The outcome of closed interlocked nailing for treatment of comminuted femoral shaft fracture
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Date
2001
Authors
Hj. Din, Mohamad Yazid
Journal Title
Journal ISSN
Volume Title
Publisher
Universiti Sains Malaysia
Abstract
Fractures of femoral shaft is quite common injury
especially those involving the road traffic accident. The
severity of comminution ranges from simple to highly
communi ted fracture. For the younger age group, it had
always been due to road traffic accident. For the older
age group, the usual cause is minor injury such as fall.
Static reamed interlocked nailing is a standard treatment
in the management of femoral shaft fracture, especially
the comminuted one. The used of static nailing was
thought to lead to increasing risk of nonunion. Unreamed
nailing is another choice in treating comminuted femoral
shaft fracture.
A retrospective analysis of comminuted femoral shaft
fractures treated with locked reamed interlocking nail
was carried out to identify the outcomes of this
procedure.
For the period of two years, from January 1996 till
December 1997, 92 patients with 93 comminuted femoral
shaft fractures were available for analysis. Male were
77 and female were 16. The age of patients ranges from 16 to 73 years old. The result of the fixation were analysed
with respect to union, malunion, length and size of the
nail used, surgical complication and implant failures.
This study concludes that this procedure is a good choice
for the treatment of comminuted fractures of the femoral
shaft. It also shows that the size of the nail needed in
the treatments of this fractures is smaller in size
compared to the one used in western populations.
Description
Keywords
Shaft fracture