It is known fact that proximal and distal fractures of tibia tend to angulate into varus when treated with intramedullary nails or functional braces. Proximal fractures of tibia tend to angulate into anterior bowing when fixed with nail when fibula is intact. Intramedullary nailing for metaphyseal tibial fractures with short proximal and distal fragment is associated with frontal and sagittal p...

Tibiotalocalcaneal arthrodesis with an intramedullary nail may find indications for a variety of conditions of the hindfoot. We performed a systematic review of the literature primarily to find out the union rates and complications of tibiotalocalcaneal arthrodesis with an intramedullary nail. We included 33 studies for this review. These studies included 631 patients who had 659 procedures. Ei...

The management of extraarticular fracture of the distal tibia remains controversial. Surgeons are not very keen on using intramedullary interlocking nail for these fractures because of diffi cult nail fi xation, wider medullary canal in the distal tibia and late angulation .The advent of newer nails with locking holes in the distal parts has made nailing possible even in cases of distal tibia f...

Objective: To compare treatment of femoral shaft fractures using traction bed assisted closed reduction (CR) or conventional open reduction (OR) for intramedullary nail fixation. Methods: The study group consisted of 126 patients with femoral shaft fractures who were treated via intramedullary nail fixation from July 2009 to May 2013. Traction bed assisted CR was adopted in 71 patients, while O...

BACKGROUND Selecting the correct type of osteosynthesis has a crucial impact on the final outcome of shortening operations for leg length discrepancy (LLD). One approach, introduced at the beginning of the 1950's, was fixation of femoral shortening osteotomy using the Pavlik intramedullary nail. AIM The aim of this paper is to draw attention to the outstanding contribution of this great repre...

PURPOSE The aim of this study was to investigate the incidence of Z-effect after dual lag screw intramedullary nailing systems and risk factors contributing to this effect. We hypothesized that long nails provide more neck strength due to a longer lever than short nails and are therefore less likely to develop a misbalance of a higher head compressive strength than neck compressive strength. ...

Tibial diaphyseal fractures are the most frequent among long bone fractures. It is estimated that around 300,000 new fractures are treated per year in the USA, and around 50,000 in Brazil.1 The classification used most often in the evaluation of these fractures is that proposed by the AO group, where type A fractures are simple, those of type B present a wedge fracture, and those of type C are ...

Introduction. Ankle arthrodesis is performed in a variety of methods. We propose a new technique for tibiotalar arthrodesis using a newly designed intramedullary nail. Methods. We proposed development of an intramedullary device for ankle arthrodesis which spared the subtalar joint using a sinus tarsi approach. Standard saw bones models and computer assisted modeling and stress analysis were us...

The surgical goals for treating proximal tibial fractures are to restore articular congruity, the mechanical axis, and knee motion while avoiding soft-tissue complications. The fracture pattern should be correctly identified and understood. For fractures with minimal intra-articular extension, fracture fixation with an intramedullary nail can decrease the risk of infection because it uses a sma...

The Z-effect phenomenon is a potential complication of two lag screw intramedullary nail designs used for fixation of intertrochanteric hip fractures, in which the inferior lag screw migrates laterally and the superior lag screw migrates medially during physiologic loading. The current investigation was undertaken in an attempt to reproduce the Z-effect phenomenon in a laboratory setting. Sixte...