INTERLOCKED NAILING OF COMMINUTED FRACTURES SHAFT OF FEMUR SHAHID SULTAN
Abstract
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.References
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
Locked
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
