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Table 4 Data of 18 patients in whom an osteosynthesis with 3 elastic stable nails “3CM” or “3CL” was attempted

From: Modification of elastic stable intramedullary nailing with a 3rd nail in a femoral spiral fracture model – results of biomechanical testing and a prospective clinical study

No by random

Sex

Age

Type of fracture

Location in diaphysis

AO-Ped-* classification

LiLa-* classification

Size of the nails (mm)

3C Lateral/ medial

Reduction

Co-morbidity

Complication

Implant removal (months)

Axis ° (X-ray post-OP)

             

AP/PA

LM/ML

1

Female

11

Oblique + wedge

Central

32D52

3.2.s.3.2

2 × 4.0 + 1 × 4.0

Lateral

Closed

 

No

5

2

Female

8

Comminuted

Proximal

32D53

3.2.s.4.2

2 × 3.0 + 1 × 2.0

Lateral

Closed

 

No

6

3° Ante

3

Male

12

Oblique + wedge

Central

32D52

3.2.s.3.2

2 × 3.5 + 1 × 3.0

Lateral

Closed

 

No

3

8° Ante

12° Varus

4

Male

12

Oblique

Distal

32D51

3.2.s.3.2

2 × 4.0 + 1 × 3.0

Medial

Closed

 

No

4

5

Female

11

Comminuted, 2° open

Central

32D43

3.2.s.4.2

2 × 3.5 + 1 × 3.0

Lateral

Closed

Polytrauma

No

6

8° Ante

6

Male

9

Transverse, 2° open

Central

32D41

3.2.s.3.2

2 × 3.5 + 1 × 3.0

Lateral

Closed

Decollement

No

5

7

Male

15

Transverse, 2° open

Central

32D42

3.2.s.3.2

2 × 4.0 + 2 × 4.0

Medial + Lateral

Closed

ContraLateral tibia fracture

No

8

8

Male

13

Transverse

Distal-metaphysis

32D41

3.2.s.3.2

2 × 3.5 + 1 × 4.0

Lateral

Closed

 

Skin irritation

4

9

Male

3

Long spiral

Central

32D51

3.2.s.3.2

2 × 2.5 + 1 × 2.5

Lateral

Closed

 

No

3

10

Male

6

Long spiral

Central

32D51

3.2.s.3.2

2 × 3.5 + 1 × 3.0

Lateral

Closed

 

No

5

11

Male

13

Transverse

Central

32D41

3.2.s.3.2

2 × 3.5 + 1 × 3.5

Medial

Open

 

no

8

12

Female

3

Long spiral

Central

32D51

3.2.s.3.2

2 × 2.5 + 1 × 2.5

Lateral

Closed

 

Perforation of a nail-tip

2

13

Male

2.5

Long spiral

Central

32D51

3.2.s.3.2

2 × 2.5 + 1 × 2.5

Medial

Closed

 

No

4

7° Valgus

14

Female

6

Spiral

Central

32D51

3.2.s.3.2

2 × 2.5 + 1 × 2.5

Medial

Closed

 

No

4

15

Female

8

Oblique + wedge

Central

32D52

3.2.s.3.2

2 × 3.0 + 1 × 2.5

Lateral

Closed

Polytrauma

No

4

5° Ante

16

Male

8

Transverse

Central

32D41

3.2.s.3.2

2 × 3.0 + 1 × 3.0

Lateral

Open

 

No

6

12° Ante

17

Male

3

Long spiral

Central

32D51

3.2.s.3.2

2 × 2.5 + 1 × 2.5

Lateral

Closed

 

No

3

2° Ante

18

Male

3

Long spiral

Central

32D51

3.2.s.3.2

2 × 2.5 + 1 × 2.5

Not possible

Open

 

Plate osteosynthesis

3

  1. *AO-Ped Classification = AO pediatric comprehensive classification of long bone fractures [20].
  2. *LiLa Classification = LiLa classification for pediatric long-bone fractures [21].
  3. Ante = Antecurvation, AP = anterior-posterior, PA = posterior-anterior, LM = latermal-medial, ML = medial-Lateral.