THE MISSING LINK IN THE HISTORY OF THE LOCKED INTRAMEDULLARY NAIL

ABSTRACT Femoral Shaft intramedullary nails were first described by the Aztecs in 16th century, but the modern use of intramedullary nails as the gold standard treatment for femoral shaft fractures began with Gerald Kuntcher in 1939. From the first Kuntcher’s study in 1939, to the creation of interlocking nail, a long and some minor developments were described around the world. However, a major development is missing: the first nail to have a rotational and vertical stability locking system was described by Flavio Godoy Moreira, but was never published on an indexed journal for the correct historical reference. Level of Evidence V, Therapeutics Studies, Expert Opinion.

摘要：股骨髓内钉（Femoral Shaft Intramedullary Nails）最早于16世纪由阿兹特克人所记载，但股骨髓内钉作为股骨干骨折治疗金标准的现代临床应用，始于1939年杰拉尔德·昆彻（Gerald Kuntcher）的开创性研究。自1939年昆彻的首项研究起，直至交锁髓内钉（interlocking nail）的问世，全球范围内陆续涌现出诸多小型技术改良。然而，一项重大技术革新始终未被纳入正式历史记载：弗拉维奥·戈多伊·莫雷拉（Flavio Godoy Moreira）最早提出了具备旋转与垂直稳定性锁定系统的髓内钉设计，但该成果从未在索引期刊上发表，因此未能获得应有的历史学术认可。证据等级：V级；治疗性研究；专家意见。