Short term clinical outcome in mid shaft femur fractures using intramedullary nail
Journal Title: Medpulse International Journal of Orthopedics - Year 2018, Vol 6, Issue 3
Abstract
Background: Kuntscher was the first to introduce the concept of intramedullary nailing, later there were modifications in intramedullary nailing and for the first time Klemm and Schelmann, Grosse and Kempt and Russel Taylor developed proximal and distal fixation called intramedullary interlocking nail. Intramedullary nailing provide predictable restoration of femoral shaft alignment along with load sharing. Aim and Objective: To evaluate the status of intermedullary nail technique in unstable fracture femur with special emphasis on Time for radiological union ,Period of hospitalization, Early mobilization and Period of weight bearing after nailing. Methodology: 35 cases of fracture shaft femur were studied in our study, admitted to mahatma Gandhi medical college and ospital between November 2014 and august 2016. All patients sustained a road traffic accident. Patient were analysed for short term outcome. Results and Discussion: 3 patients had ipsilateral tibial shaft fracture 1 patient had degloving injury over his right calf region, 1 patient had ipsilateral patella and proximal third tibial fracture. All patients were investigated according to the protocol and surgery performed between day 3 to day 7 after trauma, average duration was 6 days. Blood loss ranged from 150- 300ml with a mean of 200ml.
Authors and Affiliations
Tej Shah, R N Shewale
Keywords
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