title: [Unilateral external fixation assisted with closed reduction and interlocking intramedullary nail fixation for the treatment of comminuted fracture of femoral shaft].
abstract: OBJECTIVE
  To introduce the use of single arm external fixation assisted reduction and closed complex intramedullary nail fixation for the treatment of femoral shaft fracture operation method and to study its effects.
  
  
  METHODS
  From June 2008 to October 2012, 24 patients with femoral shaft fractures were treated with unilateral external fixation assisted by closed reduction, interlocking intramedullary nail fixation. Among the patients, 19 patients were male and 5 patients were female, ranging in aged from 20 to 68 years,with an average of 45.6 years old. The fracture was caused by traffic accidents in 14 cases, by falling in 6 cases, by heavy bruising in 4 cases. Admission diagnosis was femoral shaft fracture. Operation was performed after traction from tibial tubercle for about 1 week.
  
  
  RESULTS
  All the patients were followed up, and the duration ranged from 6 to 24 months, with a mean of 16.2 months. The X-ray showed fracture healing time ranging from 11 to 17 weeks, with an average of 13.8 weeks. All fractures healed without nails broken or close joint dysfunction. According to femoral shaft efficacy evaluation standards, 23 patients got an excellent result, 1 good.
  
  
  CONCLUSIONS
  Unilateral fixator assisted closed reduction and interlocking intramedullary nail fixation for the treatment of femoral shaft fracture has following advantages: less trauma, simple operation, effective reduction, high rate of fracture healing, and low complication rate.
authors.affiliation: Orthopaedics and Traumatology Hospital of Traditional Chinese Medicine, Zhoushan 316000, Zhejiang, China. zszhb@yahoo.com.cn
authors.forename: Hai-Bing
authors.initials: HB
authors.lastname: Zhu
authors.affiliation: Orthopaedics and Traumatology Hospital of Traditional Chinese Medicine, Zhoushan 316000, Zhejiang, China.
authors.forename: Li-Guo
authors.initials: LG
authors.lastname: Wu
authors.affiliation: Orthopaedics and Traumatology Hospital of Traditional Chinese Medicine, Zhoushan 316000, Zhejiang, China.
authors.forename: Zhe-Min
authors.initials: ZM
authors.lastname: Li
authors.affiliation: Orthopaedics and Traumatology Hospital of Traditional Chinese Medicine, Zhoushan 316000, Zhejiang, China.
authors.forename: Zhi-Song
authors.initials: ZS
authors.lastname: Fang
authors.affiliation: Orthopaedics and Traumatology Hospital of Traditional Chinese Medicine, Zhoushan 316000, Zhejiang, China.
authors.forename: Cong-Feng
authors.initials: CF
authors.lastname: Luo
authors.affiliation: Orthopaedics and Traumatology Hospital of Traditional Chinese Medicine, Zhoushan 316000, Zhejiang, China.
authors.forename: Hong
authors.initials: H
authors.lastname: Gao
authors.affiliation: Orthopaedics and Traumatology Hospital of Traditional Chinese Medicine, Zhoushan 316000, Zhejiang, China.
authors.forename: Qing-Feng
authors.initials: QF
authors.lastname: Wang
authors.affiliation: Orthopaedics and Traumatology Hospital of Traditional Chinese Medicine, Zhoushan 316000, Zhejiang, China.
authors.forename: Guo-Hai
authors.initials: GH
authors.lastname: Fu
authors.affiliation: Orthopaedics and Traumatology Hospital of Traditional Chinese Medicine, Zhoushan 316000, Zhejiang, China.
authors.forename: Yi-Ping
authors.initials: YP
authors.lastname: Ma
mesh_terms: D000328:Adult; D000368:Aged; D016267:External Fixators; D005260:Female; D005264:Femoral Fractures / Q000601:surgery*; D005594:Fracture Fixation, Intramedullary / Q000379:methods*; D017102:Fracture Healing; D018460:Fractures, Comminuted / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D014143:Traction