Functional Outcome of Surgical Management of Diaphyseal Fractures of the Femur with Closed Intramedullary Interlocking Nail: A Prospective Study
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 6, Pages 2579-2586
AbstractIntroduction: One of the most common fractures encountered are the fractures of femoral shaft. Intra-medullary nailing provides speedy recovery, early mobilization and early pre-fracture state achievement and decreased complications. Objectives: To determine the outcome of management of closed femoral shaft fractures with Intramedullary Interlocking nailing based on Thorasen B.O., et al score. Methods and Materials: 35 inpatients of Department of Orthopaedics, with fracture shaft of femur surgically treated with IMIL nailing selected. A careful history and Informed consent taken from the patient and the attender. Detailed clinical examination done for the patient and decided whether the patient comes under the inclusion criteria. Radiographic evaluation included anteroposterior and lateral radiographs of full length of femur. Patient was subjected to all pre-operative investigations and anaesthetic fitness for surgery. All patients were operated using standard operative guideline and all fractures were fixed with standard AO femoral IMIL nail using closed technique under image intensifier. Follow up was done at 3, 6 and 12 weeks. All fractures were closed fractures. All patients underwent closed IMIL nailing for shaft of femur. 30(85.7%) didn’t have any complications, 5(14.3%) had delayed union. Among 35 study subjects, 16(45.7%) had fair outcome and 19(54.3%) had good outcome, based on Thorasen B.O., et al score. Conclusion: The treatment of choice for closed diaphyseal fractures of femur in adults with comminution, long spiral, and segmental fractures is closed IMIL nailing of the femur. Advantages being, less complications, reduced hospital stay, excellent to good functional outcome.
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