ECMESEmbrochage Centro-Medullaire Elastique Stable (French: Elastic Stable Intramedullary Nailing)
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It was first introduced in 1982 by the Nancy team in France under the name of Embrochage Centro Medullaire Elastique Stabile (ECMES).11 Osteosynthesis with the intramedullary elastic nail is performed by symmetrically inserting of the nails into the bone and fixation of the opposite metaphysis.1,12 It has begun to be preferred because of the small incision, less blood loss, no damage on epiphyseal of trochanter major, and increased interest in surgery.
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