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An intramedullary nail found in the left knee of a mummified Egyptian man. The oldest intramedullary nail was found in the left knee of a mummy named Usermontu, the remains of an Egyptian man from more than 3,500 years ago. Researchers believe the pin was inserted after the man's death, but before his burial. [4]
Bone malrotation refers to the situation that results when a bone heals out of rotational alignment from another bone, or part of bone. It often occurs as the result of a surgical complication after a fracture where intramedullary nailing (IMN) occurs, [1] especially in the femur and tibial bones, but can also occur genetically at birth.
Küntscher first performed the process using the nail in November 1939 at the University Department of Surgery in Kiel. He first presented 12 cases of intramedullary fixation with rods at a surgical meeting in Berlin 03/18/40 and was met with general disapproval for using surgery for fractures [ 1 ] The German military initially disapproved of ...
Patients with severe forms of Ollier disease also are not suited for surgery because of an increased risk of complications due to bone frame instability. Both the elastic stable intramedullary nailing system (ESIN) and flexible intramedullary nailing (FIN) use two bent elastic nails in order to allow for greater realignment and stability.
For femoral shaft fractures, reduction and intramedullary nailing is currently recommended. [14] The bone is re-aligned, then a metal rod is placed into the femoral bone marrow, and secured with nails at either end. This method offers less exposure, a 98–99% union rate, lower infection rates (1–2%) and less muscular scarring. [14] [15] [17]
X-ray showing the proximal portion of a fractured tibia with an intramedullary nail The surgical treatment of mandibular angle fracture; fixation of the bone fragments by the plates, the principles of osteosynthesis are stability (immobility of the fragments that creates the conditions for bones coalescence) and functionality Proximal femur ...
Oh, and the council has spoken: they request that you upvote the photos that make you say “awww” immediately! #1 The Council Enters. Image credits: m33gs #2 The Council Requires Snackies.
Postoperative wounds are different from other wounds in that they are anticipated and treatment is usually standardized depending on the type of surgery performed. Since the wounds are 'predicted' actions can be taken beforehand and after surgery that can reduce complications and promote healing. [citation needed]