|
Advantages
|
Disadvantages
|
| Expendable Nail |
Superior Rotational Stability
Greater Flexural Stiffness
Even pressure distribution
Does not require interlocking screws or reaming
Minimally invasive
Decreased radiation exposure |
Risk of fracture extension
Explosion during cremation |
| Coated Nail
(Antibiotics) |
High local concentrations without high systemic doses
Reduce implant-related infections
Prevent formation of biofilm |
Reaming required |
| Coated Nail
(Anti-septic) |
Wide bactericidal activity
Reduced antibiotic resistance |
Silver toxicity |
| Coated Nail
(growth-stimulating) |
Osteoinductive effects
Angiogenic effects |
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 |
Lack of evidence of long-term outcomes and cost-effectiveness
Difficult nail extraction |
