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Abstract
We report the results of the first 50 femoral interlocking nails used in our city.
The operations were performed by 20 different surgeons. The follow-up interval averaged
19 months. Eve patients with pathological fractures died during this period and two
could not be traced. Forty-three fractures were assessed clinically and radiologically
by one of the authors.
Malunion and/or shortening occurred in 22 patients. Six patients had varus (> 5 °),
ten patients valgus (> 5 °) and ten patients had malrotation (> 10 °). Six patients
were shortened (> 2 cm). Two cases progressed to non-union (> 26 weeks), and one had
deep sepsis.
We discuss the effect of insertion point, dynamic versus static fixation and the lateral
table position on the final results.
It is concluded that:
- 1.1. The nail should be inserted in line with the axis of the femoral shaft. This point is usually in the piriform fossa.
- 2.2. The static mode should be used for most fractures.
- 3.3. The lateral table position may result in rotational and valgus malalignment.
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References
- Conservative treatment of fractures of the femur.J. Bone Joint Surg. 1967; 49A: 1371
- Torsional deformities after fractures of the femoral shaft in childhood. A retrospective study, 27–32 years after trauma.Acta Orthop. Scand. Suppl. 1981; : 195
- Pitfalls, errors and complications in the use of locking Küntscher nails.Clin. Orthop. 1986; 212: 192
- The use of Perkins' traction in the treatment of femoral shaft fractures.J. Bone Joint Surg. 1981; 63B: 362
- Intramedullary locking nails in the management of femoral shaft fractures.J. Bone Joint Surg. 1988; 70B: 206
- Prevention of infection in the treatment of one thousand and twenty-five fractures of long bones.J. Bone Joint Surg. 1976; 58A: 453
- The treatment of femoral fractures by cast-brace application and early ambulation.J. Bone Joint Surg. 1983; 65A: 56
- Closed locked intramedullary nailing. Its application to comminuted fractures of the femur.J. Bone Joint Surg. 1985; 67A: 709
- Interlocking nailing of complex fractures of the femur and tibia.Clin. Orthop. 1986; 212: 89
- Plate osteosynthesis of femoral shaft fractures in adults.Clin. Orthop. 1979; 138: 62
- Closed Functional Treatment of Fractures. Springer-Verlag, Berlin Heidelberg New York1981: 336
- Closed intramedullary nailing of femoral fractures.J. Bone Joint Surg. 1984; 66A: 529
- Comminuted and rotationally unstable fractures of the femur treated with an interlocking nail.Clin. Orthop. 1986; 212: 35
Article info
Publication history
Accepted:
August 10,
1990
Identification
Copyright
© 1991 Published by Elsevier Inc.
