title: The Fixion nail in the lower limb. Preliminary results.
abstract: The Fixion nail is an intramedullary nail made of stainless steel, that may be used to treat fractures of the humerus and in the lower limb. This nail is made up of a cylinder that has 4 longitudinal bars which, once inserted in the bone segment, expands via a pressure hydraulic system using physiological solution. The nail may be introduced without reaming and after its expansion it adheres to the bone walls producing stabilization of the fracture. In order to guarantee good stability, the apex of the nail must exceed the fracture line by 5 cm. Indications were initially limited to type 32 and 42 A1-2-3 fractures of the mid third of the lower limb, to then be expanded to type B1 fractures in the AO system. A total of 20 nails were used in 19 patients, with an average time of 7 days for partial weight-bearing and 40 days for total weight-bearing, achieving consolidation on day 18 after an average of 5 months in the femur and 4 months in the tibia. Reaming of the intramedullary canal was carried out in all of the cases.
authors.affiliation: Divisione di Ortopedia e Traumatologia, Ospedale Maggiore Bologna.
authors.forename: R
authors.initials: R
authors.lastname: Pascarella
authors.forename: G
authors.initials: G
authors.lastname: Nasta
authors.forename: M
authors.initials: M
authors.lastname: Nicolini
authors.forename: E
authors.initials: E
authors.lastname: Bertoldi
authors.forename: A
authors.initials: A
authors.lastname: Maresca
authors.forename: S
authors.initials: S
authors.lastname: Boriani
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001858:Bone Nails; D005260:Female; D005264:Femoral Fractures / Q000601:surgery*; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013978:Tibial Fractures / Q000601:surgery*