[Experiences with the locking nail].

In case of clear indication, the locking nail system brings about good results in the treatment of problematic long bone fractures. The indication for primary static locking should be defined in a wide manner. Early loading is possible and is applied by us more and more in not adipose patients with static locking, too. From our point of view, the following factors are some of the drawbacks of the system: bolt loosening due to different causes, the impractical aiming device for distal locking, problems with the lavage of the medullary cavity in case of infection, pains in the knee joint after transcondylar implantation of a Steinmann nail. In case of long bones with narrow medullary cavities (young women) for which the thinnest nail has to be used, slotted nails bear the risk of distortion.