A PROSPECTIVE STUDY OF SURGICAL MANAGEMENT OF FRACTURE SHAFT FEMUR WITH CLOSED INTRAMEDULLARY INTERLOCKING NAIL.
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2013, Vol 2, Issue 47
Abstract
Orthopaedic surgeons often encounter diaphyseal femur fractures, because these fracture most often result from high-energy trauma, one must have high index of suspicion for complications. Currently surgery is indicated for most femur fractures because of high rate of union, low rate of complications and advantage of early stabilization which decreases the morbidity and mortality rate in patients. While the main stay of the treatment has been reamed interlocking intramedullary nailing. The present study is hospital based prospective study of 40 adult patients admitted in SSMC Hospital, TUMKUR between October 2010 – March 2012 and cases were followed regularly. The common age group involved was from 18-65 yrs. with mean age of 33.5, 36 patients were males, 4 were females. 16 fractures were on right side, 24 were on left side. Two (5%) fractures was in proximal third, 26 (65%) were in the middle third and 12 (30%) were in the lower third. Surgery was done at an average 3 days ranging from 2 –5 days. Duration of hospital stay was 12 days ranging from 10-15 days. Mean time for union was 20 weeks. There was one case of distal bolt backing out and there were three cases of superficial infection. Excellent to good result were seen in 75% of cases.
Authors and Affiliations
Mahendranath Reddy, Muralidhar B. M
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