Second-generation locked nails help avoid rotational malalignment in femur fractures

摘要

Locked?intramedullary?nailing?is?the?gold?standard?for?treating?femoral?shaft?fractures.?Union?rates?are?reportedly?as?high?as?99%?and?infection?rates?as?low?as?1%.?The?most?commoncomplication?of?this?procedure?is?rotational?malalignment.?Studies?report?the?incidence?of?malrotation?in?femoral?intramedullary?nailing?to?be?between?19%?and?56%.?Comminuted?ortransverse?femur?fractures?are?particularly?at?risk?of?having?this?complication?due?to?the?absence?of?landmarks?to?assist?with?alignment?during?surgery.