Middle third femoral fractures treated with medullary nailing or AO compression plates.
Fifty-eight medullary nailings and 46 internal fixations with AO plates were performed on fractures of the middle third of the femur. The complication rate was 21-2%, infections accounting for 7-7% and implant failures for another 7-7%. Critical descriptions of the failures are given, 6 of 8 implant failures being biomechanical. Follow-up results were excellent or satisfactory in 95% of cases in both groups. At follow-up after 3 1/2 years, there was no difference in results between the two methods of treatment.
D000293:Adolescent; D000328:Adult; D000368:Aged; D001858:Bone Nails; D001860:Bone Plates; D005264:Femoral Fractures / Q000601:surgery* / Q000628:therapy; D005500:Follow-Up Studies; D005592:Fracture Fixation / Q000009:adverse effects; D005593:Fracture Fixation, Internal / Q000379:methods*; D005594:Fracture Fixation, Intramedullary / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D014945:Wound Healing