During the years 1973 and 1982, we treated 92 cases of tibial or femoral fractures by using the Kuntscher medullary nails, which were supplemented by screw fixatisus.
The urpose this procedure is to avoid the rotational dislocation of the distal fragment of the fracture without loss of the advantages of the intramedullary nailing. Moreover, this procedure extended the indications for use of medullary nails. We reported the indication and the problems of this procedure.
