A Prospective Study Of Management of Fracture Shaft Femur by Closed Interlocking Nail in adults

Abstract

Introduction: Fractures of femoral shaft are among the most common fractures that orthopedic surgeons encounter. Femoral shaft fractures can be managed conservatively or surgically. The surgical treatment has gone into revolutionary changes over the period of time and with advent of new antibiotics and better surgical procedures, even open fractures can be fixed internally. The method studied for this research is Surgical Management of Fracture Shaft of Femur with Intramedullary Interlocking Nail. Aim : to study the effectiveness of interlocking intramedullary nailing of diaphyseal fracture of femur in adults. We also studied complications of interlocking intramedullary nailing. Methods : This prospective short term study was done from October 2018 to December 2019 in 20 patients with 20 diaphysis fracture of femur who were admitted in SDM Hospital, Jaipur and who were treated with A.O. femoral interlocking nail. The patients were followed for about 1 year. Results : Majority of fractures were oblique-8(40%), comminuted fractures in 5(25%), spiral fractures in 4 (20%) and transverse in case of 3(15%) of fractures. Excellent result were obtained in 10 cases (50%), good result were obtained in 7 cases (35%) and fair result in 3 cases (15%).