tulio Diniz Fernandes. "Tibiotalocalcaneal Arthrodesis: A Retrospective Comparison Between Nails and Lateral Locking Plate Complications." Foot & Ankle Orthopaedics 8, no. 1 (2023): 247301142311577. http://dx.doi.org/10.1177/24730114231157719.

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Background: Tibiotalocalcaneal arthrodesis is a well-established procedure to treat some hindfoot diseases. Currently, the most used implants are retrograde intramedullary nails and locking plates combined with lag screws, but there are few articles comparing differences regarding the complications. Methods: We have retrospectively analyzed the medical records and the radiographs of patients older than 18 years who underwent this procedure in our service between 2005 and 2019 through retrograde intramedullary nails or lateral locking plates and compression screws with at least 12 months of fol
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10

Evola, Francesco Roberto, Michele Vecchio, Marco Vacante, and Giuseppe Evola. "The Treatment of Three-Part Fractures of Humeral Head: A Retrospective Study to Compare Nail vs. Plate." Surgical Techniques Development 14, no. 3 (2025): 23. https://doi.org/10.3390/std14030023.

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Background: There are no clear guidelines to support management decisions for patients with three-part fractures of the proximal humerus. The aim of the study is to identify the treatment used and to assess the functional and radiological outcomes at follow-up. Methods: A total of 126 patients were retrospectively included in the study and were divided into two groups based on the type of surgery: plate and nail group. We collected data on the patient’s sex, age, fracture type, surgery duration, fracture healing, initial and final neck–shaft angles, shoulder joint score, and complications. Res
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Kumar, S. Krishna, Sastha K. Sharan, and T. S. Prabin Suthagar. "Subtrochanteric locking screw–The key to success in intertrochanteric fractures." Indian Journal of Orthopaedics Surgery 8, no. 2 (2022): 131–36. http://dx.doi.org/10.18231/j.ijos.2022.023.

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The introduction of proximal femoral nail improved the results in unstable intertrochanteric fractures. Several factors determine the outcome of intramedullary nail including working length of the nail. Addition of subtrochanteric locking screw to a reconstruction nail will reduce the working length providing biomechanical advantage.177 adult patients treated with reconstruction nail with a subtrochanteric locking screw for intertrochanteric fracture of the femur in our institution from January 2011 to December 2020 were prospectively analyzed. Final outcome is assessed by radiological union a
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Wattanakitkrileart, Supachoke, Boonsin Tangtrakulwanich, and Varah Yuenyongviwat. "Comparing Effectiveness Between a Power-Drill-Mounted Device and Conventional Free-Handed Technique for Distal Locking of Intramedullary Implants." Orthopaedic Journal of Sports Medicine 2, no. 11_suppl3 (2014): 2325967114S0022. http://dx.doi.org/10.1177/2325967114s00229.

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Objectives: The procedure for distal locking of intramedullary nails (IM nail) is one of the time-consuming procedures and also exposes the surgical team and patient to high levels of radiation. Many techniques and devices have been created to solve the problems. Nonetheless, conventional free-hand technique is still the most popular due to easy-to-use and no added device needed. This research aims to study the accuracy of a drill-mounted device with free-handed technique in the distal locking of IM nail procedure. Methods: This is an experimental study. The device was made from PVC pipes. In
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Martínez-Aznar, Carmen, Jesús Mateo, Elena Ibarz, Luis Gracia, Jorge Rosell, and Sergio Puértolas. "Biomechanical Behavior of Dynamic vs. Static Distal Locking Intramedullary Nails in Subtrochanteric Femur Fractures." Bioengineering 10, no. 10 (2023): 1179. http://dx.doi.org/10.3390/bioengineering10101179.

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Objective: Hip fractures are one of the most frequent fractures presenting to the emergency department and orthopedic trauma teams. The aim of this study was to determine the best indication and therapeutic technique for subtrochanteric fractures and unifying criteria when choosing the most suitable type of nail. Materials and methods: To analyze the influence of the material and the type of distal locking of intramedullary nails (static or dynamic), a femur model with a fracture in the subtrochanteric region stabilized with a long Gamma intramedullary nail was applied using finite element met
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Fanter, Nathan J., Sandra E. Inouye, and Christopher W. Beiser. "The risk of iatrogenic injury to anterior tibial artery variations during tibial nail distal interlocking." Journal of Orthopaedic Surgery 25, no. 1 (2017): 230949901668447. http://dx.doi.org/10.1177/2309499016684471.

