Executive Editor: Chris Colton, Rick Buckley

Authors: Peter V Giannoudis, Hans Christoph Pape, Michael Sch├╝tz

Femur shaft

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Glossary

Locations for pin placement

The safest anatomical zones for pin insertion are the anterolateral and direct lateral regions of the femur.

Lateral approach

When open procedures are performed, the incision is made on the lateral aspect of the thigh.

Antegrade nailing (piriformis)

Most femoral nailing procedures are performed with antegrade nailing position. It is extremely successful and utilizes minimally invasive techniques.

The piriformis entry point is used for straight nails.

Antegrade nailing (trochanteric)

Most femoral nailing procedures are performed with antegrade nailing position. It is extremely successful and utilizes minimally invasive techniques.

The trochanteric entry point is used for proximally curved nails.

Retrograde nailing

Outcomes for retrograde nails are very similar to outcomes for antegrade nails. But, retrograde nails may be advantageous for distal third fractures.

Care should be taken with the approach for retrograde nailing as several anatomical structures are at risk.

MIO approach

Approaches for minimally invasive plate osteosynthesis are usually performed laterally. They vary according to the fracture location: proximal, mid-shaft, or distal.

v2.0 2018-07-05