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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.
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