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Introduction: Tibial intramedullary nailing remains a common tibial fracture fixation method. Tibial nailing indications continue to expand. Neurovascular complications from tibial nailing have been described; however, the proximity of distal tibial locking bolts to the anterior tibial artery (ATA) variants has not. Materials and Methods: 52 cadaveric legs were dissected identifying three common ATA variants. Each ATA variant received an intraluminal wire to facilitate fluoroscopic identification. Three different intramedullary tibial nails were inserted in each of the three ATA variant specim
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Hsu, Wei-En, Ching-Hsiao Yu, Chih-Ju Chang, Hung-Kang Wu, Tsong-Han Yu, and Ching-Shiow Tseng. "C-Arm Image-Based Surgical Path Planning Method for Distal Locking of Intramedullary Nails." Applied Bionics and Biomechanics 2018 (2018): 1–10. http://dx.doi.org/10.1155/2018/4530386.

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Due to the curvature of the bone marrow cavity, the intramedullary nail used in long bone fracture fixation can be deformed, causing displacement of the locking holes. In this study, an algorithm using only one C-arm image to determine the center positions and axial directions of locking holes was developed for drilling guidance. Based on conventional method that the axial direction of locking hole would be identified when locking hole contour is presented as a circle, the proposed method can locate the circle contour centroid by using one C-arm image including two elliptical contours. Then th
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Khan, Mohammad Jesan, M. Ahsan Firoz, Adnan Anwer, Pranjal Agrawal, Mamoon Rashid, and Areeb Asif. "Management of Non-Union Distal Femur Fracture with Augmentation Nail-Plate Construct: A Case Report." Journal of Orthopaedic Case Reports 14, no. 9 (2024): 167–72. http://dx.doi.org/10.13107/jocr.2024.v14.i09.4768.

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Introduction: Non-union fractures of the distal femur pose significant challenges in orthopedic surgery, often requiring revision procedures to achieve successful bone healing. In cases where the initial implant has failed, innovative solutions are necessary to promote bone union and functional recovery. Case Report: We present a case of a non-union distal femur fracture in a 22-year-old male patient, with a broken implant in situ. The patient had previously undergone internal fixation with a locking plate, which subsequently failed to promote bone healing. The patient was reoperated using a s
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Seidel, Hartmut. "Humeral Locking Nail: A Preliminary Report." Orthopedics 12, no. 2 (1989): 219–26. http://dx.doi.org/10.3928/0147-7447-19890201-05.

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De Pedro, J. A., J. F. Blanco, F. Juanes, J. Dominguez, and A. P. Martin. "Ulna locking nail in forearm fractures." Injury Extra 39, no. 5 (2008): 188. http://dx.doi.org/10.1016/j.injury.2007.11.369.

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Buruian, Alexei, Francisco Silva Gomes, Tiago Roseiro, et al. "Distal interlocking for short trochanteric nails: static, dynamic or no locking? Review of the literature and decision algorithm." EFORT Open Reviews 5, no. 7 (2020): 421–29. http://dx.doi.org/10.1302/2058-5241.5.190045.

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Pertrochanteric hip fractures are among the most common and the use of short cephalomedullary nails as the treatment of choice is increasing. A systematic review regarding distal locking options for short cephalomedullary nails was undertaken using Medline/PubMed®, Embase® and Cochrane Library® in order to evaluate current indications, associated complications and to provide treatment recommendations. The results seem to support the use of distal static locking for unstable fractures, dynamic locking for length stable/rotational unstable fractures and no locking for stable fractures. Complicat
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Wu, Wangsheng, Huajuan Wang, Qunyang Zheng, Yi Mao, and Bingsheng Liu. "Clinical application of intramedullary nail fixation assisted by locking plates in segmental tibia fractures: A retrospective study." Medicine 103, no. 50 (2024): e40855. https://doi.org/10.1097/md.0000000000040855.

