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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 metal rod forced into the medullary cavity of a bone. IM nails have long been used to treat fractures of long bones of the body.
An x-ray of intramedullary nailing in a tibial fracture. Femoral malrotation is the most significant bone malrotation issue, and these errors cause cosmetic problems but can also cause drastic physical problems. [4]
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 Kuntscher's IM nailing technique but introduced it in 1942.
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]
Ender's nail for fixing intertrochanteric fracture [17] Grosse-Kempf nail for tibial or femoral shaft fracture [18] Hansson pin (or LIH for Lars Ingvar Hansson), a hook-pin used for fractures of the femoral neck [19] Harrington rod for fixation of the spine [20] Hartshill rectangle for fixation of the spine [21]
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A subtrochanteric blade plate or an intramedullary rod can be used to stabilize the osteotomy site in a femoral derotation osteotomy until compete bone healing is achieved; an approach employing an intramedullary rod is much less invasive than one using a subtrochanteric blade plate. [citation needed]}
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