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X-ray showing the proximal portion of a fractured tibia with an intramedullary nail Proximal femur nail with locking and stabilisation screws for treatment of femur fractures of left thigh An intramedullary rod , also known as an intramedullary nail (IM nail) or inter-locking nail or Küntscher nail (without proximal or distal fixation), is a ...
A. W. Fischer, head of Küntscher's department, said in 1944 about his invention: "This practical treatment of fractures using a nail, the Küntscher procedure, is, in my eyes, the greatest revolution in the treatment of bone fractures since the invention of nail extension by Klapp, and this revolution will conquer the world." [2]
After treatment of the acute fracture, the risk of future fractures should be addressed. Currently, only 1 in 4 patients after a hip fracture receives treatment and work up for osteoporosis, the underlying cause of most of the fractures. Current treatment standards include the starting of a bisphosphonate to reduce future fracture risk by up to ...
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When the gap between the bone ends is less than 0.01 mm, and interfragmentary strain is less than 2%, contact healing can occur. In this case, cutting cones, which consists of osteoclasts, form across the fracture lines, generating cavities at a rate of 50–100 μm/day.
After this procedure, other suggestions on aftercare will be made, such as salt water bathing of the toe. The purpose of the procedure is to prevent re-growth where the matrix was cauterized. After the procedure, the nail is slightly narrower (usually one millimeter or so) and is barely noticeable a year later.
The United Nations Istanbul Protocol describes nail removal and the insertion of objects such as wire under the nail as forms of torture. [2]In the aftermath of Italy's republican referendum after World War II, efforts to prosecute former officials in the Fascist government for collaborationism and war crimes resulted in the legal differentiation between the concepts of normal brutality, cruel ...
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