This 1988 prospective cohort from the Maryland Shock Trauma Center enrolled 97 patients with 100 femoral shaft fractures treated by static interlocking intramedullary nailing. The central question: does static fixation require routine conversion to dynamic fixation (dynamization) to achieve union? The paper provides direct evidence to answer this question with a large, consecutive series followed to fracture union.
This 1988 prospective cohort from the Maryland Shock Trauma Center enrolled 97 patients with 100 femoral shaft fractures treated by static interlocking intramedullary nailing. The central question: does static fixation require routine conversion to dynamic fixation (dynamization) to achieve union? The paper provides direct evidence to answer this question with a large, consecutive series followed to fracture union.