title: [Treatment of fractures of the femoral shaft].
abstract: The femoral shaft fracture, although not frequent, is still a severe injury. In this work 367 fractured femoral shafts treated during the last six years are reviewed. Three hundred and forty-seven patients were treated by operation of whom 276 were treated with intramedullary nail and previously boring of the medullar channel, almost all of them by open reduction. In 59 cases compression plate was applied. In the same time 20 femoral shaft fractures were treated conservatively. Amoung other complications infection and pseudoarthrosis should be particulary mentioned which occurred in 5,2% and 3,3% respectively. The comparison between operative and conservative menagement was done by analysis of final results which included duration of the treatment and period necessary for the restitution of the function. On the basis of these results the authors conclude that majority of femoral fractures should be treated by intramedullary nailing.
mesh_terms: D000328:Adult; D001424:Bacterial Infections; D001860:Bone Plates; D001863:Bone Screws; D005260:Female; D005264:Femoral Fractures / Q000601:surgery*; D005594:Fracture Fixation, Intramedullary / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011542:Pseudarthrosis
vernacular_title: Lijecenje prijeloma dijafaze natkoljenice