title: [Fresh femoral shaft fractures treated with un-reamed intramedullary nail: 203 cases].
abstract: OBJECTIVE
  To discuss the experience treating fresh femoral shaft fractures with un-reamed intramedullary nail.
  
  
  METHODS
  203 cases of fresh femoral shaft fractures who had been treated with un-reamed intramedullary nail from November. 1995 to January. 1999 were analyzed retrospectively. 18 cases were open, classified as Gustilo I, and. 185 cases were closed. Traction table and image intensifier were used during operation. Closed reduction, un-reamed and free hand distal locking technique were used. Active movements of nearby joints were encouraged and partial weight bearing of 10 - 15 kg were allowed right after operation.
  
  
  RESULTS
  All 203 cases of fresh femoral shaft fractures got bone union within 4 - 6 months. No case of delayed union and infection happened. 1 distal locking screw was broken. All patients gained normal extremity functions.
  
  
  CONCLUSIONS
  Un-reamed intramedullary nailing of fresh femoral shaft fracture has less damage to the local soft tissue and blood supply. It has a relative stable fracture fixation, and less interruption to the healing procedure. It is one of the best methods for treating femoral fracture.
authors.affiliation: Department of Traumatology, Beijing Jishuitan Hospital, Beijing 100035, China.
authors.forename: Y
authors.initials: Y
authors.lastname: Wu
authors.forename: M
authors.initials: M
authors.lastname: Wang
authors.forename: L
authors.initials: L
authors.lastname: Sun
authors.forename: G
authors.initials: G
authors.lastname: An
authors.forename: G
authors.initials: G
authors.lastname: Rong
mesh_terms: D001858:Bone Nails; D005264:Femoral Fractures / Q000601:surgery*; D005594:Fracture Fixation, Intramedullary / Q000379:methods*; D006801:Humans; D012189:Retrospective Studies; D016896:Treatment Outcome