Intramedullary nailing in the treatment of reoperated femoral shaft fractures.

概要

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Eleven cases of reoperated femoral shaft fractures using intramedullary nailing method were reviewed. The results showed excellent bone union in all the cases after an avarage of 11.1 months postoperatively. The ages of the patients ranged from seventeen to fifty-nine (average, 36.1) and all were male. Primary operations had been carried out by plates and screws in ten cases and by Küntscher Intramedullary nail in one. Nine Kúntscher and two Grosse and Kempf intramedullary nails were used for the final operations. We would prefer intramedullary nails, especially using closed method, to plate fixation because the former preserves blood supply to the fracture site. Grosse and Kempf nail which has transverse locking screws prevents shortening and rotational deformity of the fragments and this has widen the indication of the original Kúntscher nail.
西日本整形・災害外科学会の論文