Closed osteosynthesis with stabilised Küntscher nail in comminuted diaphyseal fractures of the femur and the tibia.

Comminuted fractures of the femur and tibia often pose difficult problems of reduction and stable fixation. Closed endomedullary fixation in which the fixation device is anchored to the main fragments by screws enables these difficult problems to be solved in the majority of cases. Fourteen fractures of the femur and nine of the tibia were treated by this method in just over a year. In the author's opinion, the results confirm the validity of the method, which, although known for some time, has only recently been reintroduced by Kempf et al. (1978).