PMID: 3773002Oct 1, 1986Paper

Open versus closed intramedullary nailing of femoral shaft fractures

The Journal of Trauma
R K LeightonK G Orrell

Abstract

A retrospective study was performed including only fractures involving the middle three fifths of the femoral shaft with a minimum of 2 years followup. There were 65 fractures in Group I treated with the closed technique utilizing the image intensifier. These were compared with 65 fractures treated with open reduction and nailing. Followup averaged 4 years (Group II). Group 1 had 92% satisfactory results; Group II achieved 97% satisfactory, not statistically significantly different. Our recommendations are delaying the procedure did not appear to be advantageous; excluding the fractures with segmental bicortical loss, there are limited indications for locked nails in these fractures; the decision to use a specific type of internal fixation should be based on the fracture pattern, the surgeon's experience, and the equipment available; if a closed technique is chosen, be prepared to open the fracture if a satisfactory closed reduction cannot be attained. This, in our study, did not increase the risk of reducing the functional result.

Citations

Apr 1, 1995·The Journal of Trauma·V D MohrH L Klammer
Nov 16, 2016·Nigerian Journal of Surgery : Official Publication of the Nigerian Surgical Research Society·Olasunkanmi M BabalolaAdebowale Adeniyi
Jun 18, 2020·Advances in Orthopedics·Syed Imran GhouriMohammed Mubarak Alkhayarin
Mar 1, 1996·Clinical Orthopaedics and Related Research·R J Brumback

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