A case is presented of a twenty-eight-year-old male with bilateral closed tibial fractures presenting with no right posterior tibial pulse, who was treated with bilateral reamed intramedullary nails. A post-operative arteriogram, to assess injury to the posterior tibial artery due to the initial insult, revealed impingement of the right anterior tibial artery by the most distal screw of the dis...

The Surgical Implant Generation Network (SIGN) produces solid and straight intramedullary nails used for femoral or tibial fractures. These utilize interlocking screws with proximal distal threads to purchase at the cortices. When SIGN are unavailable, 4.5 mm, fully threaded, stainless steel, cortical sometimes lock nails. This study compared alignment, fracture healing, screw failure rates bet...

BACKGROUND Conventional screws used for fracture fixation in orthopedic surgery continue to rely on the historic buttress thread design. While buttress screws generally provide solid resistance against unidirectional axial loading forces, their design suffers from several limitations, as the buttress thread does not adequately resist multiaxial forces. Furthermore, the buttress screw is prone t...

PURPOSE To study clinical and mechanical factors that predispose to failure of interlocking nails. METHODS Between October 1996 and December 2002, 286 femoral fractures, 211 tibial fractures, and 47 humeral fractures were repaired using variously designed interlocking nails. Fracture pattern, level and site, nail size and type, weight bearing after nailing, and union status were reviewed afte...

Broken screws after interlocking nailing of long bones are commonly seen in Orthopaedic practice. Removal of such screws can be difficult particularly the distal part which is often held within the bone. We describe a simple technique of using Steinman pin to aid removal of broken screws in a case of non-union fracture tibia with broken interlocking nail and screws. Steinman pin being easily av...

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...

There is a perception that distal freehand interlocking (DFHI) of intramedullary nails can be difficult and time consuming. This study consists of a survey of surgeons' practices for DFHI screws and their reasons for not using this technique. A survey was sent to 1400 orthopaedic surgeons who were asked to agree or disagree with statements regarding the difficulty and indications for the usage ...

BACKGROUND Interlocking nailing, which has become the method of choice for treating fractures of the femoral and tibial shafts, still lacks ability to provide the important contact-compression at the fracture. An intramedullary compression nail is described, which provides axial compression at the fracture site with tightening of the specially designed distal interlocking screw. This uses the s...

Objective: To study the effects of distal uniplanar locking and bi planar on union times in uncomplicated fractures shaft tibia managed with an intramedullary interlocking nail.
 Study Design: Comparative prospective study.
 Place Duration Study: Department Orthopedics Trauma Combined Military Hospital Rawalpindi from Jan to Nov 2020.
 Methodology: Fifty-three patients having nai...

Methods about removal of intramedullary nail in complicated cases were reported in some literatures but there are no reports about nail removal in the ulna. The authors would like to report such a case and the technique. We removed bone of the inlet site and created another bony window using an osteotome to expose the interlocking screw holes. Only a bony window the size of 2 inter-interlocking...