Harran Üniversitesi Tıp Fakültesi Dergisi

Yazarlar: Cemil ERTÜRK, Mehmet Akif ALTAY, Metin YAPTI, Ali LEVENT, Baki Volkan ÇETİN, Nuray ALTAY, Kemal YÜCE

Konular:-

Anahtar Kelimeler:Femoral Fractures Fracture Fixation,Intramedullary nailing

Özet: Background: Fractures of the femoral shaft are one of the most common fractures. Reamed intramedullary (IM) nailing is a successful technique in the treatment of femoral shaft fractures. However, in certain situations, a mini-open reduction technique may be alternative and advantageous. The aim of the study is to evaluate the efficacy, convenience and outcomes of mini-open IM nailing for femur shaft fracture and to compare with the previously published reports. Material and methods: We have treated 18 patients (15 males, 3 females; mean age 30.8±14.1 years) who had 18 femur shaft fractures by using mini-open IM nailing. Thirteen fractures were right leg and five were left leg. We followed up the patients for mean 33.6±12.9 months. We evaluated the union time of fractures, radiological and functional results according to Klemm Borrner criteria. Results: Mean follow-up periods of 33.6±12.9 months. The fractures healed in mean 21.9±3.5 weeks. Delayed union was seen in two (11%) patients. None of the patients had any complication like neurovascular damage, infection and malunion. Functionally, 15 patients (83%) have excellent and three patients (17%) have good results. Conclusions: We noticed that there is no discrimination for union time in femur fractures which treated by intramedullary nailing with mini open or closed technique. The mini open technique was not increase complication rate and morbidity. Therefore, in cases where closed reduction is not possible mini open locked intramedullary nailing could be preferred in treatment of femur shaft fractures as an alternative of closed technique.

---