The Elements of Fracture Fixation by Anand J. Thakur

The Elements of Fracture Fixation by Anand J. Thakur

Author:Anand J. Thakur
Language: eng
Format: epub, pdf
ISBN: 9788131256565
Publisher: Elsevier Inc.
Published: 2019-11-12T00:00:00+00:00


Chapter 5

Intramedullary nailing

Precis

Evolution of Intramedullary Nailing 238

Principle of Splintage 240

Bone Response to Nailing 241 Effect on Circulation 241

Side Effects of Reaming 241

Reamer–Irrigator–Aspirator 244

Bone Healing After Nailing 245

Nail Design 245 Cross-Section 245

Nail Diameter 246

Curves 247

Helical Nail 248

Length and Working Length 249

Extreme Ends of the Nail 250

Supplementary Fixation Devices 251

Material 251

Single and Multiple Nails 252

Reamed and Nonreamed Nails 253

Slotted and Nonslotted Nails 254

Interlocking Nail 255

Static Locking and Bridging Fixation 255 Dynamic Locking 256

Poller Screw and Biomechanics 258 Mechanics of Transmedullary Support Screw 258



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