Abstract
Fractures shaft femur is a major cause of morbidity and mortality in patients with lower extremity injuries. The objective of this study was to find out the outcome of Interlocking nail in fracture femur. This study was conducted in the Department of Orthopaedic surgery in M. M. Medical College from July 2006 to November 2008. Seventy eight patients were recruited from Emergency and out patient department having closed fracture of femoral shaft. All patients were operated under general or spinal anesthesia. All patients were followed for nine months. Out of seventy eight patients, sixty nine patients underwent union in 90 to 150 days with a mean of 110.68 days. Touch down weight bearing was started on 2nd post-operative day. Complications found in four patients who had non-union, and five patients had delayed union which was treated with dynamization and bone graft. The results were excellent in 88.46% and good in 6.41% patients. We concluded that this technique is advantageous because of early mobilization (early weight bearing), less complication with good results and is economical.
Highlights
Fractures shaft femur is a major cause of morbidity and mortality in patients with lower extremity injuries
The clinical results of our study were rated on the basis of the criteria of union, nonunion[9], delayed union or malunion
Union was achieved in eight patients in 95-109 days with a mean of 103.38 (Table 3)
Summary
Fractures shaft femur is a major cause of morbidity and mortality in patients with lower extremity injuries. It can be life threatening due to complications.[2] There is considerable debate regarding the best method of treating femoral shaft fractures.[3,4] A method closely approaching this perfection is intramedullary interlocking nails It improves rotational stability, can be used for axially unstable diaphyseal fractures.[5] This treatment modality has been the subject of controversy since its introduction because of concerns of damage to the medullary circulation, possibilities of fat embolism[6,7] and complications of misapplication of the technique because of a lack of understanding of the biomechanical principles of intramedullary nail fixation, radiation exposure[8] and the equipment required. The objective of this prospective study is to achieve the ultimate goal of fracture union and early rehabilitation, short hospitalization, and good fracture healing response
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