[Intramedullary nail placement with percutaneous Kirschner wires. Illustration of method and clinical examples]

Unfallchirurg. 2002 Jan;105(1):65-70. doi: 10.1007/s113-002-8167-4.
[Article in German]

Abstract

Unreamed nailing is an established method for internal fixation of femoral und tibial shaft fractures. The interlocking technique allows the stabilization of metaphyseal fractures, too, but the risk of malalignment increases. The "palisade method" presented here allows the precise positioning of the nail in the marrow cavity and works as a tool for successful minimally invasive nailing in the meta/epiphyseal region. The method is easy to use and suited particularly in combination with the UFN and UTN, but is in principal applicable to other nails, too. In contrast to the "Poller Screw" method developed by Krettek et al., no biomechanical augmentation of the osteosynthesis remains.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aged
  • Bone Malalignment / diagnostic imaging
  • Bone Malalignment / surgery
  • Bone Wires*
  • Female
  • Femoral Fractures / diagnostic imaging
  • Femoral Fractures / surgery*
  • Follow-Up Studies
  • Fracture Fixation, Intramedullary / instrumentation*
  • Humans
  • Male
  • Minimally Invasive Surgical Procedures / instrumentation*
  • Osteogenesis Imperfecta / diagnostic imaging
  • Osteogenesis Imperfecta / surgery
  • Radiography
  • Tibial Fractures / diagnostic imaging
  • Tibial Fractures / surgery*