OUTCOMES OF INTRAMEDULLARY NAILING IN THE TREATMENT OF FEMORAL SHAFT FRACTURES: A CLINICAL STUDY AT DA NANG HOSPITAL
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Abstract
Background: In Vietnam, many orthopedic centers have adopted locked intramedullary nailing for the management of femoral shaft fractures. This study was conducted at Da Nang Hospital to evaluate the outcomes of intramedullary nailing in patients with femoral shaft fractures. Objectives: To evaluate selected outcomes of intramedullary nailing for the treatment of femoral shaft fractures at Da Nang Hospital. Materials and methods: The study was conducted from January 2022 to September 2023 and included 32 patients. Results: The results showed that the majority of patients underwent surgery within 2–3 days after hospital admission (75%). The mean operative time was 74.2 ± 16.2 minutes, and the average length of hospital stay was 8.3 ± 2.3 days. At one-year follow-up, the bone union rate was 90.6%, while three patients developed nonunion and required revision surgery. According to the Ter-Schiphort scoring system, excellent-to-good outcomes accounted for 90.6% of cases, whereas poor outcomes were observed in 9.4% of patients. Conclusions: These findings suggest that intramedullary nailing can be routinely performed at the hospital. Although this study was limited by a small sample size, a descriptive design, and the absence of a control group.
Keywords
Femoral shaft, IM nail, nonunion
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References
2. N.T. Anh. Đánh giá kết quả điều trị gãy không vững thân xương đùi bằng kết hợp xương đinh SIGN tại bệnh viện Trung Ương Huế. Luận văn bác sĩ nội trú. Đại học Y Dược Huế. 2013.
3. V. Q. Hưng. Đánh giá kết quả điều trị gãy kín phần xa thân xương đùi phức tạp bằng đinh SIGN có chốt ngược dòng tại bệnh viện Việt Đức từ 1/2012 - 7/2014. Luận văn bác sĩ chuyên khoa II. Đại học Y Hà Nội. 2014.
4. A. Kropfl, J Davies, U Berger, H Hertz, G Schlag. Intramedullary pressure and bone marrow fat extravasation in reamed and unreamed femoral nailing. Journal of Orthopaedic Research. 1999. 17261-268. doi: 10.1002/jor.1100170216.
5. Yong-Gang Ma, Ge-Liang Hu, Wei Hu, Fan Liang. Surgical factors contributing to nonunion in femoral shaft fracture following intramedullary nailing. Chinese Journal of Traumatology. 2016. 19, 109-112. doi: 10.1016/j.cjtee.2016.01.012.
6. N. T. Linh. Nghiên cứu quy trình điều trị gãy kín thân xương đùi không vững bằng đinh nội tủy có chốt dưới màn tăng sang. Luận án Tiến sĩ. Đại học Y Hà Nội. 2018.
7. Wei Jiang, Yan Lin, et al. A novel reduction device for the minimally invasive treatment of femoral shaft fractures. Am J Transl Res. 2020. 12(7), 3917-3925.
8. S. I. Ghouri. Does Open Reduction in Intramedullary Nailing of Femur Shaft Fractures Adversely Affect the Outcome? A Retrospective Study. Advances in Orthopedics. 2020. 7583204. doi: 10.1155/2020/7583204.
9. M. S. Soylemez. Does using different entrance points for intramedullary nails affect clinical outcomes for femoral shaft fractures? A retrospective clinical comparative study. North Clin Istanb. 2020. 7, 609-618. doi: 10.14744/nci.2020.08058.
10. R. E. Buckley. Femur, shaft (including subtrochanteric fractures). AO Principles of Fracture Management. 2017. 792-836.
11. N. Kimmatkar, et al. Diaphyseal Femoral Intramedullary Nailing: Closed or Open Intervention?. International Journal of Scientific Study. 2014. 1(5), 15-18.
12. Y. Chen. Radiographic outcomes of the treatment of complex femoral shaft fractures (AO/OTA 32-C) with intramedullary nailing: a retrospective analysis of different techniques. Journal of International Medical Research. 2022. 50, 1-13. doi: 10.1177/03000605221103974.
13. Đ. Đ. Tùng. Đánh giá kết quả phẫu thuật điều trị gãy thân xương đùi bằng đinh nội tủy có chốt. Luận văn bác sĩ chuyên khoa II. Đại học Y Hà Nội 2019.