Internal fixation by bundle nailing in the elderly patient.

Chir Organi Mov

Divisione di Ortopedia A, Azienda Ospedaliera Sant'Anna, Como.

Published: June 2002

AI Article Synopsis

  • Between November 1992 and July 1999, 27 fractures were treated in elderly patients using Marchetti-Vicenzi bundle nail internal fixation, with notable cases including 15 tibias, 8 femurs, and 5 humeri.
  • The study found that reaming of the medullary canal was not used for any of the fractures treated, but was employed for one case of non-union.
  • Results indicated that flexible intramedullary nailing offers sufficient stability, promotes earlier weight-bearing, enhances bone healing, and supports functional recovery, along with a quicker surgical process thanks to automatic distal locking.

Article Abstract

Between November 1992 and July 1999, a total of 27 fractures and 1 non-union, including 15 tibias, 8 femurs, and 5 humeri in geriatric patients were treated using Marchetti-Vicenzi bundle nail internal fixation. Reaming of the medullary canal was never used in any of the fractures, while it was used in the case of non-union. The results suggest that flexible intramedullary nailing provides adequate stability and is responsible for earlier weight-bearing, facilitating bone healing and early functional recovery in the elderly patient. Automatic distal locking allows for a reduction in the amount of time required for surgery.

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