title: Treatment of femoral shaft fractures with Grosse-Kempf intramedullary nail.
abstract: Ninety consecutive femoral shaft fractures in 87 patients treated by reamed Grosse-Kempf intramedullary nailing were reviewed. The median observation time was 45 months. The functional results were excellent or good in 82% of the fractures, fair in 16%, and poor in 2%. Four non-unions and two superficial infections were observed. Leg shortening of more than 2 cm was recorded in 2 patients. Rotatory malalignment exceeded more than 15 degrees in 2 patients. We conclude that reamed Grosse-Kempf intramedullary nailing is an excellent treatment for femoral shaft fractures. Although this study represents the first period during which we used the nail, the number of complications was acceptable.
authors.affiliation: Department of Orthopaedics, Odense University Hospital, Sdr. Boulevard 29, 5000 Odense C, Denmark.
authors.forename: S E
authors.initials: SE
authors.lastname: Larsen
authors.forename: K S
authors.initials: KS
authors.lastname: Nielsen
authors.forename: M S
authors.initials: MS
authors.lastname: Larsen
authors.forename: S S
authors.initials: SS
authors.lastname: Kristensen
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005264:Femoral Fractures / Q000601:surgery*; D005500:Follow-Up Studies; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation*; D005596:Fractures, Closed / Q000601:surgery; D005597:Fractures, Open / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome