Title: Functional Outcome of Patients with Comminuted Femoral Shaft Fractures Treated By Interlocking Intra Medullary Nailing
Authors: Dr Manoj Kumar R, Dr Jayachandran N, Dr Sabarisree M
DOI: https://dx.doi.org/10.18535/jmscr/v5i7.06
Abstract
Background-Evaluation of functional outcome of those patients admitted with comminuted femoral shaft fractures treated by interlocking intra medullary nailing
Materials and Methods: Patients attending Govt Medical College, Thiruvananthapuram from June, 2004 to September, 2006 are selected. Open fractures are not included. Those cases with ipsilateral fractures in the lower limb in addition to comminuted femoral shaft fracture (like fracture of neck of femur, fracture of tibia, fracture of patella) are also excluded. Type II III and IV comminuted femoral shaft fractures (Winquist and Hansan classification) are taken for study.
Results: Excellent results are obtained in all cases of Type II comminuted towards of femoral shaft. Excellent to good results are obtained in Type III comminuted fractures.
Good to fair results are obtained in Type IV comminuted fractures.
Conclusion: Interlocking intra medullary nailing is a very good mode of treatment of comminuted fractures of the femoral shaft. Closed nailing and static locking is a technically demanding procedure. Risk of exposure to radiation is there. This method offers the possibility of maintenance of length, alignment and rotational, stability in comminuted fractures of the femoral shaft while preserving the biological environment of fracture healing.
Keywords: comminuted fracture of femur, intramedullary interlocking femoral nail.
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