Practice of Intramedullary Locked Nails : Scientific Basis and Standard Techniques Recommended by "Association Internationale pour I’Ostéosynthèse Dynamique" (AIOD)

Medullary nailing is one of the oldest types of in a way that did not allow the surgeon to be car­ surgical fracture treatment. Splinting a fracture by ried away by enthusiasm. They impressed by re­ insertion of plugs made of ebony dates back to porting merits and pitfalls alike in a very realistic the ancient Egyptian culture. As for many other and convincing manner. types of fracture treatment, some outstanding but When we consider the past, we automatically lone pioneers performed what was in their hands confront the question, "What is next?" Where are an art based on intuition. But most of them re­ today's problems and what could the solutions be? mained lonely pioneers since they could teach The present book discusses the view that medul­ neither the basics nor the surgical art without a lary nailing is able to compensate for the distur­ deeper understanding of the underlying science. bance to blood circulation brought by the frac­ It took the tenacity of Kuntscher to establish ture, the surgical procedures, the instruments and medullary nailing as an accepted method of treat­ the implants. On the one hand, it is apparent that ment world-wide. It is a method that is attractive there is potential for biological improvements, because of its apparent simplicity and tolerance of specifical in terms of avoiding or reducing trau­ the procedures. Kuntscher's great achievements mata due to reaming. Front Matter....Pages i-xi Introduction....Pages 1-4 The Biology of Fracture Healing as Related to Intramedullary Locked Nailing....Pages 5-10 Bone Circulation and Effects of Experimental Interventions....Pages 11-30 Biology and Physiology of Intramedullary Reaming in the Fixation of Fractures....Pages 31-41 Biomechanics of Locked Intramedullary Fixation of Fractures....Pages 43-49 Intramedullary Nail Systems....Pages 51-59 Time of Radiation Exposure During Intramedullary Nailing Procedures....Pages 61-65 Distal Targeting in Locking Nails....Pages 67-71 Femoral Fractures....Pages 73-86 Tibial Fractures....Pages 87-99 Proximal Femoral Fractures: Operative Technique for Peritrochanteric Fractures....Pages 101-112 Humeral Fractures....Pages 113-126 Ulnar Fractures....Pages 127-134 Complications of Intramedullary Locked Nailing: Infection and Infected Nonunion....Pages 135-146 Complications of Centromedullary Nailing (Excluding Infection)....Pages 147-165 Back Matter....Pages 167-170 This book focuses on the internal fixation of long bones by using intramedullary locked nails in a closed technique. Intramedullary fixation fulfils the biological requirements for fracture healing and minimises surgical trauma. The text illustrates the use and relevance of this technique in orthopaedic and trauma surgery including reconstructive surgery, covering the basic scientific principles of reaming and locking as well as basic and advanced surgical techniques. Prevention of complications and complication management are also discussed in detail, making it an ideal text for those with an interest in the proper use the techniques described.