What is Kuntscher nail?
Küntscher invented what is known as the Küntscher nail, an internal fixation device used to maintain the position of the fracture fragments during healing. The nail is rigid and has a cloverleaf shape in cross-section.
What is a tibial nail?
Currently available tibial nails have locking screw holes close to both ends, in multiple orientations, for better fixation of proximal and distal fractures. The nails may be either solid or cannulated (hollow). Solid nails may protect somewhat against infection because they have no internal dead space.
How do you do interlocking nails?
The nail is coupled to an insertion handle via a nail extension. It is introduced along the anatomical axis of the femur and inserted into the medullary canal of the proximal segment by hand or gentle hammering. The fracture is aligned while the nail is further advanced into the distal segment.
Should intramedullary nails be removed?
Intramedullary nail removal is safe. Patients with anterior knee pain should be told that their pain may persist and that knee pain may even arise.
Why is it called a gamma nail?
Initially it was called Halifax Nail after the place where it was developed by Dr. Subhash Haldar. A group of surgeons from Strasbourg2 changed the name of this nail to a universal one i.e. Gamma Nail as the shape resembled the Greek letter.
Should tibial nail be removed?
Removal of a nail should not be under- taken unless there is a convincing indication. Intramedullary nailing has been widely accepted as a safe and effective treatment for tibial shaft frac- tures (Hooper et al. 1991, Bone et al. 1997, Kar- ladani et al.
What is a tibial nail made of?
Modern tibial nails are composed of either a titanium alloy or stainless steel and provide a variety of locking options at their proximal and distal ends. More recent developments in the evolution of the tibial nail include the addition of a compression feature which permits intraoperative fracture compression.
What is an interlocking nail?
Primarily, interlocking nails are metallic implants used for the repair of traumatic long bone fractures. They consist of a large diameter rod, inserted into a bone medullary cavity and secured to it with locking bolts going from one cortex to another and capturing the nail inside the medullary cavity.
Is intramedullary nail permanent?
Intramedullary nailing is surgery to repair a broken bone and keep it stable. The most common bones fixed by this procedure are the thigh, shin, hip, and upper arm. A permanent nail or rod is placed into the center of the bone.
