By A. Grosse, I. Kempf, K.S. Leung, H.J.T.M. Haarman, H. Seidel, G.J.T.M. Taglang
This e-book makes a speciality of the inner fixation of lengthy bones by utilizing intramedullary locked nails in a closed procedure. Intramedullary fixation fulfils the organic requisites for fracture therapeutic and minimises surgical trauma. Locked nails supply a beneficial mechanical surroundings for fracture stabilisation and post-operative rehabilitation. It illustrates the use and relevance of this method in orthopaedic and trauma surgical procedure together with reconstructive surgical procedure, protecting the elemental medical rules of reaming and locking in addition to simple and complex surgical concepts. Prevention of problems and difficulty administration are mentioned intimately. a global board of editors and authors stand for services within the various subspecialties of the subject. complete details is therefore supplied allowing the reader to reliably use the ideas described.
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Additional resources for Practice of Intramedullary Locked Nails: Advanced Techniques and Special Applications Recommended by “Association Internationale pour l’OstéosynthÈse Dynamique” (AIOD)
This explains the mechanical problems caused by other nail designs, which use small screws in this kind of fracture [3, 4]. Distal Fractures Distal tibia fractures can be easily treated with IM locking nails  because closed procedures are particularly indicated in this area for soft tissue reasons. We know that open procedures are riskier and that the complication rate is often high after plating techniques used in open fractures, for example. When using locking nailing techniques in distal fractures, the two distal screws have to be inserted downstream of the fracture line.
When one considers that the first successful free tissue transfer was performed in 1962  and that fasciocutaneous flaps were only described in the early 1980s , it is obvious that the importance of plastic surgery in the management of open fractures is a relatively recent phenomenon. The role of fixation in open fractures has also increased in recent years. The first book detailing the techniques of fracture fixation was published by Brenger-Fraud in 1870 , but until Lister's work with antisepsis and the later introduction of antibiotics, the use of internal fixation in the management of open fractures was not widespread.
Lateral Malleolar Fractures These fractures can be treated by open procedures with plates or by closed procedures by IM pinning. The important point is to give the fibula the correct length and/or to repair the inferior tibiofibular joint. Posterior (or Third) Malleolar Fractures This fracture must be treated by an antero-posterior screw after reduction of the frontal fracture line. The reduction of this fracture is obtained by putting the ankle in the talus situation. Again, it is very important to place the screw as distal as possible to avoid any contact with the distal tip of the nail.