The flexible intramedullary nailing (FIN) technique is based on well-established biomechanical principles. It is used for internal fixation of long bone shaft fractures in children and adolescents. Success of the procedure relies heavily on the quality of the surgical technique and therefore on the surgeon's skill and experience. Thorough understanding and familiarity with this three-dimensional technique are mandatory to launch into a FIN procedure. This technique is also perfectly suited for a number of metaphyseal fractures, in which, however, the biomechanical principles of stabilization differ from those used in diaphyseal fractures.
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Lascombes, P., Métaizeau, JD. (2010). Surgical Technique: Basic Principles. In: Lascombes, P. (eds) Flexible Intramedullary Nailing in Children. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-03031-4_5
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