Review Article| Volume 13, ISSUE 6, P455-459, May 1982

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Closed Küntscher nailing: a clinical review after 20 years

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      A long-term study of patients treated by primary closed Küntscher nailing of fractures of the femoral shaft was carried out. Minimal reaming allowed nails of only 9.5–11 mm diameter to be used. One hundred and sixteen patients with 120 fractures treated in this way from 1959 to 1978 attended for clinical examination. Primary bony union was achieved in 98 per cent and the infection rate was less than 1 per cent. Full, unsupported weight bearing was possible at an average of 15.6 weeks. Symptoms and residual deformity were minimal. These results support the use of this technique in adults with most types of fracture of the femoral shaft.
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        • Aginsky J.
        • Reis N.D.
        The present state of medullary nailing: biochemical limitations and problems of blood supply to the fracture due to reaming.
        Injury. 1979; 11: 190
        • Allen W.C.
        • Piotrowski G.
        • Burstein A.H.
        Biomechanical principles of intramedullary fixation.
        Clin. Orthop. 1968; 60: 13
        • Böhler J.
        Results in medullary nailing of ninety-five fresh fractures of the femur.
        J. Bone Joint Surg. 1951; 33A: 670
        • Böhler J.
        Closed intramedullary nailing of the femur.
        Clin. Orthop. 1968; 60: 51
        • Chapman M.W.
        The use of immediate internal fixation of open fractures.
        Orthop. Clin. North Am. 1980; 11: 579
        • Fraser R.D.
        • Hunter G.A.
        • Waddell J.P.
        Ipsilateral fracture of femur and tibia.
        J. Bone Joint Surg. 1978; 60B: 510
        • Geist R.W.
        • Laros G.S.
        Femoral shaft fractures: Editorial Comment.
        Clin. Orthop. 1979; 138: 5
        • Gristina A.G.
        • Rovere G.D.
        An in vitro study of the effects of metals used in internal fixation on bacterial growth and dissemination.
        J. Bone Joint Surg. 1963; 45A (Abstract): 11104
        • Hamblen D.L.
        Scientific basis of present day fracture treatment.
        J. R. Coll. Surg. Edin. 1979; 24: 342
        • Hansen S.T.
        • Winquist R.A.
        Closed intramedullary nailing of the femur—Küntscher technique with reaming.
        Clin. Orthop. 1979; 138: 56
        • Heiple K.G.
        • Brooks D.B.
        • Samson B.L.
        • et al.
        A fluted intramedullary rod for sub-trochanteric fractures.
        J. Bone Joint Surg. 1979; 61A: 730
        • Küntscher G.
        Practice of Intramedullary Nailing. Charles C. Thomas, Springfield, Illinois1967
        • McMaster W.C.
        • Prietto C.
        • Rovner R.
        Closed treatment of femoral fractures with fluted Sampson intramedullary rod.
        Orthop. Clin. North Am. 1980; 11: 593
        • McNeur J.C.
        Management of open skeletal trauma with particular reference to internal fixation.
        J. Bone Joint Surg. 1970; 52B: 54
        • Macausland W.R.
        • Eaton R.G.
        The management of sepsis following intramedullary fixation for fractures of the femur.
        J. Bone Joint Surg. 1963; 45A: 1643
        • Müller M.E.
        • Allgöwer R.M.
        • Schneider G.
        • et al.
        Manual of Internal Fixation. Springer Verlag, Berlin1979: 16
        • Pedersen H.E.
        • Serra J.B.
        Injury to the collateral ligaments of the knee associated with femoral shaft fractures.
        Clin. Orthop. 1968; 60: 119
        • Perren S.M.
        Physical and biological aspects of fracture healing with special reference to internal fixation.
        Clin. Orthop. 1979; 138: 175
        • Rittman W.W.
        • Chibil M.
        • Matter P.
        • et al.
        Open fractures: long-term results in 200 consecutive cases.
        Clin. Orthop. 1968; 60: 29
        • Rothwell A.G.
        • Fitzpatrick C.B.
        Closed Küntscher nailing of femoral shaft fractures. A series of 100 consecutive patients.
        J. Bone Joint Surg. 1978; 60B: 504
        • Schneider H.W.
        Use of the 4-flanged self-cutting intramedullary nail for fixation of femoral fractures.
        Clin. Orthop. 1968; 60: 29
        • Smith J.E.M.
        Results of early and delayed internal fixation of fractures of the shaft of the femur.
        J. Bone Joint Surg. 1964; 46B: 29