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Dujardin FH, Benez C, Polle G, Alain J, Biga N, Thornine JM: Prospective randomized comparison between a dynamic hip screw and a mini-invasive static nail in fractures of the trochanteric area: preliminary results.
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Dynamic nailing was performed for nearly all type A fractures and static nailing for types B and C.
The majority of Type A fractures (73) was treated with dynamic intramedullary nailing and Types B and C with static nails.
This led to discontinuation of the use of cannulated locking bolts and a policy to insert both bolts in all static nailing procedures.
A similar method using static intramedullary nailing after lengthening, known as "lengthening then nailing" (LATN), is an effective procedure [ 21].
The dynamic or static intramedullary nailing is the golden standard treatment for displaced non-unions of the lower limb [3].
Open image in new window Fig. 2 A type A fracture Open image in new window Fig. 3 The fracture treated with static intramedullary nailing technique.
Dogra et al. [11] reported shortening in 20% of the distal tibial fractures stabilised with static intramedullary nailing; this has also been documented by others [64, 65, 66].
Methods of surgical fixation were classified into intramedullary (IM) nailing (dynamic locking nail, static locking nail, unlocked nail) and non-IM nailing (screw, plate, external fixator) methods.
Stabilisation is obtained with a retrograde intramedullary nail, with static interlocking.
Patients underwent closed reamed intramedullary nailing with static interlocking screws.
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