Outcome of Femoral Shaft Fractures Treated With Interlocking Nails: Dynamization Mode Versus Static Mode.
Journal Title: Isra Medical Journal - Year 2018, Vol 10, Issue 4
Abstract
OBJECTIVE: To evaluate and compare the radiological and functional outcome of interlocking nail femur in dynamized with static mode. STUDY DESIGN: Prospective Randomized trial. PLACE AND DURATION: Orthopaedic and Traumatology Department Lady Reading Hospital from 3rd February 2014 to 10th January 2018. METHODOLOGY: Transverse and oblique fractures shaft of femur meeting the inclusion criteria were randomly divided into two equal groups. Group I was treated with reamed antegrade interlocking nail in dynamized mode while group II in static mode. Both groups were followed for two years. Radiologically union time, delayed union,non union and implant failure was assessed and compare in both groups. Functional evaluation was assessed with Thorensen’s criteria as excellent, good, fair and poor. P value was considered significant if < 0.05. RESULTS: Both group I and II had 50 patients each. Mean age of group I and II was 36.1±SD 11.41 and 37.4±SD11.24 years respectively. Dynamic nails were associated with early fracture healing(15th week) than static nailing(22nd week).Excellent functional results were achieved in 84% patients in group I and 22% patients in group II.( P value < 0.05) Delayed union was noted in 8% patients in group I and 26% in group II(P value < 0.05) while non union in 2% patient in group I and 16% patients in group II( P value < 0.05) CONCLUSION: Dynamic interlocking nail femur for oblique and transverse shaft fractures results in excellent radiological and functional outcome in majority of patients than static interlocking nails. KEYWORDS: Fracture, Shaft of Femur, Interlocking Nail, Radiological Outcome, Functional Outcome, Dynamization, Static, Delayed Union, Non Union. HOW TO CITE THIS: Qureshi AR, Shah FA, Ali MA, Naeemullah, Khan UZ. Outcome of Femoral Shaft Fractures Treated With Interlocking Nails: Dynamization Mode Versus Static Mode. Isra Med J. 2018; 10(4): 216-219.
Authors and Affiliations
Abdur Rehman Qureshi
Keywords
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