Brooker-Wills nails in treatment of infra-isthmal injuries of the femur.
Forty-four consecutive infra-isthmal fractures of the femur were treated with the Brooker-Wills locking nail system. Choice of this device was based on the desire to use a closed nailing system that provides improved fixation of the distal femur. Forty-three of 44 fractures healed. Complications of the device included some difficulty with instrumentation and deployment of the fins early in the series. Three femurs were 1 cm shorter than the opposite side and one was 2 cm shorter. There were no device failures. It is concluded that this completely closed locking nail system provided reliable results and few complications.
Brooker
A F
AF
Department of Orthopaedic Surgery, Johns Hopkins Hospital, Baltimore, MD 21205.
Brumback
R J
RJ
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001858:Bone Nails; D005260:Female; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D005594:Fracture Fixation, Intramedullary / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D014945:Wound Healing