A Comparative Study of Management of Fracture Shaft of Femur by Open Versus Closed Intramedullary Interlocking Nailing.
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Date
2015-05
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Abstract
Background: Orthopaedic surgeons often encounter
diaphyseal femur fractures, which most often result from
high-energy trauma, one 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 rehabilitation which
decreases the morbidity and mortality rate in patients. While
the main stay of the treatment has been reamed interlocking
intramedullary nailing. Objectives: To compare the time
taken for bone union and the functional outcome in patients
with fracture shaft of femur treated with interlocking
intramedullary nail. Open versus closed method. Methods:
Patients who were admitted with fracture shaft of femur
to the department of Orthopaedics in R.L .Jalappa Hospital
& Research Centre, attached to Sri Devraj Urs Medical
College, Tamaka, Kolar. Duration of study 2 years. The
time taken for bone union, range of movements and the
complications encountered during the procedure and later
were compared between open versus closed method of
intramedullary nailing for fracture shaft of femur. Results:
In our series age was between 16-70 years, the mean age
was 43 years and the incidence was high in the age group
of 21-30 years. 57 fractures were in men and 3 fractures
were in females. 52 fractures were as a result of road traffic
accident, 4 cases were due to direct trauma to the femur
and 4 cases were due to fall from height . 40 patients had
fracture on the right side and 20 patients had fracture on
the left side. Based on Razaq MNU et al16 modification of
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Mukherjee Debojyoti. A Comparative Study of Management of Fracture Shaft of Femur by Open Versus Closed Intramedullary Interlocking Nailing. Indian Medical Gazette. 2015 May; 149(5): 190-197.