Mehmet Ata GÖKALP, Seyyid Şerif ÜNSAL, Abdurrahim GÖZEN, Necip GÜVEN, SAVAŞ GÜNER

Intramedullary nailing of femural shaft fracture

In this study, we examined adult patients with femur shaft fracture who treated with open-closed reduction and reamerized intramedullary nailing. Thus we aimed to evaluate clinical and radiological results of the adult patients and compare them with the studies in the literature. 42 extremities of 40 patients (35 male-5 female) who admitted to Yüzüncü Yıl University Faculty of Medicine, Department of Orthopeady and Traumatology with femur shaft fracture and were treated with locked intramedullary nail between 2009 and 2012 are included in this study. We aimed to evaluate early results of locked intramedullary nailing. In light of these evaluations we saw that our results were compatible with the literature. We believe that locked intramedullary nailing is one of the most successful methods in the treatment of femur shaft fractures.

___

1. Duman E, Ateş Y: The journal of Turkish Orthopaedics and Traumatology Association. 2008; 7: 1-2.

2. Rockwood and Green's Fraclures in Adults. J. Bi. Lippincott Company, Philadelphia, Third Ed. Vol. 2, 1991.

3. Browner BD. Pitfalls, errors, and complications in the use of locking Küntscher nails. Clin Orthop Relat Res 1986; 192-208.

4. Brownwer BD. Locked nailing of femoral fractures. In: Brownwe BD, editör.The science and practice of intramedullary nailing. 2 th ed. Connecticut: Williams & Wilkins 1996; p. 161-183.

5. Baytok G, Zöhre S. Examination of adult femoral shaft fractures in patients who were treated with conservative methods. Eighth the Turkish orthopedics and traumatology congress book. 145- 19, Ankara. Prıntıng press of Emel 1984.

6. Suchalz WR, Jones A. Current concepts review fractures of the shaft of the femur. J bone joint surg 73-:1561-1565-1991.

7. Buxton R.A. The use of perkins' Traction in the treatment of femoral shaft fractures. J Bone joint surg. 63-B:362-366,1981

8. Winquist RA, Hansen ST Jr, Clawson DK. Closed intramedullary nailing of femoral fractures. A report of five hundred and twenty cases.J Bone Joint Surg (Am) 1984; 66: 529-539.

9. Klemm K, Schellmann WD. Dynamic and static locking of the intramedullary nail. Monatsschr Unfallheilkd Versicher Versorg Verkehrsmed 1972; 75: 568-575.

10. Bucholz RW, Jones A. Fractures of the shaft of the femur. J Bone Joint Surg 1991; 73: 1561-1566.

11. Chevalley F, Amsutz C, Bally A. Experimental study of external fixation of femoral fractures. Mechanical properties of different kinds of fixation. Clinical implications. Rev Chir Orthop Reparatrice Appar Mot 1992; 78: 423-429.

12. Kesler SB, Hallfeldt KK, Perren SM, Schweiberer L.The effects of reaming and intramedullary nailing on fracture healing. Clin Orthop 1986; (212): 18-25.

13. Ege R. Femural shaft fractures. Ege R, Traumatology, fractures, joint injuries. Vol. 3, 4 th ed. Ankara: Prıntıng press of Kadıoğlu 1989. S. 2360-2437.

14. Magerl F, Wyss A, Brunner C, Binder W. Plate osteosynthesis of femoral shaft fractures in adults. A follw-up study. Clin Orthop 1979; (138):62-73.

15. Ruedi TP, Luscher JN. Results after internal fiksation of comminuted fractures of the femoral shaft with DC plates. Clin Orthop 1979;(138): 74-6

16. McKee MD, Waddell JP. İntramedullary nailing of femoral fractures in morbidly obese patients. J Trauma 1994; 36: 208-210

17. Bucholz RW, Brumback RJ. Fractures of the shaft of the femur. In: Rocjwood CA, Green DP, editors. Rockwood and Green's fractures in adults. Vol. 2. 4th ed. Philadelphia: Lippincott; 1996. p. 1827-919.

18. Brumback RJ, Uwagie-Ero S, Lakatos RP, et al. Intramedullary nailing of femoral shaft fractures. Part II: Fracture-healing with static interlocking fixation. J Bone Joint Surg 1988; 70: 1453-1462.

19. Tüzüner T et al. Treatment of femoral shaft fractures with intramedullary nailing; Acta Orthop Ttraumatol Turc 2002; 36: 211-219.

20. Johnson KD, Johnston DW, Parker B. Comminuted femoral shaft fractures: treatment by roller traction, cerclage wires and an intramedullary nail, or an interlocking intramedullary nail. J Bone joint Surg (Am) 1984; 66: 1222-1235.

21. Rothwell AG. ClosedKuntscher nailing for comminuted femoral shaft fractures. J Bone Joint Surg (Br) 1982; 64: 12-16.

22. Brumback RJ, Ellison PS Jr, Poka A, et al. Intramedullary nailing of open fractures of the femoral shaft. J Bone Joint Surg (Am) 1989; 71: 1324-1331.

23. Stambough JH, Hopson CN, Cheeks ML. Stable and unstable fractures of femoral shaft. Orthop Rev 1991; 20: 855-861.

24. Brumback RJ, Wells JD, Lakatos R, et al. Heterotopic ossification about the hip after intramedullary nailing for fractures of the femur. J Bone Joint Surg 1990; 72: 1067-1073.

25. Mileski RA, Garvin KL, Crosby LA. Avascular necrosis of the femoral head in an adolescent following intramedullary nailing of the femur. A case report. J Bone Joint Surg 1994; 76: 1706-1708.