Shafique Ahmad, Shoaib Ahmad, Abbas Bajwa, Pervaiz Iqbal, Sohail Yousaf.
A retrospective study of 100 cases of fracture shaft Femur treated by closed Intramedullary Nailing.
Proceeding Shaikh Zayed Postgrad Med Inst Jan ;16(1):30-6.

A retrospective study was performed to evaluate long-term functional and radiological results of closed intra-medullary nail in adult patients with fracture shaft of femur. One hundred and eleven patients were treated during forty eight months period (January 1997 - December 2000). One hundred patients were available for follow up, with a mean follow up period of 23 months range (18-48 months). Sixty nine patients were male, thirty one were female, with mean age of 42.6 +/- 17.5 years. Most of the patients presented with injury after road traffic accidents (69%). Eighty two percent of fractures were closed and 18% were open. In all patients after initial emergency treatment, fractures were reduced under image intensifier on a fracture table and closed intra-medullary nailing was performed. All the fractures healed radiologically between 12-16 weeks and all patients with united fractures were back to their work without any complaints with full active range of movements at knee joint within 16-18 weeks. Only 4% of cases had superficial infection, treated with antibiotics and 3% of cases had revision of surgery due to delayed or non-union. The authors concluded that closed intra-medullary nailing is an effective treatment for fracture of femoral shaft and follow up data of the patients clearly demonstrate the efficacy of closed intra-medullary nailing in terms of radiological healing and functional outcome of the patients.

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