Comparison of close and open interlocking intramedullary nailing treatment of femoral shaft fractures
Background and Objective: Femoral shaft traumatic fracture is one of the major causes of mortality and morbidity. Nowadays,the standard treatment method in adult is reduction with femoral interlocking intramedullary nailing. This study was performed to compare the open and closed methods femoral int...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | fas |
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Golestan University of Medical Sciences
2013-06-01
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| Series: | مجله دانشگاه علوم پزشکی گرگان |
| Subjects: | |
| Online Access: | http://goums.ac.ir/journal/browse.php?a_code=A-10-1-658&slc_lang=en&sid=1 |
| _version_ | 1811244824388435968 |
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| author | Khajemozafari J Peivandi MT Mostafavian Z Meftah Sh |
| author_facet | Khajemozafari J Peivandi MT Mostafavian Z Meftah Sh |
| author_sort | Khajemozafari J |
| collection | DOAJ |
| description | Background and Objective: Femoral shaft traumatic fracture is one of the major causes of mortality and morbidity. Nowadays,the standard treatment method in adult is reduction with femoral interlocking intramedullary nailing. This study was performed to compare the open and closed methods femoral interlocking intramedullary nailingin femoral shaft fractures treatment. Materials and Methods: This clinical trial study was done on 40 18-50 year old patients (33 men and 7 women with mean age of 26.3 years) with femoral shaft closed fracture who were referred to the Shahid Kamyab hospital of Mashhad, Iran during 2007-08. Patients were divided into two 20 membered groups of open and close femoral interlocking intramedullary nailing treatment. Subjects were followed for one year and the :::::union::::: time, infection and non-:::::union::::: level were measured. Clinical and radiological findings were analyzed using SPSS-13, Student’s t-test and Fisher's exact test. Results: 97.5% of :::::union::::: was obtained within six months in both groups. Full weight bearing was determined 6-12 weeks (mean of 9.3 weeks) in close and 12-16 weeks (mean of 13.25 weeks) in open reduction. Complications included non-:::::union::::: in open (one patient, 5%), infection in open (one patient, 5%), shortening in both (one patientin, 5%), limited range of movement in both (one patient, 5%) and malrotation in close (one patient, 5%) groups. Close reduction group showed higher rate of radiologic callus formation and earlier full weight bearing than open reduction group (P<0.005), but :::::union::::: rate was not significant. Conclusion: This study showed that there is no difference between final :::::union::::: rate of open and close reduction by interlocking intramedullary nailing in femoral shaft fractures. |
| first_indexed | 2024-04-12T14:31:33Z |
| format | Article |
| id | doaj.art-76f0bf735cf941669ad6a0050894a17f |
| institution | Directory Open Access Journal |
| issn | 1562-4765 2008-4080 |
| language | fas |
| last_indexed | 2024-04-12T14:31:33Z |
| publishDate | 2013-06-01 |
| publisher | Golestan University of Medical Sciences |
| record_format | Article |
| series | مجله دانشگاه علوم پزشکی گرگان |
| spelling | doaj.art-76f0bf735cf941669ad6a0050894a17f2022-12-22T03:29:15ZfasGolestan University of Medical Sciencesمجله دانشگاه علوم پزشکی گرگان1562-47652008-40802013-06-0115217Comparison of close and open interlocking intramedullary nailing treatment of femoral shaft fracturesKhajemozafari J0Peivandi MT1Mostafavian Z2Meftah Sh3 Assistant Professor, Department of Orthopaedic, Golestan University of Medical Sciences, Gorgan, Iran Social Medicin, Department of Social Medicin, Mashhad University of Medical Sciences, Mashhad, Iran Resident of Orthopaedic, Department of Orthopaedic, Mashhad University of Medical Sciences, Mashhad, Iran Background and Objective: Femoral shaft traumatic fracture is one of the major causes of mortality and morbidity. Nowadays,the standard treatment method in adult is reduction with femoral interlocking intramedullary nailing. This study was performed to compare the open and closed methods femoral interlocking intramedullary nailingin femoral shaft fractures treatment. Materials and Methods: This clinical trial study was done on 40 18-50 year old patients (33 men and 7 women with mean age of 26.3 years) with femoral shaft closed fracture who were referred to the Shahid Kamyab hospital of Mashhad, Iran during 2007-08. Patients were divided into two 20 membered groups of open and close femoral interlocking intramedullary nailing treatment. Subjects were followed for one year and the :::::union::::: time, infection and non-:::::union::::: level were measured. Clinical and radiological findings were analyzed using SPSS-13, Student’s t-test and Fisher's exact test. Results: 97.5% of :::::union::::: was obtained within six months in both groups. Full weight bearing was determined 6-12 weeks (mean of 9.3 weeks) in close and 12-16 weeks (mean of 13.25 weeks) in open reduction. Complications included non-:::::union::::: in open (one patient, 5%), infection in open (one patient, 5%), shortening in both (one patientin, 5%), limited range of movement in both (one patient, 5%) and malrotation in close (one patient, 5%) groups. Close reduction group showed higher rate of radiologic callus formation and earlier full weight bearing than open reduction group (P<0.005), but :::::union::::: rate was not significant. Conclusion: This study showed that there is no difference between final :::::union::::: rate of open and close reduction by interlocking intramedullary nailing in femoral shaft fractures.http://goums.ac.ir/journal/browse.php?a_code=A-10-1-658&slc_lang=en&sid=1Reamed Interlocking Intramedullary Nailing:::union::: TimeInfectionNon-:::union:::Open ReductionClose ReductionFemoral Shaft Fracture |
| spellingShingle | Khajemozafari J Peivandi MT Mostafavian Z Meftah Sh Comparison of close and open interlocking intramedullary nailing treatment of femoral shaft fractures مجله دانشگاه علوم پزشکی گرگان Reamed Interlocking Intramedullary Nailing :::union::: Time Infection Non-:::union::: Open Reduction Close Reduction Femoral Shaft Fracture |
| title | Comparison of close and open interlocking intramedullary nailing treatment of femoral shaft fractures |
| title_full | Comparison of close and open interlocking intramedullary nailing treatment of femoral shaft fractures |
| title_fullStr | Comparison of close and open interlocking intramedullary nailing treatment of femoral shaft fractures |
| title_full_unstemmed | Comparison of close and open interlocking intramedullary nailing treatment of femoral shaft fractures |
| title_short | Comparison of close and open interlocking intramedullary nailing treatment of femoral shaft fractures |
| title_sort | comparison of close and open interlocking intramedullary nailing treatment of femoral shaft fractures |
| topic | Reamed Interlocking Intramedullary Nailing :::union::: Time Infection Non-:::union::: Open Reduction Close Reduction Femoral Shaft Fracture |
| url | http://goums.ac.ir/journal/browse.php?a_code=A-10-1-658&slc_lang=en&sid=1 |
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