Compression Nailing of Long Bones

Tibiotalar Arthrodesis with the Tibial Compression Nail

“…The development of intramedullary compression nails permitted to use the compression principle for tibiotalar arthrodesis performed in antegrade fashion [3,5,11,13]. After our initial application in September 1993 we not only standardized the technique but also designed a modified intramedullary nail.…”

Intercalary Allograft Reconstructions Using a Compressible Intramedullary Nail: A Preliminary Report

“…With screws of 5 mm, Gonschorek et al estimated locking screw breakage at less than 2% [10]. Mueckley et al warned against overtightening and recommended stopping compression when the screw begins to bend, applying no more force than one would use with normal cortical screw insertion [20]. Anecdotally, compression should be stopped when there is adequate corticocortical contact of the junctions, verified clinically and fluoroscopically, the compression screw is unable to be turned further without excessive torque, or the locking screw begins to cut through the host bone.…”

Die tibiotalare Arthrodese mit dem Kompressionsmarknagel

“…Mit der Entwicklung von Kompressionsmarknägeln gelang es, das Kompressionsprinzip auch auf die tibiotalare Arthrodese in antegrader Technik zu übertra-gen [3,5,11,13]. Nach erster klinischer Anwendung in unserer Klinik im September 1993 wurde diese Technik standardisiert und ein entsprechend abgeänderter Marknagel entwickelt.…”