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It is unclear whether small plates are needed for augment fixation to provide a more stable mechanical environment in segmental fractures of the tibia treated with intramedullary nail. The purpose of this study was to investigate the efficacy of intramedullary nailing combined with locking plates in the treatment of segmental fractures of the tibia. This study included 41 patients with segmental tibia fractures between January 1, 2018 and January 1, 2023. Eighteen patients were treated with an intramedullary nail assisted by a locking plate (combination group), and 23 patients were treated wit
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Karahalli, A., and M. Sarierler. "Treatment of Long Bone Fractures with Locking Kuntscher Nail in Dogs." Journal of the Hellenic Veterinary Medical Society 76, no. 1 (2025): 8535–44. https://doi.org/10.12681/jhvms.34426.

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In this study, it was aimed to evaluate the treatment of long bone fractures with ''Locking Küntscher'' nails in dogs under the light of clinical and radiographic findings. The study material consisted of 16 dogs in different races, ages, and genders with the diagnosis of diaphyseal fracture in femur or tibia. In the fractures reached with standard surgery technique, the operations were performed using Locking Küntscher nails and locking cortical screws in the sizes determined by using the x-ray results in the preoperative period. The cases underwent radiographic examinations every week during
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Ratanam, K. Raja, and Jhatoth Dhoom Singh. "A comparative study of the outcomes of fixation of fractures of distal femur by femoralnailing vs distal femoral locking compression plate." Panacea Journal of Medical Sciences 12, no. 1 (2022): 191–97. http://dx.doi.org/10.18231/j.pjms.2022.036.

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: Distal femoral fractures are much less common than hip fractures and account for 7 % of all femoral fractures. To determine the fracture characteristics (AO type, Muller’s classification). To study the advantages of fixation with distal femoral locking compression plates and retrograde intramedullary supracondylar nailing. The present comparative study was conducted between May 2019 to November 2020 in department of othropeadics. Sample size of 30 patients presenting with supracondylar fractures of the femur were treated by distal femoral locking compression plates, dynamic condylar screws a
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Divecha, Hiren M., and Hans A. J. Marynissen. "Distal Humeral Fixation of an Intramedullary Nail Periprosthetic Fracture." Case Reports in Orthopedics 2013 (2013): 1–4. http://dx.doi.org/10.1155/2013/690906.

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Distal humeral periprosthetic fractures below intramedullary nail devices are complex and challenging to treat, in particular due to the osteopenic/porotic nature of bone found in these patients. Fixation is often difficult to satisfactorily achieve around the intramedullary device, whilst minimising soft tissue disruption. Descriptions of such cases in the current literature are very rare. We present the case of a midshaft humeral fracture treated with a locking compression plate that developed a nonunion, in a 60-year old female. This went on to successful union after exchange for an intrame
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Mathur, AK, Mohit Kumar, Aniket Kedawat, Anshu Sharma, and Anand Gupta. "An Indigenous Removal Method of a Broken Interlocking Nail." Journal of Mahatma Gandhi University of Medical Sciences and Technology 2, no. 1 (2017): 38–40. http://dx.doi.org/10.5005/jp-journals-10057-0030.

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ABSTRACT Breakage of locking nail is an important cause of interlocking nail failure in femoral fractures. Usually, it takes place at one of the ends of the nail. Here we report an unusual extraction method of intramedullary femoral nail failure with breakage of nail proximal to distal locking holes. Such a scenario usually complicates further management. This case was managed with exchange nailing and bone grafting after removal of implant using a novel technique and using commonly available orthopedic instruments in the operation theater. Here, we briefly review the literature regarding such
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Pahl, Timon, Albrecht Radtke, Joana F. Büttner, Thomas Mittlmeier, and Philipp Weißgraeber. "Biomechanical conditions of subtalar joint arthrodesis with calcaneal locking nail: A probabilistic numerical study." PLOS ONE 19, no. 11 (2024): e0314034. http://dx.doi.org/10.1371/journal.pone.0314034.

