a prospective study of closed and open reamed intramedullary nailing of 136 femoral shaft fractures in adults
نویسندگان
چکیده
background : femoral shaft fractures are major causes of mortality and morbidity and are managed with intramedullary nailing (imn). in this study we compared the results of open and closed nailing in femoral shaft fractures. between 1993 and 2001 we managed 136 femoral shaft fractures by imn (81 closed and 55 open nailings) methods : in 120 patients with mean age of 36.2 years. the mean time of follow up was two years. radiologic and clinical results were analyzed with spss software using student-t and fisher test. results : 93.2% healed within six months. 2.9% required dynamization; total :union: rate was 96%. full weight bearing was permitted between 5-16 weeks (mean of 10.62 weeks) in the closed method, and 10-20 weeks (mean of 12.83 weeks) in the open method (p<0.001). complications included 4.41% non:union:s, 2.9% shortening, 10.8% limited range of movement, 1.47% deep infection, and 6.6% mal:union:. non:union: was observed in 2 cases in closed and in 4 patients in open method (p = 0.039). closed series showed higher rate of mal:union: (p = 0.181, p = 0.221). conclusions : in closed method attention should be paid to malalignment while locking the nail.
منابع مشابه
Closed and open grade I and II tibial shaft fractures treated by reamed intramedullary nailing.
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intramedullary nailing of femoral shaft fractures, first introduced by Hey Groves in 1918 and later popularised by K#{252}ntscher (1940, 1958, 1967), B#{246}hler (1951), Street (1951) and Lottes ( 1953), is in most current textbooks described as a routine surgical operation. It is regarded as the method of choice in transverse and short oblique fractures of the femoral shaft (B#{246}hler 1951 :...
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عنوان ژورنال:
journal of research in medical sciencesجلد ۱۲، شماره ۱، صفحات ۱۶-۰
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