Interlocking nail for femoral shaft fractures: is dynamization always necessary?
A series of 179 closed femoral fractures treated by static interlocking nailing (Grosse-Kempf nail) was reviewed to evaluate the effect of dynamization on the time to bony union. In 75 patients, dynamization was performed whereas in 104 the implant was left static. Union occurred in 178 patients. We observed one infection. Time to union was significantly shorter in the static group (103 days) compared to the dynamized group (126 days).
Tigani
D
D
Orthopedic University Clinic of Istituto Ortopedico Rizzoli, Bologna, Italy. domenico.Tigani@ior.it
Fravisini
M
M
Stagni
C
C
Pascarella
R
R
Boriani
S
S
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001858:Bone Nails; D001863:Bone Screws; D020878:Device Removal / Q000379:methods; D005260:Female; D005264:Femoral Fractures / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000379:methods; D016896:Treatment Outcome