PMID: 16531693Mar 15, 2006Paper

Radiographic and functional results of osteosynthesis with locked unreamed intramedullary nailing of femoral shaft fractures in adults

Acta orthopaedica et traumatologica turcica
Erden ErtürerBülent Aksoy

Abstract

We evaluated the radiographic and functional results of treatment with locked unreamed intramedullary nailing of femoral shaft fractures in adults. Seventy-eight femoral shaft fractures of 70 adult patients (57 men, 16 women; mean age 36 years; range 18 to 77 years) were treated with locked unreamed intramedullary nailing. The fractures were on the right in 39, on the left in 29, and bilateral in five patients. Eighteen patients (24.7%) had open fractures and 28 patients had associated pathologies. The mean time from injury to surgery was 10.7 days (range 3 to 15 days). The fractures were classified according to the Winquist-Hansen system and functional results were evaluated according to the Thoresen criteria. The mean follow-up was 25 months (range 12 to 54 months). Union was achieved in 73 fractures (93.6%) of 69 patients within a mean duration of 14 weeks (range 10 to 28 weeks). Four fractures (5.2%) united after dynamization and one patient (1.2%) required revision with a circular external fixator following dynamization. The mean duration of hospitalization was 19.8 days (range 8 to 26 days). According to the Thoresen criteria, the results were excellent or good in 64 patients (87.7%), and moderate or poor in nine patients...Continue Reading

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