title: [Role of intramedullary nailing in pseudarthrosis and malalignment].
abstract: Intramedullary stabilization can provide fast bone consolidation in cases of delayed fracture healing and hypertrophic non-unions. The indication for intramedullary nailing must be exactly adapted to the individual situation. An analysis of our own cases revealed bony healing in hypertrophic non-unions of femoral shaft fractures in 93% and in 94% of tibial shaft fractures after reamed intramedullary nailing. In selected cases of axial or rotational deformities or length discrepancy of the femur and the tibia, a correction osteotomy can be performed with intramedullary nailing. If it is necessary to expose the non-union and in axial or rotational deformities a rotation-stabilizing plate can be applied in addition to the intramedullary nail.
authors.affiliation: Berufsgenossenschaftliche Unfallklinik Tübingen.
authors.forename: K
authors.initials: K
authors.lastname: Weise
authors.forename: E
authors.initials: E
authors.lastname: Winter
mesh_terms: D000328:Adult; D000368:Aged; D017760:Bone Malalignment / Q000209:etiology / Q000601:surgery*; D005260:Female; D005264:Femoral Fractures / Q000601:surgery; D005594:Fracture Fixation, Intramedullary / Q000379:methods*; D017102:Fracture Healing; D006801:Humans; D007870:Leg Length Inequality / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011542:Pseudarthrosis / Q000503:physiopathology / Q000601:surgery*; D013978:Tibial Fractures / Q000601:surgery
vernacular_title: Die Rolle des Marknagels bei Pseudarthrosen und Fehlstellungen.