Closed intramedullary interlocking nailing for fracture shaft of femur: Prospective study

Abstract

Introduction: Diaphyseal fractures of femur are most common due to increase in road traffic accidents and fall from height from building constructions. Closed or open reduction and intramedullary interlocking nailing is the surgical treatment of choice for the closed diaphyseal fractures of femur. Open reduction and internal fixation with intramedullary interlocking nail is associated with complications like infection, long surgical scardelayed union and nonunion to combat these problems. We have done a study in our institute by closed reduction and internal fixation using intramedullary interlocking to know the clinical outcome.Materials and methods: Thirty cases of closed diaphyseal fracture of femur were managed with closed reduction and internal fixation using intramedullary interlocking nail between April 2010 and December 2013. And post operatively we evaluated the clinical and radiological outcome at 6, 12 and at 20 weeks. Results: Based on the Friedman and Wyman scoring, we achived 83.34 % good, 6.67% fair and 10% poor results. Conclusion: Closed reduction and internal fixation using intramedullary Interlocking nailing excellent method for the management of diaphyseal fractures of femur. This reduces the complications like infection, long surgical scar, delayed union and non-union.