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Introduction Subtalar joint arthrodesis is primarily indicated for advanced osteoarthritis, hindfoot deformity, and/or instability. During the first 6-10 weeks after surgery, there is an intermediary structurally weaker state before complete bony fusion of the calcaneus and talus occurs. Loading of the foot can lead to mechanical stresses and relative movements in the former joint gap, which can impede the fusion process. The objective of this study was to examine the mechanical healing conditions for a subtalar arthrodesis with a calcaneal locking nail. Methods A probabilistic finite element
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Li, Ming, Yanhua Wang, Yupeng Zhang, Ming Yang, Peixun Zhang, and Baoguo Jiang. "Intramedullary nail versus locking plate for treatment of proximal humeral fractures: A meta-analysis based on 1384 individuals." Journal of International Medical Research 46, no. 11 (2018): 4363–76. http://dx.doi.org/10.1177/0300060518781666.

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Objective The optimal surgical intervention on the treatment for proximal humeral fractures (PHFs) remains uncertain. The aim of this study was to evaluate clinical outcomes following fixation of PHFs by intramedullary nails or locking plates Methods The Cochrane Library, PubMed, EMBASE, China Knowledge Resource Integrated (CNKI), Chongqing VIP and Wanfang databases were systematically searched for studies published between January 01, 1996 and December 31, 2016 that investigated intramedullary nail vs. locking plate in the surgical treatment of PHFs. A meta-analysis examined incision length,
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Costa, Matthew L., Juul Achten, Susie Hennings, et al. "Intramedullary nail fixation versus locking plate fixation for adults with a fracture of the distal tibia: the UK FixDT RCT." Health Technology Assessment 22, no. 25 (2018): 1–148. http://dx.doi.org/10.3310/hta22250.

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BackgroundThe best treatment for fractures of the distal tibia remains controversial. Most of these fractures require surgical fixation, but the outcomes are unpredictable and complications are common.ObjectivesTo assess disability, quality of life, complications and resource use in patients treated with intramedullary (IM) nail fixation versus locking plate fixation in the 12 months following a fracture of the distal tibia.DesignThis was a multicentre randomised trial.SettingThe trial was conducted in 28 UK acute trauma centres from April 2013 to final follow-up in February 2017.ParticipantsI
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Steiger, C. N., U. Lenze, and A. H. Krieg. "A new technique for correction of leg length discrepancies in combination with complex axis deformities of the lower limb using a lengthening nail and a locking plate." Journal of Children's Orthopaedics 12, no. 5 (2018): 515–25. http://dx.doi.org/10.1302/1863-2548.12.170190.

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Purpose Intramedullary lengthening nails are an accepted alternative to external fixators but are limited by anatomical preconditions. Therefore, to date the use of external fixators is sometimes inevitable. We report on a new technique for correction of combined limb length discrepancies and complex axis deformities using solely internal devices - a lengthening nail and a locking plate. Methods Between October 2008 and November 2011 five patients (two femora, three tibias) with a mean leg length discrepancy of 36 mm (25 to 50) and a complex angular deformity were treated with a fully implanta
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Abdelgawad, Amr A., and Enes Kanlic. "Removal of a Broken Cannulated Intramedullary Nail: Review of the Literature and a Case Report of a New Technique." Case Reports in Orthopedics 2013 (2013): 1–5. http://dx.doi.org/10.1155/2013/461703.

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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 remove a broken tibial nail with narrow canal. Eight different categories of implant removal methods were described, with different methods within each category. This classification is very comprehensive an
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Gueorguiev, B., and P. Varga. "BIOMECHANICS AND DESIGN OF INTRAMEDULLARY NAILS." Orthopaedic Proceedings 106-B, SUPP_1 (2024): 77. http://dx.doi.org/10.1302/1358-992x.2024.1.077.

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Intramedullary nails (IMNs) are the current gold standard for treatment of long bone diaphyseal and selected metaphyseal fractures. Their design has undergone many revisions to improve fixation techniques, conform to the bone shape with appropriate anatomic fit, reduce operative time and radiation exposure, and extend the indication of the same implant for treatment of different fracture types with minimal soft tissue irritation.The IMNs are made or either titanium alloy or stainless steel and work as load-sharing internal splints along the long bone, usually accommodating locking elements – s
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CAMARGO, FLÁVIO PIRES DE, GUILHERME PELOSINI GAIARSA, OLAVO PIRES DE CAMARGO, PAULO ROBERTO DOS REIS, JORGE DOS SANTOS SILVA, and KODI EDSON KOJIMA. "THE MISSING LINK IN THE HISTORY OF THE LOCKED INTRAMEDULLARY NAIL." Acta Ortopédica Brasileira 29, no. 4 (2021): 228–31. http://dx.doi.org/10.1590/1413-785220212904246573.

