Use of Unlocked Intramedullary Nailing in Winquist Type I and II Femoral Isthmus Fracture
Journal Title: Malaysian Orthopaedic Journal - Year 2008, Vol 2, Issue 1
Abstract
Interlocked intramedullary nailing is accepted as the gold standard for femoral shaft fractures. However for Winquist type I and II femoral fractures at the isthmus region, unlocked intramedullary nailing (Küntscher nailing) is still a good option. We performed a retrospective study on 86 patients with a total of 88 femoral shaft fractures around the isthmus that presented at our institution between 1 January 1988 and 31 August 2003. All patients (84.1% Winquist type I and 15.9% Winquist Type II fractures) were treated with unlocked intramedullary nail. The average time to union was 16 weeks with 97.7% rate of union. There were two cases (2.3%) of infection and non-union each. Overall results were comparable to standard interlocking intramedullary nailing. We conclude that unlocked intramedullary nailing is a good treatment option for Winquist Type I and II femoral fracture around the isthmus with its good union rate and minimal complications.
Authors and Affiliations
HT Ling, WM Ng, MK Kwan, LK Fathi Aizuddeen, PCM Tay
Keywords
Related Articles
- EP ID EP297934
- DOI -
- Views 109
- Downloads 0
Surgical Site Infection Following Posterior Instrumented Surgery for Thoracolumbar Burst Fractures
Objectives: To study the prevalence and the risk factors for surgical site infection in patients who underwent posterior instrumented surgery for thoracolumbar burst fractures. Methodology: Retrospective review of cases...
Dystrophic Scoliosis in Neurofibromatosis and Rib-head Resection: A Case Report
Surgical management of scoliosis in Neurofibromatosis type I may be challenging at times especially when dealing with dystrophic curves. We highlight the importance of meticulous study of the radiological imaging and car...
Tuberculosis of Wrist Presenting as Scaphoid Fracture: A Case Report
The scaphoid is an uncommon site for tuberculous infection. Clinical features and radiographic findings are not necessarily helpful and may lead to a delay in diagnosis and therefore poor treatment results. We report her...
Sensitiveness of the Constant-Murley’s Shoulder and Quick DASH as an Outcome Measure for Midshaft Clavicle Fracture
Background: Quick DASH and Constant-Murley’s Shoulder are two valid measuring tools for health status and are useful for patients with a wide variety of upper-extremity complaints; it is sufficiently sensitive to reveal...
Percutaneous Endoscopic Transforaminal Lumbar Discectomy – An Early Experience
Percutaneous endoscopic spinal surgery performed in the awake state offers a new paradigm for treatment of symptomatic lumbar disc prolapse. We report the outcome of 23 patients who underwent this procedure. Visual analo...