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Advantages
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Disadvantages
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| Expendable Nail |
Superior Rotational Stability
Greater Flexural Stiffness
Even pressure distribution
Does not require interlocking screws or reaming
Minimally invasive
Decreased radiation exposure
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Risk of fracture extension
Explosion during cremation
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Coated Nail
(Antibiotics)
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High local concentrations without high systemic doses
Reduce implant-related infections
Prevent formation of biofilm
|
Reaming required |
Coated Nail
(Anti-septic)
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Wide bactericidal activity
Reduced antibiotic resistance
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Silver toxicity |
Coated Nail
(growth-stimulating)
|
Osteoinductive effects
Angiogenic effects
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Risk of ectopic growth |
| Carbon Fiber Nail |
Even load distribution
Customizable to suit the bone structure
High fatigue strength and low implant failure
High union rates
Radiolucent – improved visualization of bone structures post-implantation
Radiotherapy – lower effective radiation dose
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Lack of evidence of long-term outcomes and cost-effectiveness
Difficult nail extraction
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