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Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
Published on: June 6, 2025
Treatment of Distal Radial Fractures with an Intramedullary Nail
Masao Nishiwaki1, Kenichi Tazaki1, Asif M Ilyas2
1Department of Orthopaedic Surgery, Ogikubo Hospital, 3-1-24 Imagawa, Suginami-ku, Tokyo 167-0035, Japan. E-mail address for M. Nishiwaki: E-mail nishiwa@jd5.so-net.ne.jp.
Introduction:
This paper will describe the surgical technique for the treatment of unstable distal radial fractures with use of the MICRONAIL Intramedullary Distal Radius System (Wright Medical Technology, Arlington, Tennessee).
Step 1 Closed Reduction And Pinning:
The fracture must be adequately reduced and pinned prior to nail insertion.
Step 2 Perform Exposure And Enter Canal:
Protect the branches of the superficial radial sensory nerve at all times.
Step 3 Insert Nail And Distal Locking Screws:
Insert the nail to a depth to place the most distal screw just proximal to the radiocarpal joint line; confirm fluoroscopically that the screw does not penetrate the articular surface.
Step 4 Insert Proximal Interlocking Screws And Close:
Confirm that the proximal interlocking screws are bicortical for adequate fixation but are not too long.
Step 5 Postoperative Management:
Use of a splint is followed by active and then passive range-of-motion exercises.
Results:
We reported a prospective analysis of patients treated for an unstable distal radial fracture with an intramedullary nail.
What To Watch For:
IndicationsContraindicationsPitfalls & Challenges.
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