Comparative study of surgical management of fracture shaft of femur with intramedullary interlocking nail Z: Open VS closed type
Journal Title: National Journal of Clinical Orthopaedics - Year 2018, Vol 2, Issue 1
Abstract
Introduction: Intramedullary interlocking is currently considered the treatment of choice for most femoral shaft fractures, with successfully high rates of fracture union and low incidence of infection, malunoin, non union or implant failure. Methodology: Patients who are admitted with fracture shaft of femur to the department of Orthopaedics formed the study subjects. The time taken for bone union, range of movements, early mobilization, and the complications encountered during the procedure and later will be compared btw open vs closed method of intramedullary nailing for fracture shaft of femur. Results: Superficial infection was encountered in 1 (4%) cases in group A and 2(8%)cases in group B. Shortening of 1-2 cms was encountered in 0 (0%) cases in group A and 1(4%)case in group B. External rotation deformity > 5° was encountered in 3 (12%) cases in group A and 1(4%)case in group B. Deep infection was encountered in 1 (4%) cases in group A and no cases in group B. No post operative cases of neuro vascular defeict was encountered in the study groups Conclusion: The time to mobilization in the post-operative period and there after were similar in both the study groups.
Authors and Affiliations
Dr. Santosh Kumar K, Dr. Kiran Kumar HV
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