Prospective study on functional outcome of fracture shaft of femur (Winquest Hansen type 1, 2 and 3) treated with intramedullary interlocking nail

Author(s): Dr. Sourav Kumar Pal, Dr. Debasish Mishra and Dr. Saurav Narayan Nanda

Abstract: The management of femoral shaft fractures using intramedullary nailing is a popular method. The purpose of this study was to evaluate the functional outcome after antegrade intramedullary nailing of traumatic femoral shaft fractures. In a prospective study, patients with a femoral shaft fracture but no other injuries to the lower limbs or pelvis were included. A total of 40 patients met the inclusion criteria. All were operated by the standard procedure of antegrade intramedullary interlocking nailing. Patients were reviewed at 1, 3, 6, 12 months and we used KLAUSS & KLEMN CRITERIA and McNAIRS LOWER LIMB QUESTIONNARE for quantification of functional outcome. The mean age of such fractures was 24 years (+/- 5 years), majority being a male and the main mechanism of injury being RTA. There were 2 cases of fat embolism and 2 cases of superficial infection which were healed by the conservation method. The average time of radiological union was 12-24 weeks. There was no case of non-union but 1 case of delayed union for which dynamization was done. Final functional outcome came out to be good to excellent in all the patients.

DOI: https://doi.org/10.22271/ortho.2021.v7.i1c.2476