SHORT TERM RESULT OF INTRAMEDULLARY NAIL IN OPEN FEMORALFRACTURE IN ADULT

Habil, Ali Ramadan; Hassan, Khaled Mohamed; Attia, Ahmed Mohamed; Al-Kady, Reda Hussein

doi:10.21608/zumj.2019.13364.1240

SHORT TERM RESULT OF INTRAMEDULLARY NAIL IN OPEN FEMORALFRACTURE IN ADULT

Document Type : Original Article

Authors

¹ Department of Orthopedic Surgery, Faculty of Medicine, Omer Elmokhtar Universityـ Derna, Libya

² orthopedic department, faculty of medicine, zagazig university

³ Department of Orthopedic Surgery, Faculty of Medicine –Zagazig University, Egypt.

⁴ Department of Orthopedic Surgery, Faculty of Medicine &ndash;Zagazig University, Egypt.

10.21608/zumj.2019.13364.1240

Abstract

Abstract:
Background: Femoral shaft fractures occur in a bimodal distribution, they are most commonly seen in males age 15-24 and females aged 75 or older. Causes include trauma, lytic lesions and osteoporosis. Objectives: The aim of treatment of femoral fractures is normal bone alignment and length, early mobilization with gradually increasing weight bearing and normal knee and hip functional range of motion.
Patients & Methods: Between February 2016 and February 2018, a retrospective study was done on 12 patients (type I and type II and IIIa open femoral shaft fractures) were treated with IMFN (INTRAMEDULLARY femoral NAIL) as their primary treatment in Libyan Hospitals and Zagazig University Hospital . The age ranged between 16 to 55 years old with mean age 32 years,
Results: These results show that in the grade I and II open femoral shaft fractures, a primary unreamed intramedullary nailing can be safely done, with minimal complications and excellent functional results. For the grade III open fractures of the femur, the modern techniques of management, combined with the skills of experienced orthopaedic and plastic surgeons, can consistently restore excellent limb functions in a very high proportion of patients. In some of the most severely injured limbs, a salvage is possible and a useful functional limb can be obtained.
Conclusions: This study demonstrates that grade I, II and III A open femoralshaft fractures can be treated with primary debridement and locked reamed or unreamed intramedullary nailing with good short-term results, a better biomechanical stability and early rehabilitations.

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