Description
This VTT describes a presentation on the topic of complex trauma and particularly focuses on the technique of extreme nailing in orthopedic surgery. The speaker, Ian McFadyen, outlines the historical context of intimidatory nailing, initially developed by Gerhardt Kuntscher in the 1930s, and explains the evolution of the technique from simple mid-shaft fractures to more complex cases. Throughout the discussion, McFadyen emphasizes the challenges of achieving stability in fractured bone segments and the use of blocking screws as critical tools for enhancing stability during the nailing process. He shares various case studies, demonstrating how improper entry points and nailing angles can lead to deformity and non-union of fractures. The presentation also addresses the importance of achieving the correct entry point in proximal nailing and discusses alternatives like using external fixation devices to manage deforming forces. In conclusion, McFadyen summarizes the advancements in nailing techniques and the strategies developed to combat the complications arising from more extreme cases.
DOI: 10.1302/3114-210193