-transparent.png){kind=logo}
Based on more than 20 years experience, the authors support the effectiveness of intramedullary nailing in the treatment of diaphyseal fractures of the femur. They review the history and advantages of this method and discuss the biomechanical principles on which it is based. Recent advances in technique have made it possible to secure proximal and distal anchorage in cancellous bone. This allows the method to be extended to more proximal and distal fractures than in the traditional method which is applicable only to the middle third. It also facilitates progressive axial compression, early loading and early mobilisation of the limb, thus creating the optimum biological conditions for consolidation and joint function. The closed method also reduces blood loss and the risk of infection. The techniques adopted to deal with more complex situations are described. These include moderately comminuted oblique and spiral fractures and certain bifocal fractures. Finally, the results of treating 450 cases are reviewed, with a longterm analysis of 198 patients.
R Zanasi, and
F Rotolo, and
P Romano, and
V Galmarini, and
L Zanasi
January 1979,
Clinical orthopaedics and related research,
R Zanasi, and
F Rotolo, and
P Romano, and
V Galmarini, and
L Zanasi
January 1980,
Archives of orthopaedic and traumatic surgery. Archiv fur orthopadische und Unfall-Chirurgie,
R Zanasi, and
F Rotolo, and
P Romano, and
V Galmarini, and
L Zanasi
January 1983,
Archivio "Putti" di chirurgia degli organi di movimento,
R Zanasi, and
F Rotolo, and
P Romano, and
V Galmarini, and
L Zanasi
July 1982,
Clinical orthopaedics and related research,
R Zanasi, and
F Rotolo, and
P Romano, and
V Galmarini, and
L Zanasi
June 1958,
Rozhledy v chirurgii : mesicnik Ceskoslovenske chirurgicke spolecnosti,
R Zanasi, and
F Rotolo, and
P Romano, and
V Galmarini, and
L Zanasi
March 2000,
Harefuah,
R Zanasi, and
F Rotolo, and
P Romano, and
V Galmarini, and
L Zanasi
December 1957,
Revue medicale de Nancy,
R Zanasi, and
F Rotolo, and
P Romano, and
V Galmarini, and
L Zanasi
January 1952,
Journal international de chirurgie,
R Zanasi, and
F Rotolo, and
P Romano, and
V Galmarini, and
L Zanasi
February 2019,
Der Unfallchirurg,
R Zanasi, and
F Rotolo, and
P Romano, and
V Galmarini, and
L Zanasi
May 1978,
Injury,
