Result of intramedullary nailing in segmental femur fracture

Abstract

Introduction: Intramedullary nailing had become mainstay of treatment in complex fractures excluding joint involvement as it is less invasive procedure, chances of infection are less, patient can be early mobilised and reduces morbidity related to blood loss. This prospective case study was done in civil Hospital Ahmedabad between February 2018 to march 2020. Aims and Objectives: To evaluate Post-operative alignment of fracture fragments, time for radiological union at fracture site and the post-operative complications in long term follow-up (1 Year). Results: 31 patients were evaluated in this study in which femur fracture were most common in 21-30 year age group out of which 28 were ale and 3 were female, with 21 patients having close fracturea 3 having OGI and 7 Having OGII, requiring 19.5 weeks for union in closed and 20 and 21 weeks respectively in OGI and OGII, most common complication was non-union and superficial infection in 3 of the patients in each category, and proximal femur nail was used maximally in 11 patients followed by femur nail in 8 patients. Conclusion: Interlocking nail reduces the chance of infection due to small openings for entry of nails and increases the rate of union due to its locking mechanism which leads to abundant callus formation.