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ORIGINAL ARTICLE
Year : 2017  |  Volume : 52  |  Issue : 1  |  Page : 66-71

Complex femoral fractures: management by interlocking nails and percutaneous cancellous screws


Department of Orthopaedic Surgery, Mansoura University Hospitals, Mansoura, Egypt

Correspondence Address:
Hatem S.A Elgohary
Department of Orthopedic Surgery, Mansoura University Hospitals, Mansoura, 35516
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/eoj.eoj_19_17

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Background Complex femoral fractures are fractures involving more than one anatomical region of the femur. Each of these fractures may be fixed with implants selected for each fracture, requiring large incisions. In this study, these fractures were fixed with antegrade interlocking nails and percutaneous cancellous screws. Patients and methods A prospective study was conducted at Mansoura University Emergency Hospital. Twenty-nine skeletally mature patients with complex femoral fractures included in this study were managed with antegrade interlocking nails and percutaneous cancellous screws. The orthopedic trauma association (OTA) classification was used for classifying fractures, and the Gustillo and Anderson classification was used for open fractures. Results All fractures in this study healed without complications. No statistically significant correlations were found between fracture type, fracture level, and healing time. Cases with open fractures of the femoral shaft had longer healing times, which were significant (P=0.03). There were no cases with malunion, femoral neck nonunion, or avascular necrosis of the femoral head. Conclusion Antegrade interlocking nail combined with percutaneous cancellous screws is a potent and effective method for fixing complex femoral fractures.


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