Surgical management of fracture shaft of femur with intramedullary interlocking nail
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 4
Abstract
Background: Diaphyseal femur fractures, most often result from high-energy trauma, and 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. Methods: We studied a total of 40 patients (32(80%) male, 8(20%) Female) of fracture shaft of femur admitted in the Orthopaedic Department of Darbhanga Medical College & Hospital, Laheriasarai, Darbhanga treated with reamed femur intramedullary interlocking nailing. The common age group was ranging from 20 to 71 yrs (mean age - 36 yrs). 26(65%) patients had closed fracture, 10(25%) had Gustillo Anderson Grade I compound and 4(10%) had Grade II compound fracture. In 22(55%) patients fracture was at M/3rd, in 10 (25%) patients it was at L/3rd level and in 8(20%) patients it was at U/3rd level. 4(10%) patients were operated by open interlocking nail and other 36(90%) by closed technique using C-arm. Average Injury to surgery interval was 6.20 days. Results: Mean time for union was more in patients treated by open procedure (20 weeks) as compared to closed technique (18.35 weeks). 2 patients developed superficial infection, which healed completely and 2 patients developed deep infection with non-union. In our series of 40 patients, 24(60%) patients had excellent result, 12(30%) patients had good result, 2(5%) patients had fair result and 2 (5%) patients had poor result. Conclusions: Interlocking intramedullary nailing is a very effective and successful method of definitive primary treatment, in most types of fractures of the shaft of the femur. It provides strong fixation, rotational stability and earliest return to functional status, as the rate of healing is good with this method.
Authors and Affiliations
Dr. Rahul Kumar, Dr. Shailendra Kumar, Dr. Laljee Choudhry
Keywords
Related Articles
- EP ID EP488067
- DOI 10.22271/ortho.2018.v4.i4h.74
- Views 96
- Downloads 0
Comparative analysis of clinical features and radiological outcome of neuropathic ulcers in a diabetic foot
Background: Neuropathic osteoarthropathy (NO) commonly referred to as Charcot Foot, in patients with Diabetes mellitus, is a condition in which the bones, joints, and soft tissues of the foot and ankle are affected and i...
Management of diaphyseal fractures of both bones of forearm by internal fixation using locking compression plate and screws
Background and objective: The fractures of both bones forearm are one of the commonest fractures found and can be treated by different methods. The accepted management for fractures of both bones forearm is open reductio...
Different management modalities in chronic osteomyelitis of long bones following open fractures: A case series
Chronic osteomyletis is one of the most dreaded complication of 0pen fractures and a surgeons nightmare. Eradication of COM requires aggressive surgical excision combined with effective antibiotic treatment and reconstru...
Treatment of severe early-onset Blount’s disease by simultaneous medial hemiplateau elevation and metaphyseal osteotomy using the Ilizarov fixator
The purpose of this study was to evaluate the outcome of simultaneous medial tibial plateau (MTP) elevation and metaphyseal osteotomy using Ilizarov fixator in severe early-onset Blount’s disease. Patients and methods: B...
Comparison of functional outcome of ACL reconstruction using modified transtibial technique (MTT) and transportal technique (TP) for making the femoral tunnel in a randomised prospective study
Introduction: In ACL reconstruction, the placement and obliquity of tibial and femoral tunnels affect the orientation of graft in coronal and sagittal planes hence important for its function. Commonly used conventional t...