Surgical management of diaphyseal fracture of femur with closed intramedullary interlocking nail
Keywords:Surgical management, Diaphyseal fracture, Femur, Closed intramedullary interlocking nail
Background: A femoral fracture is a bone fracture that involves the femur. They are typically sustained in high-impact trauma, such as car crashes, due to the large amount of force needed to break the bone. The objective of the study was to evaluate the functional outcome of fractures of the shaft of the femur treated with closed intra-medullary interlocking nailing.
Methods: The present study was carried out between June 2015 to May 2016 in Orthopedic Department, Vydehi institute of medical sciences and research centre, Bengaluru. Antegrade nailing using the standard intramedullary interlocking nail was performed on 50 cases who presented with shaft fractures of the femur.
Results: In the present study maximum number of patients belongs to 18 to 27 years age group (24 cases) followed by 28 to 37 years age group (12 cases), maximum number of patients sustained femur fracture due to RTA (42 cases) followed by fall (08 cases), maximum number of patients sustained closed/simple femur fracture (40 cases), followed by open / compound tibia fracture (10 cases), 32 patients had excellent functional results and 10 patients had good functional outcome, while only 5 patients had fair functional outcome.
Conclusions: A femur fracture is always considered a medical emergency requiring immediate evaluation and treatment in a hospital. The treatment is largely dependent on the location of the fracture and the pattern and extent of the break.
Stannard JP, Schmidt AH, Kregor PJ. Surgical treatment of orthopaedic trauma. Thieme Publications (2007). Injury. 2008;39(4):502-2.
Keith LM, Arthur FD, Anne MR. Clinical Oriented Anatomy. 7th edition. Lippincott Williams; 2013.
Griffin XL, Parsons N, Zbaeda MM, McArthur J. Interventions for treating fractures of the distal femur in adults. Cochrane Database Syst Rev. 2015;(8):CD010606.
Femur Shaft Fractures (Broken Thighbone)-OrthoInfo - AAOS. Available at: orthoinfo.aaos.org. Accessed on 14 December 2016.
Tintinalli, Judith E. Emergency Medicine: A Comprehensive Study Guide (Emergency Medicine (Tintinalli)). New York: McGraw-Hill Companies; 2010: 9.
Mahendranath RD. A Prospective Study Of Surgical Management Of Fracture Shaft Femur With Closed Intramedullary Interlocking Nail. J Evol Med Dent Sci. 2013;2(47):9098-105.
Chanappa TS. A Clinical Study On Surgical Management Of Diaphyseal Fracture Of Femur With Closed Intramedullary Interlocking Nail. J Evol Med Dent Sci. 2014;3(10):2508-18.
Maruthi CV, Shivanna. Closed intramedullary interlocking nailing for fracture shaft of femur: Prospective study Int J Orthop Sci. 2017;3(1):602-4.
Deepak CD, Chethan BA. A study of functional outcome of femoral diaphyseal fractures by closed reduction and internal fixation using intramedullary interlocking nail in adults. Indian J Orthop Surg. 2019:5(1):132-8.
Mukherjee D. A Comparative Study of Management of Fracture Shaft of Femur by Open Versus Closed Intramedullary Interlocking Nailing. Indian Med Gazette. 2015;3(4):190-6.