DIAPHYSEAL FEMORAL FRACTURES

Abstract

Objectives: To assess the best results of diaphyseal femoral fractures treatedby closed intramedullary interlocking nail and open intramedullary interlocking nail. StudyDesign: Cross sectional. Period: Jan 2009 to Jan 2011. Setting: LUH Jamshoro / Hyderabad.Methods: Total 40 fractures of shaft of femur in 40 patients were treated with IMILN. All patientshave same post operative follow up. Early range of motion exercises of hip and knee joint wasstarted, pain management and 3rd generation cephalosporin intravenous antibiotics given for5 days followed by oral antibiotics. Patients discharged as early as possible when patient’scondition allowed and removal of stitches after two weeks. Patient’s assessment regardingwound condition, range of movement of proximal and distal joints and fractures assessmentradiologically and clinically was done every month. Results: Majority of the cases were withthe age groups of 37.5% between 21-30 years. RTA was found most common 70% of thecases. According to the AO classification oblique fractures were found most common 45%. Onthe assessment of final results in both close and open methods, 5% infection found in closemethod and 7.5% infection were in open method, less union time was found in closed group,deformity was equally found in both groups and heeling time was also less found in closedgroup. Conclusions: It is concluded that closed intramedullary interlocking nailing method isthe best procedure with excellent union for the femoral fracture.