EVALUATING THE TREATMENT RESULTS OF SHAFT FEMORAL FRACTURES WITH INTRAMEDULARY INTERLOCKING NAILING SURGERY WITHOUT OPENING THE FRACTURE
Main Article Content
Abstract
Background: Fracture of the femoral shaft is often caused by high-energy injuries and can result in severe disability and prolonged illness if not appropriately treated. The closed intramedullary nail fixation technique performed on fluoroscopy helps ensure more precise surgery, maintains blood supply, promotes better bone healing, and reduces the risk of infection. Objectives: To evaluate and factors related to indications, techniques, and treatment outcomes of femoral shaft fractures with closed intramedullary interlocking nail. Materials and methods: A cross-sectional descriptive study, we performed closed intramedullary nailing surgery on 41 patients with femoral shaft fractures from April 2023 to December 2023. Results: A study on 41 patients, 30 males and 11 females, with an average age of 30.22 ± 17.57 (16 - 72 years old). Correction results according to Larson - Bostman standard: 68.29% very good, the rest 31.71% good. Time to have a bridge was from 5th week to 12th week after surgery, mainly in 8th week (accounting for 26.63%). Bone healing appeared from 4th month after surgery, most commonly in 6th month (accounting for 26.63%). Most femurs heal without displacement (accounting for 90.24%), displacement was little (accounting for 7.32%), there was 1 case of fusion with a lot of displacement (accounting for 2.44%). Overall results according to Ter - Schiphort standard: very good and good results were 80.49%, average (19.51%), there was no inferior outcome. Conclusions: Closed intramedullary interlocking nail is an effective and safe method, resulting in good treatment outcomes for femoral shaft fractures.
Article Details
Keywords
Fractures of the femoral shaft, intramedullary interlocking nail, closed reduction, imaging scanner intensifier
References
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