ZNN Bactiguard Retrograde Femoral Nails PMCF Study

Inclusion Criteria:

• Patients must be 18 years or older.

• Patient must have a femoral fracture (open, closed, monolateral or bilateral)requiring surgical intervention and be eligible for fixation by intramedullarynailing. Patients with delayed treatment (initial treatment by external fixation dueto swelling / high energy trauma followed by definitive treatment by intramedullarynail) can also be included.

• Patient has been or is scheduled to be treated with the ZNN Bactiguard SystemRetrograde Femoral Nail.

• Patient must be able and willing to complete the protocol required follow-up.

• Patient must have a signed EC approved consent.

• Patients capable of understanding the surgeon's explanations and following hisinstructions.

Exclusion Criteria:

• Skeletally immature patients

• A medullary canal obliterated by a previous fracture or tumor

• Bone shaft having excessive bow or a deformity

• Lack of bone substance or bone quality, which makes stable seating of the implantimpossible

• All concomitant diseases that can impair the operation, functioning or the successof the implant

• Insufficient blood circulation

• Infection

• Patient is unwilling or unable to give consent.

• Patient is a vulnerable subject (prisoner, mentally incompetent or unable tounderstand what participation to the study entails, alcohol/drug addiction, known tobe pregnant or breast feeding).

• Patient anticipated to be non-compliant and/or likely to have problems withmaintaining follow-up program (e.g. patient with no fixed address, long distance,plans to move during course of study).

• Not expected to survive the duration of the follow-up program