A study on fracture of femur shaft treatment with intramedullary interlocking nailing


  • Shivashankarappa A. Department of Orthopaedics, JJM Medical College, Davangere, Karnataka, India
  • Prasad N. C. Department of Orthopaedics, JJM Medical College, Davangere, Karnataka, India
  • Shaik Hussain Saheb Department of Anatomy, JJM Medical College, Davangere, Karnataka, India




Intramedullary nailing, Femur, Diaphysis fractures, Interlocking


Background: Rigid interlocking nailing for femoral shaft fracture is ideal for use in adolescents in terms of stability of the fracture and convenience for the patient. Closed reduction and intramedullary interlocking nailing is the surgical treatment of choice for the closed shaft fractures of femur. Present study conducted to study the principles of intramedullary interlocking nailing and to assess the outcome of the patient.

Methods: The present study comprises of 28 cases of fracture shaft of the femur admitted in orthopaedics wards of JJM Medical College, Davangere. Total 28 cases considered for closed intramedullary nailing.

Results: In 55% cases closed intramedullary nailing given excellent healing of fracture, in 25% cases healing was good, in 10% cases it was average and 5% cases poor healing was observed.

Conclusions: It is concluded that closed intramedullary interlocking nailing method given good result in treatment of shaft fractures of femur.


Aginsk J, Reais ND. The prevent state of medullary nailing of the femur: Biomechanical limitations and problems of blood supply to the fracture due to remaining. Injury. 1990;11:190-6.

Charies M, Brown C. An atlas of closed nailing of tibia and femur. Martiin Duntiz Ltd. London; 1991.

Covey D, Saha S, Lipka J, Albright J. Biomechanical comparison of slotted and nonslottred interlocking nails in distal femoral shaft fractures. Clin Orthop. 1990;252:246-51.

Donald A. Comminucated and rotationally unstable fractures of the femur treated with an interlocking nail. Clin Orthop. 1986;212:35-47.

Kenneth D, Johnson MD. Comminuted femoral shaft fractures. Orth clin North Am. 1987;1:112-6.

Thoresen BO. Interlocking intramedullary nailing in femoral shaft fractures. JBJS. 1985:67:655-69.

Winquist RA. Communicated fractures of femoral shaft trated by IM nailing. Orth clin North Am. 1980;11(3):165-72.

Wicstrom J. Complications following intramedullary fixation of 324 fractures femurs. Clinical Orthop Related Res. 1968;60:1123-36.

Calworthy MG, Clark DI. reamed versus unreamed nails. J Bone Joint Surg. 1998;80(3):236-45.

Brumac RJ. Intramedullary nailing of femoral shaft fractures. J Bone Joint Surg. 1988;70:659-67.






Original Research Articles