Outcome of Open Reamed Femoral Intramedullary Nailing in Surin Hospital
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Abstract
Objective: To study outcome of open reamed intramedllary nailing for femoral shaft fracture with regard to infection, time to union, limb shortening, malunion and range of motion at the knee
Study design: Descriptive, Retrospective study
Setting: Orthopedics, Surin hospital
Patient and method: 93 cases admitted to surin hospital between October, 1st 2004 - September, 30th 2005 with femoral shaft fracture underwent open unlocked intramedullary nailing. Their average age was 27.07 years. 18 fractures involved the upper third of the femoral shaft, 61 fractures involved the middle third, and 14 fracture’s involved the distal third. When categorized according to degree of comminution there were 60 type I, 28 type II, and 5 type III. Comminuted type IV fractures, pertrochanteric and supracondylar fractures were not included in the study
Result: All 93 fractures healed on average in 17 weeks, 3 patients had shortening of 1 cm or less, 1 patient stiffness knee, no patient had symptomatic ratatony malunion and infection
Conclusion: Open reamed unlocked intramedullary nailing gives good clinical results in fractures with minimal comminution. Locked nailing is not essential for less severely comminuted fractures.
Key word: Open reamed unlocked nailing, femoral shaft fractures
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References
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