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ABSTRACT Femoral Shaft intramedullary nails were first described by the Aztecs in 16th century, but the modern use of intramedullary nails as the gold standard treatment for femoral shaft fractures began with Gerald Kuntcher in 1939. From the first Kuntcher’s study in 1939, to the creation of interlocking nail, a long and some minor developments were described around the world. However, a major development is missing: the first nail to have a rotational and vertical stability locking system was described by Flavio Godoy Moreira, but was never published on an indexed journal for the correct his
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Shinde, Raviraj, Tanvi Shinde, and Ajit Shinde. "Comparative study of operative treatment of distal femur fractures using retrograde intramedullary nail versus locking plate; Retrospective study." Trauma International 5, no. 1 (2019): 3–6. http://dx.doi.org/10.13107/ti.2019.v05i01.075.

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Introduction: The overall incidence of distal femur fractures is approximately 37 per 100,000 person-years.1 These fractures are either caused by high energy trauma in younger group or low energy falls in elderly population typically older women. As these fractures can lead to long term disability managing them is challenging task. Operative treatment for fracture fixation is recommended for optimal outcome. Although different modes of fracture fixation has evolved and no single method is uniformly successful. In our study we have compared fixation of distal femur fracture using locking plate
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Frezza, Giovanni, Chiara Cicuto, and Luigi Corso. "Locking blade nail in proximal humeral fractures." Lo Scalpello - Otodi Educational 34, no. 2 (2020): 123–27. http://dx.doi.org/10.36149/0390-5276-166.

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Shaw, James A., and Scott Wilson. "Fracture Fixation using the Gamma Locking Nail." Journal of Orthopaedic Trauma 7, no. 2 (1993): 192. http://dx.doi.org/10.1097/00005131-199304000-00089.

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Kanabur, Pratik, Scott M. Sandilands, Kelley K. Whitmer, Trevor M. Owen, Franco M. Coniglione, and Thomas E. Shuler. "Nail and Locking Plate for Periprosthetic Fractures." Journal of Orthopaedic Trauma 31, no. 12 (2017): e425-e431. http://dx.doi.org/10.1097/bot.0000000000000939.

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Graham, G. P., and I. G. Mackie. "Experience with the A.O. locking femoral nail." Injury 19, no. 4 (1988): 249–53. http://dx.doi.org/10.1016/0020-1383(88)90038-1.

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Kohler, Felix Christian, Philipp Schenk, Theresa Nies, et al. "Fibula Nail versus Locking Plate Fixation—A Biomechanical Study." Journal of Clinical Medicine 12, no. 2 (2023): 698. http://dx.doi.org/10.3390/jcm12020698.

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In the treatment of ankle fractures, complications such as wound healing problems following open reduction and internal fixation are a major problem. An innovative alternative to this procedure offers a more minimally invasive nail stabilization. The purpose of this biomechanical study was to clarify whether this method was biomechanically comparable to the established method. First, the stability (range of motion, diastasis) and rotational stiffness of the native upper ankle were evaluated in eight pairs of native geriatric specimens. Subsequently, an unstable ankle fracture was created and f
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Da Conceição, Maria Eduarda Bastos Andrade Moutinho, Levi Oliveira Dos Santos, Guilherme Sembenelli, et al. "Interlocking Nail Combined with Locking Plate Fixation for a Distal Diaphysis Femur Comminuted Fracture in a Dog." Acta Scientiae Veterinariae 46 (February 25, 2018): 5. http://dx.doi.org/10.22456/1679-9216.86249.

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Background: Interlocking Nail (ILN) is similar a solid intramedullary pins with screws or bolts passing through one and nail holes (locking effect). This implant mostly have been putted normograde, passing by trochanteric fossa of femur, although it is reported to be inserted through the knee, passing by fracture focus and ending close to proximal femur. It is carriedout especially when there is a comminuted fracture in distal third shaft of femur. Locking plate systems work as internal fixators with some advantages compared to conventional plates. It can be used combined with intramedullary p
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Kwak, Dae-Kyung, Sun-Hee Bang, Won-Hyeon Kim, Sung-Jae Lee, Seunghun Lee, and Je-Hyun Yoo. "Biomechanics of subtrochanteric fracture fixation using short cephalomedullary nails: A finite element analysis." PLOS ONE 16, no. 7 (2021): e0253862. http://dx.doi.org/10.1371/journal.pone.0253862.

