title: [Factors affecting stability of the intramedullary fixation of the femoral and tibial shaft fractures].
abstract: Technical elements and details of surgical technique promoting stability of the fixation is analyzed by the author. Technical improvements of intramedullary fixation secured great stability of this type of fixation. The use of flexible reamers to drill medullar cavity permitted application of thicker nails and enlarged the area of exact fit between the nail and the cortical bone. Introduction of the interlocking system preventing rotational displacements allowed for the use of this method in fractures within the whole length of the shaft. Weight bearing from the first postoperative day is permitted for majority of the patients. Almost none of them needed external immobilization.
authors.affiliation: Zespołu Nauczania Klinicznego AM Poznań, Szpitalu im. Fr. Raszei.
authors.forename: J
authors.initials: J
authors.lastname: Fibak
mesh_terms: D004867:Equipment Design; D005264:Femoral Fractures / Q000503:physiopathology / Q000601:surgery*; D005269:Femur / Q000502:physiology; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D012307:Risk Factors; D013977:Tibia / Q000502:physiology; D013978:Tibial Fractures / Q000503:physiopathology / Q000601:surgery*; D016474:Weight-Bearing
vernacular_title: Czynniki wpływajace na stabilność zespolenia śródszpikowego złamań trzonów kości udowej i piszczelowej.