Treatment of femoral shaft XXXX with the Brooker-Wills interlocking intramedullary nail.

@entity1 @entity174 @entity3207 @entity281 @entity1518 @entity717
Fifty femur @entity174 were treated with the Brooker-Wills intramedullary locking nail. The indications included subtrochanteric, subisthmal, segmental or comminuted acute @entity174 or nonunions, and intramedullary @entity3207 procedures. Eighteen technical problems in 13 (26%) @entity1 were encountered during insertion of the nail. The incidence of technical problems was high early in the series and in procedures done with the @entity1 in the supine position. Adverse clinical results from technical errors occurred in two @entity1 . Most technical errors seem avoidable with careful technique. The mean healing time was only 12.1 weeks and there were four nonunions (8%). One @entity1 had a 10 degrees malunion, four @entity1 had 1-2 cm of @entity3207 , and there were two late device @entity174 . No @entity1 had @entity717 or @entity281 . The results and complication rate are comparable to those reported for other interlocking systems. The Brooker-Wills nail is useful for treatment of complex femur @entity174 and has been effective in preventing @entity1518 , angulation, and excessive @entity3207 .