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A finite element analysis was performed to evaluate the stresses around nails and cortical bones in subtrochanteric (ST) fracture models fixed using short cephalomedullary nails (CMNs). A total 96 finite element models (FEMs) were simulated on a transverse ST fracture at eight levels with three different fracture gaps and two different distal locking screw configurations in both normal and osteoporotic bone. All FEMs were fixed using CMNs 200 mm in length. Two distal locking screws showed a wider safe range than 1 distal screw in both normal and osteoporotic bone at fracture gaps ≤ 3 mm. In no
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40

Galanopoulos, Ioannis P., Andreas F. Mavrogenis, Panayiotis D. Megaloikonomos, et al. "Similar function and complications for patients with short versus long hip nailing for unstable pertrochanteric fractures." SICOT-J 4 (2018): 23. http://dx.doi.org/10.1051/sicotj/2018023.

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Purpose: To compare short with long intramedullary hip nailing for elderly patients with unstable pertrochanteric fractures. Methods: We prospectively studied 50 patients (33 women, 17 men; mean age, 80 years; range, 74–93 years) with unstable pertrochanteric fractures admitted and treated with a short (group A) or a long (group B) intramedullary hip nail from January 2013 to 2017. The patients were randomly allocated into each group according to their order of admission. The mean follow-up was 2 years (range, 1–5 years). We evaluated operative time, function, fracture healing, varus/valgus lo
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Rollo, Giuseppe, Giuseppe Rinonapoli, Paolo Pichierri, Michele Bisaccia, Auro Caraffa, and Luigi Meccariello. "Breakage in Two Points of a Short and Undersized “Affixus” Cephalomedullary Nail in a Very Active Elderly Female: A Case Report and Review of the Literature." Case Reports in Orthopedics 2018 (September 13, 2018): 1–8. http://dx.doi.org/10.1155/2018/9580190.

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Introduction. Trochanteric fractures of the femur are common in elderly individuals with osteoporosis. The use of cephalomedullary nails is increasing, and they are now the most commonly used fixation devices, especially for the treatment of unstable trochanteric fractures. The nail breakage is not the most common complication of intramedullary nailing. Many scientific papers report nail breakage in a specific location: through the lag screw hole, the nail shaft, or the distal locking hole. Materials and Methods. We present a case of an 84-year-old patient treated with modular revision hip art
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Bajaj, Sanket, Raunak Dhawale, and Rohit N. Garg. "Evaluation of the clinical, functional and radiological outcomes in patients with distal tibia fractures with simple intra-articular extension treated with intramedullary multidirectional locking nail: a prospective study." International Journal of Research in Orthopaedics 10, no. 1 (2023): 138–47. http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20234053.

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Background: Distal tibia fractures with extension into the ankle joint (AO/OTA type 43C) poses challenge for an orthopedic surgeon, due to its subcutaneous nature and precarious blood supply. Literature has described various treatment modalities; most commonly used being locking compression pates, external fixators and intramedullary multidirectional locking nails. Methods: This prospective study included 60 patients with distal tibia fracture AO type 43C1 and 43C2, managed with intramedullary multidirectional locking nails in a close manner, with intra-articular fragment fixation preceding th
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Bauze, AJ, and MT Clayer. "Treatment of Pathological Fractures of the Humerus with a Locked Intramedullary Nail." Journal of Orthopaedic Surgery 11, no. 1 (2003): 34–37. http://dx.doi.org/10.1177/230949900301100108.

