Chinese Journal of Tissue Engineering Research ›› 2010, Vol. 14 ›› Issue (39): 7299-7302.doi: 10.3969/j.issn.1673-8225.2010.39.019

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Treatment of femoral shaft fractures after plate fracture with inter-locking intramedullary nail: Data analysis of 20 cases in one institute in 5 years

Li Jian, Zhang Zhen-shan, Zhao Hong-pu, Zhang Ping, Pan Yong-qian, Wu Yi-feng   

  1. Department of Orthopaedics, Third Affiliated Hospital of Guangzhou Medical College, Guangzhou   510150, Guangdong Province, China
  • Online:2010-09-24 Published:2010-09-24
  • Contact: Zhang Zhen-shan, Physician, Master’s supervisor, Department of Orthopaedics, Third Affiliated Hospital of Guangzhou Medical College, Guangzhou 510150, Guangdong Province, China doczhangzhen@126.com
  • About author:Li Jian, Professor, Chief physician, Department of Orthopaedics, Third Affiliated Hospital of Guangzhou Medical College, Guangzhou 510150, Guangdong Province, China
  • Supported by:

    the Medical Scientific Research Program of Guangdong Province, No. A2008289*

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Abstract:

BACKGROUND: Inter-locking intramedullary nail has been used for the treatment of femoral shaft fractures after plate fracture in recent years.
OBJECTIVE: To evaluate the clinical effects of inter-locking intramedullary nail combined bone grafting in treatment of femoral shaft fractures after plate fracture.
METHODS: A total of 20 consecutive patients with femoral shaft fractures after plate fracture were included in this study, including 13 cases using common plate and 7 cases using compressed plate. After the original implant was removed, inter-locking intramedullary nail combined bone grafting was applied under the guidance of fluoroscopy. Static locking was achieved in all cases, with 2 lock-nails at each end. The data of fracture healing time and function scores were recorded.
RESULTS AND CONCLUSION: The patients were followed up for 16.2 (10 to 36) months averagely. The postoperative Hohl score was excellent in 12 cases, good in 6, fair in 2. The totle excellent to good rate was 90%. All cases obtained union with a mean healing time of 7.4 (5 to 12) months. Results show that inter-locking intramedullary nail combined bone grafting is an effective treatment for femoral shaft fractures after plate fracture with good therapeutic effect, few postoperative complications and fractures healing.

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