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| Year : 1996 | Volume
: 30
| Issue : 1 | Page : 163-165 |
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Closed Interlocking Nailing In Femoral Shaft Fracture : A Clinical Study
C. S Yadav, K. T Kamble, Vinod Kumar, Deepak Chaudhary, P. P Singh, Loveneesh Krishna
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Correspondence Address:
C. S Yadav
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Sixty femoral shaft fractures were treated with interlocking intramedullary nail at Central Institute of Orthopaedics, Safdarjang Hospital, New Delhi. Nineteen fractures were transverse or short oblique, 12 were long-oblique or spiral and 29 were comminuted. Out of sixty, thirty fractures were located in middle third. 34 fractures were treated with static interlocking and 26 with dynamic interlocking. The average time of full weight bearing was 33 days. Radiographic consolidation was seen in all fractures at the average time of sixteen weeks. The minimum followup was 4 months, maximum 18 months. The results were excellent in forty two fractures, good in eight, fair in seven and poor in three. We conclude that interlocking nail is useful in treating patients with unstable fractures, multiple fractures, grade one compound fractures and fractures in osteoporotic bones where role of conventional I.M. nail is very limited. Dynamization does not enhance the rate of union. Wherever in doubt static nailing with optimum reaming should be the method of choice. |
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