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The Indiana series is a series collected from 27 different surgeons, of 387 transverse diaphyseal femoral fractures, similarly classified and treated with nonreamed, 6.35-mm (1/4 in.) precurved Rush pins, is reported. Insertion sites are the lateral femoral condyle or greater trochanter. Reduction prior to surgery is accomplished with a special extension table with a knee support. Ninety percent of the fractures were pinned by closed technique. Open fractures occurred in 4.6% of the patients and were treated similarly. No persisting infection on nonunion was detected. Malalignment in external rotation or valgus or both was present in 1.3% of patients. Healing to painless weight-bearing is usually between ten and twelve weeks.
femoral fractures, fracture fixation intramedullary, bone nails, Rush pins
Clinical professor of orthopedic surgery, Indiana University, Methodist Hospital, Orthopaedics-Indianapolis, Inc., Indianapolis, IN