Functional Outcome of Diaphyseal Fracture of Femur Managed by Locked Intra-Medullary Nailing in Adults
Journal Title: Journal of Pakistan Orthopaedic Association - Year 2013, Vol 25, Issue 01
Abstract
The purpose of our study was to determine the outcome of diaphyseal fracture of femur managed by locked intramedullary nailing in adults and to compare these results with other available published studies. Study Design: Descriptive case series study. Place and Duration of study: Institute of orthopaedic and surgery Karachi from April 2010 to March 2012. Patients and Methods: A total of 54 femoral shaft fractures in 53 patients were analyzed. Average age of patient was 30.6. Out of these, 49 were males and 4 were females. 39 were closed fractures while 14 were open fracture Gustilo Anderson Type I. More than 50% were of complex pattern regarding fracture geometry. RTA was the most common mode of injury followed by firearm. Average operative time was 119 minutes. Average hospital stay was 8 days. 39 (72%) healed uneventfully, 6 (11.11%) showed delayed healing treated by dynamization but 3 needed bone grafting also. We also faced 3 (5.55%) mal-union, 2 (3.7%) cases of infection, 2 (3.7%) of implant failure and 2 (3.7%) had shortening of limb. Results: At the time of most recent follow-up (minimum of 6 months) according to modified Klaus &Klemm criteria. There were 61% rated as excellent, 22% as good, 11.11% as fair and 5.5% as poor. Conclusion: The results of aforementioned studies and our analysis suggest that intra-medullary interlocking nailing is an excellent technique to treat femoral shaft fractures in adults especially complex pattern regarding good healing, minimum complications, shorter hospital stay and early functional rehabilitation and most importantly early return to work and pre-fracture state.
Authors and Affiliations
JAGDESH KUMAR,ANSARSHAFIQUE, M. UMAR
Keywords
Related Articles
- EP ID EP742762
- DOI -
- Views 11
- Downloads 0
An Unusual Case of Medial Dislocation of the Subtalar Joint with Fracture of the Talar Body
Talus dislocation with a fracture of the body of talus is a relatively rare clinical entity. Medial subtalar dislocation accompanying this type of fracture was reported only once in Germany in 1968. For the past 50 years...
Intra operative Anatomical variations of the first extensor compartment of the wrist in patients of de Quervain’s disease
Objective: To determine the frequency of intra operative anatomical variations in patients undergoing surgical release for de Quervain’s disease. Methods: We conducted this descriptive study in Department of Orthopaed...
Outcome of Locking Plate Dynamic Hip Screw Fixation in Osteoporotic Intertrochanteric Fractures
Objective: The aim of this study was to determine the outcome of dynamic hip screw with locking side plate for osteoporotic intertrochanteric fractures in terms of Mean Hip Pain score and implant failure. Material & M...
Postoperative Pain in Total Knee Arthoplasty Patients: The Effectiveness of Local Anaesthetic and Analgesic Agents
To determine the efficacy of a periarticular injection of multimodal drugs, consisting of bupivacaine (a long acting local anesthetic), ketorolac ( Nonsteroidal anti-inflammatory) and epinephrine in providing effective p...
Efficacy of Ponseti Manipualtion and Casting in Management of Idiopathic Clubfoot: Early Results
To evaluate the efficacy of Ponseti method for treatment of idiopathic clubfoot by correction of all deformities in terms of Pirani score ≤ 1 after completion of treatment. Study Design: Prospective descriptive case...