title: Comminuted femoral shaft fractures treated by closed intramedullary nailing and functional cast bracing.
abstract: Eighty-one patients with comminuted femoral shaft fractures were treated by closed unlocked Küntscher nailing and functional cast bracing for 1 to 4 weeks postoperatively depending on the degree of comminution. The mean follow-up period was 27.6 months. The average time required for fracture healing was 14 weeks. There was one delayed union. One fracture united with more than 10 degrees of rotational malalignment; shortening of more than 1 cm was present in four cases. Two patients had more than 20 degrees of limitation of hip and knee movement.
authors.affiliation: Department of Orthopaedic Surgery, Rehabilitation Research Centre, Jodhpur, India.
authors.forename: J C
authors.initials: JC
authors.lastname: Sharma
authors.forename: S P
authors.initials: SP
authors.lastname: Gupta
authors.forename: N C
authors.initials: NC
authors.lastname: Mathur
authors.forename: R
authors.initials: R
authors.lastname: Kalla
authors.forename: M K
authors.initials: MK
authors.lastname: Aseri
authors.forename: A
authors.initials: A
authors.lastname: Biyani
authors.forename: A
authors.initials: A
authors.lastname: Arora
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001858:Bone Nails; D002370:Casts, Surgical; D005260:Female; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D005594:Fracture Fixation, Intramedullary / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D016896:Treatment Outcome