Problems associated with longitudinal fractures of the femoral shaft in adults. A comparison between intramedullary nailing, interlocking intramedullary nailing and plating.
The results of 64 operatively treated patients with longitudinal femoral shaft fracture are presented. Twenty-four fractures were treated with an intramedullary nail, six with an interlocking intramedullary nail and 34 with plating. The functional end results were good and the anatomical result satisfactory in all groups although treatment with plate caused several failures. We conclude that intramedullary nailing is a good and safe method to treat non-comminuted fractures of the femoral shaft.
Varjonen
L
L
Department of Orthopaedics and Traumatology, University Central Hospital, Helsinki, Finland.
Majola
A
A
Vainionpää
S
S
Böstman
O
O
Rokkanen
P
P
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001858:Bone Nails / Q000009:adverse effects; D001860:Bone Plates / Q000009:adverse effects; D005260:Female; D005264:Femoral Fractures / Q000601:surgery*; D005594:Fracture Fixation, Intramedullary / Q000379:methods*; D005597:Fractures, Open / Q000601:surgery; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D012008:Recurrence