Abstract
Long bones nailing is the “gold standard” treatment in diaphyseal and metaphyseal fracture management, because plating is a technique with high risks of failure. Only locking compression plating is dedicated for osteoporotic bones in elderly.
Old fractured people needs: evaluation of comorbidities, right indication treatment, accurate timing of surgery, non traumatic and mini invasive surgery, high fracture stability, bleeding reduction, immediate mobilisation and weight bearing as soon as possible.
The device choice is a very important factor: nail curvature, nail cross section, number and position of locking holes, are very important choosing elements.
Technical and surgical elements in nailing for old people are: accurate surgical placement of the patient, correct introduction point of the nail, good reduction technique, reaming, proximal and distal locking in metaphyseal bone to obtain the best fracture stability. Nailing is the “gold standard” technique in the treatment of femoral, tibial and humeral fractures in old people, both in diaphyseal and in metaphyseal areas of long bones.
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Lazzarone, C. L’inchiodamento endomidollare nell’anziano. LO SCAL 22, 183–188 (2009). https://doi.org/10.1007/s11639-009-0010-5
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DOI: https://doi.org/10.1007/s11639-009-0010-5