Our experience in using the Ender nailing procedure for the fracture of the femur.

概要

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During the period from April 1986 to March 1989, 15 cases of the femoral fracture except for the femoral neck fractures were repaired with the Ender nailing procedure. There were 7 males and 8 females, and their ages ranged from 16 to 81 years (average, 47.9). The sites of fracture were 1 case of subtrochanter, 12 femoral shafts and 2 supracondyles.The purpose of this article is to find out the advantages and disadvantages of the Ender nailing procedure for the femoral fracture.Result: Good bone union was obtained in all of our cases. The advantages of this procedure are as follows: (1) The surgical invasion is quite less than the other procedures; (2) The indication of this procedure is wide for the femoral fracture; and (3) The callus formation is rapid because of the external periosteal membrane is not injured during the opetation. The disadvantages of this procedure are as follows: (1) Shortening or deformity may occur in the cases of oblique or comminuted fractures; and (2) Pain or contracture at the site of nail insertion may also found.
西日本整形・災害外科学会の論文