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Abstract
Twenty-seven patients with 28 open femoral shaft fractures were treated by intramedullary
nailing. Ten fractures were Grade I, nine Grade II and nine Grade III according to
Gustilo.
After debridement and irrigation of the wounds, 26 fractures were nailed immediately,
whilst two fractures were stabilized at an early stage.
Two infections developed. One occurred before intramedullary nailing during a period
of femoral traction. Both infections were treated successfully.
The authors conclude that primary intramedullary nailing is safe in open femoral fractures
of all grades. If a thorough debridement and irrigation are performed, the postoperative
infection rate is low.
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Article info
Publication history
Accepted:
March 31,
1994
Identification
Copyright
© 1994 Published by Elsevier Inc.