a prospective study of closed and open reamed intramedullary nailing of 136 femoral shaft fractures in adults

نویسندگان

mohammad gharehdaghi department of orthopedics & traumatology, emam reza hospital, mashhad university of medical sciences

hasan rahimi department of orthopedics & traumatology, emam reza hospital, mashhad university of medical sciences

mahmoud bahari department of orthopedics & traumatology, emam reza hospital, mashhad university of medical sciences

javad afzali department of orthopedics & traumatology, emam reza hospital, mashhad university of medical sciences

چکیده

background : femoral shaft fractures are major causes of mortality and morbidity and are managed with intramedullary nailing (imn). in this study we compared the results of open and closed nailing in femoral shaft fractures. between 1993 and 2001 we managed 136 femoral shaft fractures by imn (81 closed and 55 open nailings) methods : in 120 patients with mean age of 36.2 years. the mean time of follow up was two years. radiologic and clinical results were analyzed with spss software using student-t and fisher test. results : 93.2% healed within six months. 2.9% required dynamization; total :union: rate was 96%. full weight bearing was permitted between 5-16 weeks (mean of 10.62 weeks) in the closed method, and 10-20 weeks (mean of 12.83 weeks) in the open method (p<0.001). complications included 4.41% non:union:s, 2.9% shortening, 10.8% limited range of movement, 1.47% deep infection, and 6.6% mal:union:. non:union: was observed in 2 cases in closed and in 4 patients in open method (p = 0.039). closed series showed higher rate of mal:union: (p = 0.181, p = 0.221). conclusions : in closed method attention should be paid to malalignment while locking the nail.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Closed and open grade I and II tibial shaft fractures treated by reamed intramedullary nailing.

OBJECTIVE To evaluate the results of closed and open grade I and II tibial shaft fractures treated by reamed nail and unreamed nailing. SUBJECTS AND METHODS Between 1997 and 2000, 119 patients with tibial shaft fractures were treated with reamed tibial nails. Postoperatively 96 patients (70 closed and 26 grade I and II open fractures) were followed clinically and radiologically for up to 18 m...

متن کامل

Locked intramedullary nailing of femoral shaft fractures.

One hundred twenty-three femoral shaft fractures were treated with Grosse-Kempf slotted, locked nails and followed for a median 20 (range, 12-60) months. There were eight intraoperative and 11 postoperative complications, among them two superficial and two deep infections. Most of the intraoperative complications and some postoperatively lost reductions could have been prevented by a better ope...

متن کامل

Closed or open intramedullary nailing of femoral shaft fractures? A comparison with conservatively treated cases.

intramedullary nailing of femoral shaft fractures, first introduced by Hey Groves in 1918 and later popularised by K#{252}ntscher (1940, 1958, 1967), B#{246}hler (1951), Street (1951) and Lottes ( 1953), is in most current textbooks described as a routine surgical operation. It is regarded as the method of choice in transverse and short oblique fractures of the femoral shaft (B#{246}hler 1951 :...

متن کامل

Malrotation after reamed intramedullary nailing with and without a fracture table for closed fractures of the femoral shaft.

OBJECTIVE To observe the effect of the choice of surgical table on the incidence of malrotation. METHODS The randomised trial was conducted from July 2012 to January 2013 at the Aga Khan University Hospital, Karachi, during which 74 patients were inducted. Randomisation was done via random allocation software version 1.0.0 and sealed envelopes were used to guide the choice of table. Malrotati...

متن کامل

External fixation or flexible intramedullary nailing for femoral shaft fractures in children. A prospective, randomised study.

We report the outcome of 19 children aged 5.2 to 13.2 years with 20 fractures of the femoral shaft requiring surgery, who were randomly assigned to have external fixation (EF) or flexible intramedullary nailing (FIN) (10 fractures each). The duration of the operation averaged 56 minutes for the EF group with 1.4 minutes of fluoroscopy, compared with 74 minutes and 2.6 minutes, respectively, for...

متن کامل

منابع من

با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید


عنوان ژورنال:
journal of research in medical sciences

جلد ۱۲، شماره ۱، صفحات ۱۶-۰

میزبانی شده توسط پلتفرم ابری doprax.com

copyright © 2015-2023