Results of Fracture Union in Closed Reamed Interlocking Nail in Fractures of Femur

Objective: To evaluate the results of fracture union in closed reamed interlocking nail in fractures of femur. Methodology: A descriptive study conducted at Department of Orthopaedic surgery Ittefaq Hospital Lahore from March 2003 to July 2004. Fifty patients were recruited from Accident & Emergency and out patient department having close fracture of femoral shaft. All patients were operated under general or spinal anesthesia and closed reamed interlocking nailing was done. All patients were followed for nine month. Results: Out of fifty patients, Forty seven patients underwent union in 90 to 150 days with a mean of 110.68 days. Ten patients had dynamization within six weeks because of obvious fracture gap in radiograph. There was one patient who had non-union, and two patients had delayed union which was treated with dynamization. Conclusion: Close reamed interlocking intramedullary nail in femoral shaft fractures is the treatment of choice. Patient rehabilitation is early, hospitalization is short, and fracture healing response is good.