ZNN Bactiguard Cephalomedullary Nails PMCF Study

Inclusion Criteria:

• Patients 18 years or older.

• Patient must have a signed EC approved informed consent.

• Patient must have a monolateral or bilateral trochanteric, sub-trochanteric, orshaft fracture requiring surgical intervention or osteotomy and be eligible forfixation by intramedullary nailing.

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

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

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

Exclusion Criteria:

• Skeletally immature patients

• 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, subject with alcohol/drugaddiction, known to be pregnant or breastfeeding).

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