🔍 Key Findings
- High union rate with low complications was achieved using the I-Loc angle-stable interlocking nail across 243 canine long-bone fractures.
- Mean time to clinical union was 8.3 weeks, faster than many historical plate-rod or non-angle-stable nail reports.
- Major complications occurred in only 5.3% and minor complications in 9.1% of cases.
- Most fractures were diaphyseal (75%) and comminuted (62%), demonstrating effectiveness in complex fracture patterns.
- Ancillary implants were uncommon (21%), mainly used in epi-/metaphyseal fractures or for anatomic reconstruction.
- Postoperative missed bolt rate was very low (0.94%), reflecting improved targeting accuracy.
- Open fractures carried a substantially higher risk of SSI and implant removal compared with closed fractures.
- Prebending of tibial nails was strongly recommended to follow natural recurvatum and avoid iatrogenic alignment errors.
Simini Surgery Review Podcast
🔍 Key Findings
- High union rate with low complications was achieved using the I-Loc angle-stable interlocking nail across 243 canine long-bone fractures.
- Mean time to clinical union was 8.3 weeks, faster than many historical plate-rod or non-angle-stable nail reports.
- Major complications occurred in only 5.3% and minor complications in 9.1% of cases.
- Most fractures were diaphyseal (75%) and comminuted (62%), demonstrating effectiveness in complex fracture patterns.
- Ancillary implants were uncommon (21%), mainly used in epi-/metaphyseal fractures or for anatomic reconstruction.
- Postoperative missed bolt rate was very low (0.94%), reflecting improved targeting accuracy.
- Open fractures carried a substantially higher risk of SSI and implant removal compared with closed fractures.
- Prebending of tibial nails was strongly recommended to follow natural recurvatum and avoid iatrogenic alignment errors.
Simini Surgery Review Podcast
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