Management of diaphyseal fracture of femur with antegrade and retrograde nailing (comparative study)
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2017, Vol 3, Issue 2
Abstract
Diaphyseal femoral fractures are commonly encountered in routineorthopaedicsemergency.They occur commonly due to high velocity trauma and therefore are mostly associated with injuries such as head injury,chest injury as well as other fractures.Operative treatment is the treatment of choice in the management of diaphyseal fractures of femur.There are extramedullary and intramedullary methods of fixation of fracture shaft femur.This can be treated with plating and nailing methods. Nailing method is superior to plating in decreasing blood loss during operation,in achieving better union rates and decreasing incidences of postoperative infections.There are two methods of femoral nailing-Antegrade and Retrograde methods.A study was conducted in tertiary care hospital of Punjab where Antegrade and Retrograde methods of femoral nailing was compared.It was concluded that both the mehods are good in achieving union of bone and retrograde nailing more favourable in obese,pregnant and patients with ipsilateral spine and pelvic trauma.
Authors and Affiliations
Dhalwinder Singh, Rajesh Kapila, Rakesh Sharma, Kamal Kumar Arora, simranjit Singh, Kamal Jyoti
Keywords
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