Foreword

Intramedullary nailing is in many cases of long bone fractures the method of choice worldwide. In the 1990s, the focus was on the implant design whereas after the millennium change the focus switched to the implantation technique. Minimal invasive approaches and improvements of the trays, reamers and reduction aids have been established. Also, combination and matching of the tools with navigational systems are on the way. First experiences are already made but further investigations are necessary to accelerate this so far time-consuming procedure using computer-aided fracture reduction and nail insertion.

This issue of “Osteosynthesis and Trauma Care” contains articles from international experts in intramedullary nailing. The biome-

chanical background is covered as well as new implants and new techniques (i. e., the reconstruction of segmental defects of long bones).

Is intramedullary locking nailing in femoral shaft fractures in adolescents an option? At what age can it be safely performed? You will find answers in this special issue “Advances in Intramedullary Nailing” of Osteosynthesis and Trauma Care.

I hope you will enjoy reading these interesting articles.

August 2004