files/journal/2022-09-03_18-51-40-000000_599.png

Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
123
Views
11
Downloads

A Clinical Study on Surgical Management of Diaphyseal Fracture of Femur With Closed Intra medullary Interlocking Nail

H.S. Anoop, Bindusar , Prashantha and N. Vinay
Page: 383-387 | Received 31 Jan 2024, Published online: 28 Mar 2024

Full Text Reference XML File PDF File

Abstract

Intramedullary interlocking is presently considered to be the treatment of choice for femoral shaft fractures. It has high rates of fracture union. This modality with advantage of early stabilization decreases the morbidity and mortality rate in patients, allows early mobilization, decreases the incidence of infection, malunoin, non‐union or implant failure. We studied a total of 30 patients of fracture shaft of femur admitted in the Orthopaedic Department treated with closed intramedullary interlocking nailing. 23 patients were male and 7 were females and age group ranged from 18‐49 years with mean age 30 Yrs. right side fractures encountered in 18 cases and 12 left side. 24 fractures were closed and 6 fractures were open type. 5 fractures were in proximal third, 19 fractures were in the middle third and 6 in distal third of femur. Duration of study was 18 months. Duration between injury and surgery was <24 Hours in 6.67%, 24‐72 hours in 50% and 4‐7 Days in 43.3%. Duration of hospital stay was average 11.43 days ranging from 06‐22days. Mean time for union was 21.3 weeks ranging from 16‐32weeks.There were two cases of superficial infection and no deep infection. Excellent to Good result in 90% cases. We conclude that closed intramedullary interlocking nailing after is an excellent technique for the treatment of femoral shaft fracture. It is an excellent mode for treatment of complex, comminuted and unstable femoral fracture. It reduces the incidence of malunoin and maintains length of the bone. Minimal soft tissue injury during surgery, early rehabilitation ensures complete restoration of motion. It is a safe method in management of Type I and II compound fractures.


How to cite this article:

H.S. Anoop, Bindusar , Prashantha and N. Vinay. A Clinical Study on Surgical Management of Diaphyseal Fracture of Femur With Closed Intra medullary Interlocking Nail.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.4.383.387
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.4.383.387