Study on Open Intramedullary Nailing of Close Fracture of Shaft of Femur

Abstract

Backgroudn: Comminuted femoral shaft fractures are complex fractures to treat because of rotational and vertical instability and treatment outcome of these patients poses challenge to surgeon as a result of increased risk of limb length discrepancy and rotational deformity. Method and Materials: A prospective study was done with 50 patients to see the result of antegrade intramedullary interlocking nailing for post traumatic closed fractures of the femoral shafts (Winquist Type I, II) in the Department of Orthopaedics, Sher E Bangla Medical College Hospital, Barishal. Result: 21 patients (42%) had excellent clinical outcome while only 4 patients (8%) had poor outcome with superficial infection. Union rate was 96% and majority of the patients were satisfied with the treatment modality. Rate of nonunion was 4%. Conclusion: The fact that all our study results prove that open intramudulary nailing is an excellent method to treat close fracture shaft of femur.