Limitations of conventional nailing

The ideal case for conventional closed nailing consists of: Isthmal fractures or fractures in which the isthmus can be extended by reaming or fractures with inherent stability by virtue of cortical interdigitations; closed and open type I and II; transverse, comminution grade I, II, and some grade III. Some segmental and short oblique fractures are amenable to conventional nailing. The canal length and geometry should be studied to avoid mishap in the operating room and the proper equipment. assembled along with a well trained team. Once these prerequisites have been met, conventional nailing will prove successful for the majority of patients and fractures of the femoral shaft.