Historical development of intramedullary nailing of long bone fractures
Intramedullary nailing has a long and interesting history which dates back to the 16th century. Since then, this technique has gone through a significant progress which led to the common use of its modern form today. The design of nails, screws and materials they are made of has been revaluated and improved constantly. Advances in methods and materials have clearly gone hand in hand with the progress of anesthesiology, asepsis and antimicrobial therapy. Although intramedullary nailing has become standard, when it comes to the most diaphyseal lower extremity fractures, the very begining of the method wasn't met with approval. In the first half
of the 20th century, a German surgeon Gerhard Küntcher introduced the modern form of intramedullary osteosynthesis, which significantly diminished the frequency of complications and led to the widespread use of nailing in the treatment of long bone fractures. This paper brings the historical overview of intramedullary nailing progress and its application to the long bone fracture treatment.
Farill J. Orthopedics in Mexico. J Bone Joint Surg Am 1952;24: 506–512.
Evans P. E. L. Cerclage fixation of a fractured humerus in 1775: fact or fiction? Clin Orthop 1983;174: 138–142.
Labitzke R. Vonden “Knochennaht” zu zeit genössischen osteosynthesen – eine chronologie. Chirurg 1995;66(4): 452–458.
Broos PL, Sermon A. From unstable internal fixation to biological osteosynthesis. A historical overview of operative fracture treatment. Acta Chir Belg 2004;4: 396–400.
Stimson LA. A practical treatise on fractures and dislocations. Lea Brothers 1905.
Gluck T. Autoplastik Transplantation – Implantation von Fremdkörpern. Berl Klin Wschr 1890;27: 421–427.
Gregory P, Sanders R. The treatment of closed, unstable tibial shaft fractures with unreamed interlocking nails. Clin Orthop Relat Res 1995;315: 48–55.
Senn N. A new method of direct fixation of the fragments in compound and ununited fractures. Ann Surg 1893;18(2): 125–151.
Hoglund EJ. New method of applying autogenous intramedullary bone transplants and of making autogenous bone screws. Surg Gynecol Obstet 1917;24: 243–246.
Bong MR , Matthew R, Koval, Kenneth J, Egol, Kenneth A. The history of intramedullary nailing. Bulletin of the NYU Hospital for Joint Diseases 2006;64: 94–97.
Manring MM, Hawk A, Calhoun JH, Andersen RC. Treatment of war wounds: a historical review. Clin Orthop Relat Res 2009;467: 2168–2191.
Hey Groves EW. On the application of the principle of extension to comminuted fractures of the long bone, with special reference to gunshot injuries. Br J Surg 1914;2(7): 429–443.
Hey Groves EW. Ununited fractures with special reference to gunshot injuries and the use of bone grafting. Br J Surg 1918;6(22): 203–247.
Vécsei V, Hajdu S, Negrin LL. Intramedullary nailing in fracture treatment: history, science and Küntscher's revolutionary influence in Vienna, Austria. Injury 2011;42: S1–S5.
Smith-Petersen MN, et al. Intracapsular fractures of the neck of the femur: treatment by internal fixation. Arch Surg 1931;23(5): 715–759.
Rush LV, Rush HL. A technique for longitudinal pin fixation of certain fractures of the ulna and of the femur. J Bone Joint Surg 1939;21(3):619–626.
Rush LV, Rush HL. A reconstructive operation for comminuted fractures of the upper third of the ulna. Am J Surg 1937;38(2): 332–333.
Küntscher G. Die Marknagelum Von Knochenbruchen. Tierexpinentaller Teil Klin Wschr 1940;19: 6–10.
Rehnberg SV. Treatment of fractures and pseudarthroses with marrow nailing. Ann Chir Gynaec Fenn 1947;36: 2.
Salvi AE. Kuntscher nail: the rod who flied from Germany inside the legs of America. Emerg Med 2012;2: 112.
Pierach CA. Give me a break: Gerhard Küntscher and his nail. Perspect Biol Med 2014;57(3): 361–373.
Soeur R. Intramedullary pinning of diaphyseal fractures. J Bone Joint Surg Am 1946;28(2): 309–331.
Street DM, Hansen HC, Brewer BJ. The medullary nail. Presentation of a new type and report of 4 cases. Arch Surg 1947;55(4): 423–432.
Fischer AW, Maatz R. Weitere erfahrungen mit der marknagelung nach Küntscher. Arch Klin Chir 1942;203: 531.
Hupel TM, Aksenov SA, Schemitsch EH. Muscle perfusion after intramedullary nailing of the canine tibia. J Trauma 1998;45(2): 256–262.
Schemitsch EH, Kowalski MJ, Swiontkowski MF. Soft-tissue blood flow following reamed versus unreamed locked intramedullary nailing: a fractured sheep tibia model. Ann Plast Surg 1996;36(1):70–75.
Modny MT, Bambara J. The perforated cruciate intramedullary nail: Preliminary report of its use in geriatric patients. J Am Geriatr Soc 1953;1(8): 579–588.
Kempf I, Grosse A, Beck G. Closed locked intramedullary nailing. Its application to comminuted fractures of the femur. J Bone Joint Surg Am 1985;67(5): 709–720.
Bong MR, Kummer FJ, Koval KJ, Egol KA. Intramedullary nailing of the lower extremity: biomechanics and biology. J Am Acad Orthop Surg 2007;15(2): 97–106.
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