Abstract: Background: Femoral shaft fractures are usually the result of highâ€energy trauma, such as road traffic accidents. Kuntscher was the first to introduce the concept of intramedullary nailing, later there were modifications in intramedullary nailing and for the first time Klemm and Schelmann, Grosse and Kempt and Russel Taylor developed proximal and distal fixation called intramedullary interlocking nail. Intramedullary nailing provide predictable restoration of femoral shaft alignment along with load sharing.
Aim and Objective: To evaluate an analysis in mid shaft femur fractures with the application of intramedullary nail.
Methodology: 37 cases of fracture shaft femur were studied in our study, admitted to A tertiary care teaching hospital in North India. All patients sustained a road traffic accident. Patient were analysed for short term outcome.
Results: The poor result in open interlocking nailing attributed to disturbance of fracture haematoma and periosteal stripping in open interlocking nailing. 3 patients had ipsilateral tibial shaft fracture 1 patient had degloving injury over his right calf region, 1 patient had ipsilateral patella and proximal third tibial fracture. All patients were investigated according to the protocol and surgery performed between day 3 to day 7 after trauma, average duration was 6 days. Blood loss ranged from 150-300ml with a mean of 200ml.
