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KMID : 0361619950300020395
Journal of the Korean Orthopaedic Association
1995 Volume.30 No. 2 p.395 ~ p.402
Treatment of Femur Shaft Fracutre by Intramedullary Nailing


Abstract
The results of treatment of fracture of the femoral shaft with interlocking nailing were evaluated to determine the clinical usefulness. Eighty-two femoral fractures that had been treated by interloking nailing between October 1988 and June 1993
and had
been followed for more than one year were included in this study. Fifty-one cases were fresh closed fracture and twenty-four, fresh open fracture. Five cases were delayed union and two were non-union. Closed intramedullary nailing was used in
seventy-five cases and open intramedullary nailing in seven cases.
@ES The results were as follows :
@EN 1. According to Winquist-Hansen classification, 30 cases were type I, 16 type II, 13 type III 14 type IV, and 9 type V.
2. Static and dynamic interlocking nailing were done in 67 and 15 cases respectively.
3. The mean fracture healing period was 17 weeks with a range of 9 to 52 weeks.
4. Intraoperative complications were new fracture near the original fracture site(7 cases), femur neck fracture(1 cases), qudendal nerve neuropraxia(1 case). Postoperative complication were delayed union(13 cases), limb shorteniln(4
cases),
nonunion(3 cases), infection(3 cases), disal screw brokening(3 cases), nail breakge(1 case), proximal screw brodening(1 case) and 12 ¡Ævalgus angulation(1 case).
KEYWORD
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