@article{article_190282, title={Locking elastic bundle nailing for femoral shaft fractures}, journal={Acta Orthopaedica et Traumatologica Turcica}, volume={33}, pages={1–6}, year={2006}, DOI={10.3944/aott.v33i1.2304}, author={Aktuglu, Kemal and Alpaydin, Serifhan and Oncag, Hakki and Ozkayin, Nadir and Mucahir, Huseyin}, abstract={Nowadays there are much wider possibilities for using locked intramedullary nailing in femoral shaft fractures with intramedullary osteosynthesis indications. However, distal locking with this method is difficult. In this case, the use of self-locking elastic bundle nailing is an important step forward. Between January 1995 and January 1998, 40 femoral fractures in 38 cases were treated by closed reduction with closed nailing controlled image-intensifier on a fracture reduction table. Average follow up was 25 (min.2, max.42) months. Cases were evaluated according to clinical and radiographical criteria. Twenty-one (52.5%) cases were excellent, 16 (40%) cases good, 3 (7.5%) cases poor. In 1 case there was implant fracture to secondary delayed unions, and in 2 cases implant migration to the knee at a later period were seen. Distal bundle locking, elastic medullary osteosynthesis and nonreamerization could all be debatable factors for fracture healing and end results, but with locking elastic bundle nailing this is not so. Distal locking is not comfortable for the operator in locking nailing. Another of the advantages is the reduction of radiation exposure for the surgeon. In this situation elastic bundle nailing is much better. However, there is still difficulty in passing the nails through the fracture site.}, number={1}, publisher={Turkish Association of Orthopaedics and Traumatology}