J Korean Orthop Assoc.  1994 Apr;29(2):591-597. 10.4055/jkoa.1994.29.2.591.

Clinical Evaluation of Complications of Interlocking Nail for Femoral Shaft Fracture

• Kim KC
• Choi JY
• Kim JS
• Jhe YS

• KMID: 2423773
• DOI: http://doi.org/10.4055/jkoa.1994.29.2.591

Abstract

The intramedullary nailing is one of the most available method in treatment of femoral shaft fracture. Since the development of Kuntscher naukl in 1940, new design such as Grosse-Kempf IM nailing became widely used by more applicable level of femoral shaft fracture. Therefore, complications of intramedullary nailing was rarely seen. The authors analysed complications in 7 cases of intramedullary nailing for treatment of femoral shaft fracture in Koryo General Hospital from Jan. 1991 to Jan. 1993., and the results were as follows; 1. The average age was 40.5 years and all patient's sex were male. 2. Among 7 cases, complications were delayed union in 4 cases, metallic failure in 2 cases and femoral neck fracture in 1 case. 3. Among 4 cases of delayed union, 3 cases treated by weight-bearing after dynamization and 1 case treated by bone graft after dynamization. 4. Metallic failure occurred in 2 cases, 1 case developed metallic corrosion in medullary canal, the other case developed metal failure at fracture. 5. Fomoral neck fracture in 1 case was treated by multiple Knowles' pins.

Keyword

femoral shaft fracture; complications; IM nailing

MeSH Terms

Corrosion
Femoral Neck Fractures
Fracture Fixation, Intramedullary
Hospitals, General
Humans
Male
Methods
Neck
Transplants
Weight-Bearing