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MedPulse - International Medical Journal, ISSN 2348-2516 E-ISSN: 2348-1897
Volume 1, Issue 8, Aug 2014 pp 444-446
Research Article
Management of fractures of shaft of femour by closed and open method by IM Kuntsher Nailing
Gourishankar D
Assistant Professor, Department of Orthopaedics, BRIMS Bidar, Karnataka, INDIA.
Abstract
Background: During the past four decades there has been a great advance in the treatment of femoral shaft fractures. Still there are still controversies in results of femoral shaft fractures treated by close versus open IMN. Aim and objective: To compare and evaluate the results of healing and its complications in femoral shaft fracture management treated by open and close IMN technique. Methodology: A total of 68 adult patients were operated due to fracture of the femur with close or open IMN technique. A total of 34 patients operated with close IMN technique were included in Group I while 34 patients operated with open IMN technique constituted Group II with inclusion and exclusion criteria. Results: Among 68 patients, 30 had undergone close nailing operation and 32 open nailing. The mean age among patients in close nailing and open nailing groups was 28.2±4.8 and 32.4±6.2 years respectively with no statistical significance. The mean time in closed and open technique was 14.2±2.6 and 17.8±3.4 weeks respectively and statistically significant (P < 0.001). The infections were more in Group II (18.75%) as compared to Group I (6.67%). The other complications were also more in Group II patients. Conclusion: Thus we conclude that closed reduction technique is superior to open reduction in respect to management of femur shaft fracture.
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