Intramedullary nailing stabilizes a femur fracture by inserting a metal rod through the center of the femur bone, restoring alignment and allowing early weight bearing.
Indicated for displaced femoral shaft fractures and selected subtrochanteric or supracondylar femur fractures in patients of all ages.
Performed under general or spinal anesthesia, typically taking 1 to 2 hours. A nail is inserted through a small incision at the hip or knee and locked into place with screws. Weight bearing begins within days of surgery.
Risks include malrotation, leg length discrepancy, infection, hardware failure, knee or hip pain from hardware, and delayed union.
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