Bone and Joint Institute
Intramedullary nail fixation of non-traditional fractures: Clavicle, forearm, fibula
Document Type
Article
Publication Date
6-1-2017
Journal
Injury
Volume
48
First Page
S41
Last Page
S46
URL with Digital Object Identifier
10.1016/j.injury.2017.04.018
Abstract
© 2017 Elsevier Ltd Locked intramedullary fixation is a well-established technique for managing long-bone fractures. While intramedullary nail fixation of diaphyseal fractures in the femur, tibia, and humerus is well established, the same is not true for other fractures. Surgical fixations of clavicle, forearm and ankle are traditionally treated with plate and screw fixation. In some cases, fixation with an intramedullary device is possible, and may be advantageous. However, there is however a concern regarding a lack of rotational stability and fracture shortening. While new generation of locked intramedullary devices for fractures of clavicle, forearm and fibula are recently available, the outcomes are not as reliable as fixation with plates and screws. Further research in this area is warranted with high quality comparative studies, to investigate the outcomes and indication of these fractures treated with intramedullary nail devices compared to intramedullary nail fixation.
