Study on Management of Comminuted Fractures of the Shaft of Femur by Interlocking Nailing at a Tertiary Level Hospital in India
A femoral shaft fracture is one of the most common fractures observed in orthopaedic practise. In patients who have been exposed to high energy trauma, the fracture shaft of the femur is a leading cause of morbidity and mortality. This study looks at the epidemiology of patients who report with femur fractures at a tertiary level hospital in Navi Mumbai. The goal of this study was to see how long it took for comminuted femur fractures to heal. 2) To determine the length of stay in the hospital, and 3) to investigate the issues that may arise. 4) It’s time to go for a walk.
This prospective study was undertaken in a tertiary level hospital in Navi Mumbai from January 1, 2014 to July 31, 2015. All patients with a comminuted femur fracture who were treated with interlocking nailing were included in the study. Various clinical and radiological indicators were gathered during the course of treatment.
The study included 50 patients, with 84 percent of them being men. 88 percent were under the age of 50. A car accident was the most common cause of injury, and 54 percent of patients had a fracture in the middle one-third of their femur. After 12 to 14 weeks, 52 percent of patients had clinical union, whereas radiological union was evident in the majority of patients after 16 to 18 weeks. In 10 weeks, 36% of patients started partial weight bearing, and in 16 weeks, 42% started complete weight bearing. The majority of patients were admitted for 10 to 14 days, and 66 percent of them had excellent functional outcomes as judged by Klemm and Borner criteria. Only six patients developed issues as a result of the procedure.
Conclusions: In our experience, interlocking nailing resulted in a low complication rate and a good functional outcome in two-thirds of comminuted femur fracture patients.
Author (s) Details
Aashay Kekatpure
Department of Orthopaedics, Padmashree Dr. D.Y. Patil Hospital and Research Centre, Navi Mumbai, India.
Shikhar D. Singh
Department of Orthopaedics, Padmashree Dr. D.Y. Patil Hospital and Research Centre, Navi Mumbai, India.
Sachin Kale
Department of Orthopaedics, Padmashree Dr. D.Y. Patil Hospital and Research Centre, Navi Mumbai, India.
Prasad Chaudhari
Department of Orthopaedics, Padmashree Dr. D.Y. Patil Hospital and Research Centre, Navi Mumbai, India.
Sanjay Dhar
Department of Orthopaedics, Padmashree Dr. D.Y. Patil Hospital and Research Centre, Navi Mumbai, India.
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