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Updated: May 15, 2026
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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
Intraoperative Traction for Cephalomedullary Nailing in Amputation Patients
Nicholas E Runge1,2, Jonathan T Avon1,2, Kishan C Trivedi3
1Corewell Health East, Farmington Hills, Michigan, USA.
Journal of Orthopaedic Case Reports
|May 14, 2026
Summary
Fixing femoral fractures in lower-limb amputees is difficult. A new intraoperative skeletal traction technique using a distal femoral pin aids cephalomedullary nailing (CMN) by improving length and rotation control in amputees.
Area of Science:
- Orthopedic Surgery
- Trauma Management
- Biomedical Engineering
Background:
- Femoral fracture fixation in lower-limb amputees presents unique challenges.
- Limited limb purchase and altered biomechanics complicate standard surgical approaches.
- Existing guidance for these complex cases is sparse.
