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National Journal of Clinical Orthopaedics
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2021, Vol. 5 Issue 1, Part A
Outcome of closed intramedullary interlocking nailing of diaphyseal fractures of femur in adults, a prospective study
Author(s): Dr. P Sunil Kumar, Dr. KV Ramana Kumar, Dr. B Himabindu and Dr. N Priyanka
Abstract: Background: Interlocking intramedullary nailing is a very effective and successful method of definitive primary treatment, in most types of fractures of the shaft of the femur [9]. Present study has been aimed to evaluate the functional outcome and complication of fractures of the shaft of the femur treated with closed intramedullary interlocking nailing in our clinical conditions.
Method: As per study criteria 36 patients with diaphyseal fractures of femur were included in this study as per exclusion and inclusion criteria. Detailed history of patients admitted in the trauma department was taken to know the mechanism of injury and pre trauma functional status of limb. All patients were followed clinically and radiologically at 6 weeks,12 weeks,24 weeks and thereafter once in three months. Thoresen B.O classification system was used for grading of functional result.
Result: Less than 1 cm shortening was detected in 2(5.56%) patients. In 3 patients knee joint restriction was more than 900 and in one patient it was less than 900.superficial infection and fat embolism was preset in one patient each. The functional outcome was excellent in 23(63.89%) patients, good in 10(27.78% patients and fair in 3(8.34%) patients. In 3 patients knee joint restriction was more than 900 and in one patient it was less than 900.superficial infection and fat embolism was preset in one patient each.
Discussion and Conclusion: Limb shortening was seen in 3 patients and joint restriction was seen in four patients. In most of the patients the outcome was excellent.
Pages: 22-25  |  768 Views  94 Downloads
How to cite this article:
Dr. P Sunil Kumar, Dr. KV Ramana Kumar, Dr. B Himabindu, Dr. N Priyanka. Outcome of closed intramedullary interlocking nailing of diaphyseal fractures of femur in adults, a prospective study. Nat J Clin Orthop 2021;5(1):22-25 DOI: https://doi.org/10.33545/orthor.2021.v5.i1a.254
National Journal of Clinical Orthopaedics
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