A study of functional outcome of femoral diaphyseal fractures by closed reduction and internal fixation using intramedullary interlocking nail in adults

Abstract

IntroductionFemur is considered to be the strongest, largest and heaviest tubular bone comprising the skeletal system. Femur is responsible to bear the load in the lower extremity region. Femoral shaft fractures are one of the most commonly encountered injuries in an orthopaedic setup and are responsible for a huge burden of morbidity and mortality in patients. The severity of injury depends on the level of impact causing the injury which eventually is dependent on the age of patients. Aims and objectives of the study1.To evaluate the result of intramedullary interlocking nailing in the treatment of fractures of the shaft of femur2.To study the complications of locked intramedullary nailing of femoral shaft fractures3.Early mobilization to prevent fracture disease and enhance fracture healingResultsThe present study was planned to study surgical management of fracture shaft of femur with intramedullary interlock nail. For this purpose, a total of 20 patients falling in sampling frame were enrolled in the study. Table 1 shows the age distribution of cases enrolled in the study:DiscussionManagement of diaphyseal femur fractures has seen a fundamental shift from non-surgical to surgical management and within surgical management from external to internal fixation using intramedullary nailing, plates and screws. Today, intramedullary nailing has become a standard for management of diaphyseal femur fractures and has been reported to be useful for all the age groups and in unilateral as well as bilateral fractures.ConclusionThe surgical management of fracture diaphysis of femur has taken a march ahead with the advent of interlocking nail, which has widened the range of indications for medullary osteosynthesis. The transverse interlocking bolts control the length, rotational alignment of the limbs.