Intramedularna osteosinteza ima dugu i zanimljivu povijest. Od najranijih zapisa iz 16. stoljeća sve do današnjih modernih metoda vidljiv je značajan napredak u dizajnu čavala, vijaka i materijala od kojih su izrađeni. Napredak tehnike i izbor materijala jasno prati napredak anesteziologije, asepse i antimikrobne terapije. Danas uspješna i široko prihvaćena metoda stabilizacije prijeloma dugih kostiju donjih ekstremiteta u svojim počecima nije bila prihvaćena s odobravanjem, već s velikom dozom opreza i sumnje. Tek nakon prve polovine 20. stoljeća i revolucionarnog rada njemačkog kirurga Gerharda Küntschera dolazi do smanjenja broja komplikacija i početka široke primjene modernog oblika tehnike. Ovaj rad donosi povijesni pregled napretka tehnike i korištenja intramedularne osteosinteze u liječenju prijeloma dugih kostiju.Intramedullary nailing has a long and interesting history which dates back to the 16th century. Since then, this technique has gone through a significant progress which led to the common use of its modern form today. The design of nails, screws and materials they are made of has been revaluated and improved constantly. Advances in methods and materials have clearly gone hand in hand with the progress of anesthesiology, asepsis and antimicrobial therapy. Although intramedullary nailing has become standard, when it comes to the most diaphyseal lower extremity fractures, the very begining of the method wasn\u27t met with approval. In the first half of the 20th century, a German surgeon Gerhard Küntcher introduced the modern form of intramedullary osteosynthesis, which significantly diminished the frequency of complications and led to the widespread use of nailing in the treatment of long bone fractures. This paper brings the historical overview of intramedullary nailing progress and its application to the long bone fracture treatment
