[An analysis of failure factors in treatment of femoral shaft fracture with interlocking intramedullary nailing].
OBJECTIVE
To analyze the failure factors treating femoral shaft fracture with interlocking intramedullary nailing, and to offer the measures for prevention.


METHODS
From April 1999 to September 2002, among the 213 cases of femoral shaft fracture treated by interlocking intramedullary nailing, 18 were failure. The data of these cases were analyzed.


RESULTS
The failure cases were divided into 6 types: 3 cases with nail break-down, 7 with distal screw backing out, 3 with proximal screw backing out, 3 with fibrous ankylosis of knee, 2 with late infection. Failure relative factors were regarded to operation technique, incorrect rehabilitation choice of operative indication, quality of interlocking intramedullary nailing.


CONCLUSIONS
An appropriate indication should be chosen as using interlocking intramedullary nailing for femoral shaft fracture. The skills should be mastered well. The suitable materials should be chosen carefully. And the rehabilitation exercises should be directed properly. All these are important measures for prevention.
Li
Guang-hui
GH
Department of Orthopaedics, Tongji Hospital, Tongji Medical College, Huazhong Science and Technology University, Wuhan 430030, China. liguanghui@tjh.tjmu.edu.cn
Li
Feng
F
Xia
Ren-yun
RY
Wang
Ti-pei
TP
Chen
An-min
AM
D000328:Adult; D000368:Aged; D001858:Bone Nails; D005260:Female; D005264:Femoral Fractures / Q000601:surgery*; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D017211:Treatment Failure