Key result
Intramedullary osteosynthesis is a standardized procedure for lower extremity fractures, with reamed locked nailing favored for suitable fractures and unreamed nailing preferred for severe open fractures or polytrauma.
Intramedullary osteosynthesis is a safe and effective standard procedure for lower extremity fractures, with reamed techniques generally favored except in specific high-risk scenarios like severe open fractures or polytrauma.
AO Principles are described today as follows: * appropriate reduction * appropriate stabilization * preservation of vascularity * painless early mobilization These requirements can all be met by intramedullary osteosynthesis for suitable indications. The modern generation of nails is highly user-friendly and application of the systems is very safe. Outcome predictions favor reamed locked nailing for suitable fractures, whereby reaming should be moderate. The need to activate the dynamization option should be evaluated six to eight weeks postoperatively.
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Hohaus et al. (2008) conducted a review in Lower extremity fractures. Intramedullary osteosynthesis (reamed vs unreamed) was evaluated. Intramedullary osteosynthesis is a standardized procedure for lower extremity fractures, with reamed locked nailing favored for suitable fractures and unreamed nailing preferred for severe open fractures or polytrauma.
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