Wiener klinische Wochenschrift. Supplementum
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Wien Klin Wochenschr Suppl · Jan 1986
Comparative Study[Comparative study of stability following the nailing of fractures of the femur shaft. An experimental study with cadaver bones].
Intramedullary osteosynthesis is preferred for shaft fractures of the long bones of the lower extremities because it generally results in early weight-bearing stability, allowing full function of the leg and rapid rehabilitation. Only transverse and short oblique fractures near the middle of the medullary cavity can be sufficiently stabilised using intramedullary nails alone. Additional stabilising aids such as cerclages or interlocking nails must be used for all other types of shaft fracture. ⋯ The axial tilt and rotation of the pieces of bone could be determined from the coordinates of the dots of light. The stability of nailed transverse femoral fractures (n = 6), short oblique fractures (n = 6), long oblique fractures (n = 6) and comminuted fractures (n = 6) was determined and compared with the deformation of intact femora. The stability of all types of osteosynthesis was several times less than that of the intact bones.(ABSTRACT TRUNCATED AT 400 WORDS)