A Clinical Study on Intramedullary Fixation under Different Rigidity Conditions

Abstract

In the last decades there have been major changes in the management of lower and upper limb long-bone fractures. Intramedullary fixation is the treatment of choice for most diaphyseal fractures of the femur, tibia and humerus. Intramedullary nailing for fractures treatment is a minimally invasive technique which was reported to be an easy procedure with low complication rates, good cosmetic and functional results, restoration of bone length and fast return to daily activities. Differences in fractures healing rate depends on the biomechanical behavior, which is an important fact in biological healing, especially in fractures with additional biological needs, resulting from high energy trauma. We performed three prospective and one retrospective study of four groups of patients operated in The Department of Orthopaedics and Traumatology in Brasov County Hospital in the period 1997-2007 for limb fractures, with endomedullary fixation with different degree of strengthens, highlighting the complications. Dates from the studies were then statistically analyzed and compared with similar data from other studies in literature.