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Interlocking compression nailing: a report on 402 applications

O Gonschorek1, G O Hofmann, V Bühren

  • 1BG-Unfallklinik, Murnau, Germany.

Archives of Orthopaedic and Trauma Surgery
|November 5, 1998
PubMed
Summary
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The interlocking compression nail (ICN) offers effective fracture treatment, enabling early patient mobility. This study shows ICNs are reliable for acute fractures, non-unions, malalignments, and fusions with a low complication rate.

Area of Science:

  • Orthopedic surgery
  • Traumatology
  • Biomedical engineering

Background:

  • Nailing techniques have advanced significantly.
  • The interlocking compression nail (ICN) provides active interfragmentary compression.
  • ICNs are beneficial for acute fractures, allowing early weight-bearing and mobilization.

Purpose of the Study:

  • To evaluate the practicality and reliability of the interlocking compression nail (ICN) system.
  • To assess the effectiveness of the active compression device in the ICN.
  • To analyze ICN use in various orthopedic conditions, including acute fractures, non-unions, malalignments, and arthrodeses.

Main Methods:

  • Prospective follow-up of 402 consecutive ICN applications from April 1993 to September 1996.
  • Focus on the active compression device.

Related Experiment Videos

  • Treatment of 153 acute fractures, 112 non-unions, 41 malalignments, and 96 arthrodeses.

    • Main Results:

    • A low complication rate was observed, even in complex cases.
    • A remarkably high success rate was achieved across all treated conditions.
    • The ICN system demonstrated practicality and reliability in clinical application.

    Conclusions:

    • The interlocking compression nail (ICN) is a practical and reliable orthopedic implant.
    • ICN facilitates effective treatment for a range of bone healing issues, including non-unions and malalignments.
    • The system supports successful outcomes and low complication rates in revision surgeries and fusions.