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Evolution of Entry Points in Nailing of Long Bone Fractures

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Handbook of Orthopaedic Trauma Implantology

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Abstract

Intramedullary nailing provides strong and stable biological fixation for diaphyseal and metaphyseal fractures of the long bone, but choosing the correct entry point is probably the most important factor to ensure proper anatomical and functional reconstruction. With the demand in change of nail designs, there has been a considerable evolution in the entry point. In the femur, Küntscher recommended the tip of GT for his flexible K-nail, but when a more rigid straight nail was chosen over K-nail for early mobilization, the entry point changed to pyriform fossa (trochanter fossa). But eventually for easier approach and safer location, the tip of GT has gained popularity in recent times. Similarly, the entry point of tibial nails and humeral nails also changed with their design considering fracture pattern and local anatomy.

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Authors and Affiliations

  1. Woodlands Multispeciality Hospital Limited, Kolkata, India

    Kalyan Kumar Guha

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  1. Kalyan Kumar Guha
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Editors and Affiliations

  1. NH Narayana Superspeciality and Multispeciality Hospitals, Howrah, West Bengal, India

    Arindam Banerjee

  2. Technical University of Munich, Munich, Germany

    Peter Biberthaler

  3. Sri Lakshmi Narayana Institute of Medical Sciences, Puducherry, India

    Saseendar Shanmugasundaram

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Guha, K.K. (2023). Evolution of Entry Points in Nailing of Long Bone Fractures. In: Banerjee, A., Biberthaler, P., Shanmugasundaram, S. (eds) Handbook of Orthopaedic Trauma Implantology. Springer, Singapore. https://doi.org/10.1007/978-981-19-7540-0_60

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  • DOI: https://doi.org/10.1007/978-981-19-7540-0_60

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-19-7539-4

  • Online ISBN: 978-981-19-7540-0

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