J Korean Fract Soc.  1998 Jul;11(3):528-532. 10.12671/jksf.1998.11.3.528.

Closed Interlocking Nailing for Femoral Shaft Fracture -Comparison of results according to fracture comminution and site-

• Lee SW
• Kwun KW
• Kim SK
• Choi CH
• Chang HS

• KMID: 1943965
• DOI: http://doi.org/10.12671/jksf.1998.11.3.528

Abstract

To compare of result according to fracture comminution and fracture site, we reviewed retrospectively 68 femoral shaft fractures treated by closed interlocking intramedullary nailing. The Winquist-Hansen classification was used to categorize the degree of comminution, and fracture site was categorized to three parts as proximal 1/3, middle 1/3, and distal 1/3. The
results
were analized and compared in each categorized group The average bone union time was delayed in more severely comminuted fracture and in distal 1/3 fracture compared to proximal 1/3 or middle 1/3. Varus angulation deformity was occurred more frequently in proximal 1/3 and severely comminuted fracture group, and posterior angulation deformity was occured more frequently in distal 1/3 fracture group. All but one case showed good functional results regardless of fracture comminution, fracture site and development of malalignment.

Keyword

Fracture; Femoral shaft; Closed intrlocking intramedullary nailing

MeSH Terms

Classification
Congenital Abnormalities
Fracture Fixation, Intramedullary
Fractures, Comminuted
Retrospective Studies