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Updated: Jan 27, 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
[Application of self-made fine-tuning device in distal locking process of femoral interlocking intramedullary nail]
Yun-Mei Li1, Bao-Rui Xing2, Dong-Hui Guo2
1Department of Orthopaedics, Cangzhou Hospital of Integrated TCM-WM, Cangzhou 061001, Hebei, China; 172923438@qq.com.
Objective:
To evaluate the curative efficacy of self-made fine-tuning setting in the process of femoral distal implantation of intramedullary nail.
Methods:
From October 2015 to October 2017, 66 cases of femoral shaft fracture were treated with anterograde interlocking intramedullary nail including 45 males and 21 females with a mean age of(37.21±11.18) years old. Among them, 36 cases were treated with the manufacture's aiming device and self-made fine-tuning setting (research group), other 30 cases were treated with the manufacture's aiming device(control group). The mean operation time, the times of C-arm scan in surgery, the post-operation complications and the fracture union were observed and compared in two groups.
Results:
Sixty-two cases acquired 8 to 15 months with a mean time of 12.4 months follow-up visit. The post-operation complications and the fracture union between the two groups had no significant difference(P>0.05), the mean operation time and the times of C-arm scan in surgery had statistically significant difference(P<0.05).
Conclusions:
Self-made fine-tuning setting in the process of femoral interblocking intramedullary nail could shorten operation time and reduce the the times of C-arm scan.
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