By
- DD Tanna MS (Ortho), Honorary Consultant, Jaslok Hospital, Bhatia Hospital, Saifee Hospital, Mumbai, Maharashtra, India, Consultant Orthopedic Surgeon, Backbay View, 3A Mama Parmamand Marg, Mumbai, Maharashtra, India
The interlocking nails have now become an established method of internal fixation. The introduction of better nail designs, innovations in the interlocking techniques and universal availability of image intensifiers have contributed a great deal to the evolution and widespread applications of this technique. This 3rd edition incorporates many new case studies, and new bold changes of concept like locking plates replacing interlocking nailing in many cases, along with introduction of nail extraction device. Begins with a brief overview of the history, and biomechanics of the technique, including a chapter covering the difficulties, complications and special intra-operative situations. Special considerations for use of locking plate; Biological/bridge plating: (Principle of relative stability); use of LCP as an internal fixator. Pre-conditions for bridge plating, its indications and biomechanical basis. Demonstrates the diverse types of nails and numerous methods of usage including introduction of better nail designs, innovations in interlocking techniques after the universal availability of image intensifiers. Discusses possible complications associated with the procedure of nailing, locking and implant removal along with their practical solutions. A photo gallery comprising Images of Case-studies of 19 Patients.