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Updated: May 28, 2026

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
Published on: June 6, 2025
[Update on current care guidelines: treatment of tibial shaft fractures]
Abstract:
In an update of the Finnish Current Care Guidelines for the treatment of tibial shaft fractures, the recommended treatment of choice is reamed locked nailing, which enables the most rapid functional and vocational recovery. Mini-invasive locked compression plates have become more common for proximal and distal third tibial shaft fractures. For severe open fractures, bone grafting can be applied in cases of up to 6 cm of bone loss. Smokers are strongly advised to stop smoking, due to the increased risk of non-union, and are offered a smoking cessation programme.
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Fractures: Bone Repair
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
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Assessment:
1. Clinical Evaluation:
History:
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