Locked intramedullary nailing has been shown to be effective as a fixation option for osteotomies resulting from malunions of the femur. A series of 42 cases of open osteotomies [11] revealed, interestingly, that statically locked intramedullary nailing was accompanied by a significant rate of complications when performed by open procedure. The complications occured mostly for lengthening and shortening osteomies and included nonunions, numerous infections, possibly associated with the destruction of the intramedullary blood supply as a result of reaming, and devasculariza-tion of the periosteum by virtue of the open approach to the osteotomy site.
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Grosse, D., Brinkert, D., Kempf, I. (2002). Osteotomies of the Femoral Diaphysis by Closed Technique. In: Kempf, I., Leung, K.S., Grosse, A., Haarman, H.J.T.M., Seidel, H., Taglang, G. (eds) Practice of Intramedullary Locked Nails. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-56337-9_8
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