Lal Mohammad Kakar, Mohammad Ishaq, Raja Shoaib Anjum.
Management of Diaphyseal Fracture of Femur with Ante-grade and Retrograde Nailing: a Comparative Trial.
Pak J Med Health Sci Jan ;12(4):1679-81.

Background: Diaphyseal fracture or mid shaft fractures of femur are common presentation in an orthopedic setting. Retrograde and ante-grade nailing are the two methods for management of diaphyseal fracture. Aim : To compare the outcome of diaphyseal fracture of femur with ante-grade and retrograde nailing. Methods: This randomized controlled trial study was carried out at Department of Orthopaedic, Bolan Medical Complex Hospital, Quetta 1st June to 31st December 2017. One hundred consecutive patients presented with diaphyseal fracture of femur were included and randomly divided in two groups. Patient’s demographics were recorded. Surgeries were performed by researcher and nailing was done and outcome was recorded. Results : The mean ages were 45.10+/-15.84 years in retrograde group and 45.98+/-16.75 years in ante-grade group. There were 44(88%) males and 6(12%) females in retrograde group and there were 47 (94%) males and 3 (6%) females in ante-grade group. The mean operative time was 166 .40+/-9.04min in retrograde group while 174.02+/-8.92min in ante-grade group. The mean blood loss was 192.58+/-62.23 ml in retrograde group while 286.68+/-81.95ml in ante-grade group. Complete healing was observed in 48(96%) cases with retrograde nailing while in 42 (84%) cases with ante-grade nailing. Complete union was observed in 48 (96%) cases with retrograde nailing while in 40 (80%) cases with ante-grade nailing. Conclusion: The outcome was significantly better with retrograde nailing as compared to ante-grade nailing for management of diaphyseal fracture of femur.

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