Background: Comminuted fracture shaft of femur are difficult to treat. Internal fixation with ordinary nail does nothold the fracture fragments while osteosynthesis with plates and screws docs not always produce stable fixation andinvolves an increased risk of infection. Methods: Thirty-six comminuted fractures shaft of femur were treated withclosed interlocked nailing. There were twenty closed and sixteen open fractures. Results: Thirty-six fractures unitedwithout additional surgical intervention. Average time to union was 34 weeks (range 26 to 64 weeks). 'In five patientssecondary bone grafting was done. Conclusion: Closed Interlocked nailing is the treatment of choice for mostcomminuted fracture shaft of femur.


Wiss DA. linen. WW Stetson. WB Interlocked nailing for the

treatment of segmental fracture of the femur J Bone and Joint

Surg I WO. 72 (5). A 724-28

Kuntscher (Gerhard Practice of Intramedullary Nailing

Springfield. Illinois. Charles C Thomas. 1967

SD Pierre. R k Fleming. S $; and Memmgill. Fractures of the

Femoral Shalt A prospective study of closed intramedullary

Nailing Modified Open Intramedullary Nailing, and CastBracing Southern Med J 1982 75 827-835.

Street. D M. Medullary Nailing of the Femur. Comparative

Study of Skeletal Traction. Dual Plating and Medullary

Nailing. J Am Med Assn. 1950' 143.709-714

Winsuist R A. and Hansen. S.T Segmental Fractures of the

Femur Treated by Closed Intramedullary Nailing.

J Bone and Joint Surg Oct 1978; A 934-939.

Winsuist R A and Hansen. ST Comminuted Fractures of the

Femoral Shaft Treated by Intramedullary Nailing. Orthop Clin

America 1980.11.633-648.

Riska. H.B. von Bonsdorff. H: Hakkintn. S Jaboma. II

viluoto. O. and Pavolainen. T Prevention of Fat Embolism by

Fairly Internal Fixation of Fractures in Patients with Multiple

Injuries Injur. 1976:8 110-116

Wiss. D A Flming, C II. Malta. J M. and Clark

Douglas. Comminuted and Rotationally Unstable Fractures of

the Femur treated with an Interlocking Nail. Clin. Orthop.

,212. 35-47 9Kcmpf, l: Grosse. a. and Beck. G, Closed


Intramedullary Nailing Its application to Comminuted

Fractures of the Femur. J. Bone and Joint Sur. June. 1985. 67-

A: 709-720

Kuntscher. Gerhard Intramedullary' Surgical Technique and

Its Place in Orthopaedic Surgery My Present Concept. J.Bonc

and Joint Surg. , June 1965; 47-A. 809-818.

Wickstrom, Jack, and Corban. M.S.: Intramedullary Fixation

for Fractures of the Femoral Shaft. A Study of Complications

in 298 Operations. J Trauma. . 1967: 7:551-583

Gant. G.C. Shaftan. G. W. and Herbsma. Horace. Experience

with the Asif Compression Plate in the Management of

Femoral Shall Fractures j. Trauma. 1970:10 458-471.

Mageri, F. Wyss, A, Brunner. C: and Binder. W„ Plate

Osteosynthesis of Femoral Shall Fractures in Adults, F followup study. Clin Orthop. 1979,138 62- 73

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