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Purpose. The humerus is a common site for metastasis. Intramedullary nail fixation has been reported to be the best form of fixation for this disease but complications occur. This study aimed to assess the use of a new humeral nail to treat pathological fractures and impending pathological fractures of the humerus. Methods. 29 patients received 31 Austofix locked intramedullary humeral nails: 25 for pathological fractures and 6 for impending fractures; 24 nails were inserted anterograde and 7 retrograde. Cement augmentation was applied in 4 patients, and adjuvant therapy was used in 28 patient
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Maredza, M., S. Petrou, M. Dritsaki, et al. "A comparison of the cost-effectiveness of intramedullary nail fixation and locking plate fixation in the treatment of adult patients with an extra-articular fracture of the distal tibia." Bone & Joint Journal 100-B, no. 5 (2018): 624–33. http://dx.doi.org/10.1302/0301-620x.100b5.bjj-2017-1329.r2.

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Aim The aim of this study was to compare the cost-effectiveness of intramedullary nail fixation and ‘locking’ plate fixation in the treatment of extra-articular fractures of the distal tibia. Patients and Methods An economic evaluation was conducted from the perspective of the United Kingdom National Health Service (NHS) and personal social services (PSS), based on evidence from the Fixation of Distal Tibia Fractures (UK FixDT) multicentre parallel trial. Data from 321 patients were available for analysis. Costs were collected prospectively over the 12-month follow-up period using trial case r
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Pitjamit, Siwasit, Wasawat Nakkiew, Kriangkrai Thongkorn, Warinthorn Thanakulwattana, and Kittiya Thunsiri. "Finite Element Analysis of Traditional and New Fixation Techniques of the 3D-Printed Composite Interlocking Nail in Canine Femoral Shaft Fractures." Applied Sciences 10, no. 10 (2020): 3424. http://dx.doi.org/10.3390/app10103424.

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Since the removal of a metallic interlocking nail system leaves a blank cavity inside a healed bone, bioactive and biodegradation materials have been used instead to induce bone formation and eliminate complications of the material removal procedure. The previous study presented the possibility of an interlocking nail fabrication from polylactic acid (PLA), polycaprolactone (PCL), and hydroxyapatite (HA) using 3D printing, namely fused filament fabrication (FFF), for canine diaphyseal fractures. Therefore, a finite element analysis (FEA) was used to predict the maximum principal stress of this
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Min, Young Kyoung, Seung Jun Lee, Heui Chul Gwak, Sang Woo Kang, and Kuen Tak Suh. "Clinical and Radiologic Results Comparing the Periarticular Proximal Humerus Locking Plate and Polarus Nail for Displaced Proximal Humerus Fractures." Clinics in Shoulder and Elbow 20, no. 4 (2017): 208–16. http://dx.doi.org/10.5397/cise.2017.20.4.208.

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BACKGROUND: This study compared the clinical and radiological outcomes of the single calcar screw plate and Polarus nail techniques for the treatment of the proximal humerus fractures.METHODS: Seventy-two patients diagnosed with displaced proximal humerus fracture were enrolled for the study. Of these, 50 patients underwent the locking plate surgery with a single calcar screw (plate group), whereas 22 patients underwent the Polarus nail surgery (nail group). The plate group was further divided into plate 1 group (with medial support), and plate 2 group (without medial support). The radiologica
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Barden, B., F. L�er, and J. G. Fitzek. "Intertrochanteric osteotomy with a short intramedullary locking nail." International Orthopaedics 23, no. 6 (1999): 337–40. http://dx.doi.org/10.1007/s002640050386.

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Holstein, J. H., M. D. Menger, U. Culemann, C. Meier, and T. Pohlemann. "Development of a locking femur nail for mice." Journal of Biomechanics 40, no. 1 (2007): 215–19. http://dx.doi.org/10.1016/j.jbiomech.2005.10.034.

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Cole, J. Dean, Bruce D. Browner, Howard B. Cotler, Curt P. Comstock, and Greg K. Hoover. "Initial Experience With a Second Generation Locking Nail." Journal of Orthopaedic Trauma 4, no. 2 (1990): 224. http://dx.doi.org/10.1097/00005131-199004020-00055.

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PEDRO, JOSE A. DE, FERNANDO GARCIA-NAVARRETE, FERNANDO GARCIA DE LUCAS, RAFAEL OTERO, ANGEL OTEO, and LUIS LOPEZ-DURAN STERN. "Internal Fixation of Ulnar Fractures by Locking Nail." Clinical Orthopaedics and Related Research &NA;, no. 283 (1992): 81???85. http://dx.doi.org/10.1097/00003086-199210000-00011.

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