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[Bundle nailing--an evaluation after 27 years].

F Hennig1, W Link, R Wöfel

  • 1Chirurgische Universitätsklinik Erlangen-Nürnberg.

Aktuelle Traumatologie
|June 1, 1988
PubMed
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Bundle nailing, a surgical technique, remains superior for specific fractures like humeral shaft or pediatric femur fractures when conservative methods fail. Despite its rarity, this method yields excellent outcomes with a low complication rate of 0.91%.

Area of Science:

  • Orthopedic surgery
  • Traumatology
  • Surgical techniques

Background:

  • Modern osteosynthesis has reduced the use of bundle nailing.
  • Bundle nailing is now reserved for specific, complex fracture cases.
  • Despite its decline, bundle nailing offers advantages in select indications.

Purpose of the Study:

  • To evaluate the efficacy and safety of bundle nailing in current orthopedic practice.
  • To identify the remaining valid indications for bundle nailing.
  • To assess the complication rate associated with bundle nailing for specific fracture types.

Main Methods:

  • Review of cases involving bundle nailing for specific fracture indications.
  • Analysis of surgical outcomes and complication rates.

Related Experiment Videos

  • Comparison with alternative osteosynthetic procedures where applicable.

    • Main Results:

    • Bundle nailing is indicated for unreconstructible humeral shaft fractures and pediatric femur fractures with complications.
    • The technique, using simple instruments, provides excellent results in experienced hands.
    • A low rate of 0.91% for reoperation or functional impairment was observed in 560 procedures.

    Conclusions:

    • Bundle nailing, though uncommon, is a superior option for specific indications.
    • Its effectiveness is demonstrated by excellent results and low complication rates.
    • Continued use in select cases by experienced surgeons is warranted.