Intramedullary nail or anatomical plate internal fixation for closed reduction of femoral shaft fracture: comparison of fracture stability

doi:10.3969/j.issn.2095-4344.2015.17.018

Abstract

Abstract:

BACKGROUND: Closed reduction of femoral shaft fracture is a common orthopedic fracture type, and can be treated conservatively, but comminuted fracture and serious conditions should be treated by surgery. Intramedullary nail and anatomical plate are commonly used for internal fixation, the choice of the two materials for the femoral fixation remains controversial.

OBJECTIVE: To compare and analyze the clinical prognosis and fracture stability in closed reduction of femoral shaft fractures with intramedullary nail or anatomical bone plates.

METHODS: From January 2011 to December 2013, 86 patients with femoral shaft fracture recruited from Jiangdu People’s Hospital of Yangzhou were involved in the retrospective study. All patients were divided into two groups, receiving intramedullary nail and anatomical bone plates, respectively. Clinical prognosis, fracture stability and adverse events in the two groups were compared.

RESULTS AND CONCLUSION: The intraoperative blood loss and postoperation drainage volume in the intramedullary nail group were significantly lower, while the operation time and fracture healing time were significantly shorter than the anatomical bone plates group (P < 0.05). The excellent and good rate was higher in the two groups, and there was no significant difference between the two groups, although the rate in intramedullary nail group was higher than anatomical bone plates group (P > 0.05). The adverse reactions in intramedullary nail group were significantly less than anatomical bone plates group (9%, 35%, P < 0.05). Compared with the intramedullary nail group, more cases in anatomical bone plates group appeared poor fixation and fixator rupture, the incidence of complications was higher, and postoperative stability was poorer. Experimental findings indicate that, both intramedullary nail and anatomical bone plates can achieve good outcomes in the treatment of closed reduction of femoral shaft fractures, but the intramedullary nailing causes fewer trauma, lower incidence of adverse events, and better compatibility and stable, it is worthy of clinical application.

中国组织工程研究杂志出版内容重点：人工关节；骨植入物；脊柱；骨折；内固定；数字化骨科；组织工程

全文链接：

Key words: Femur, Fractures, Bone, Bone Nails, Internal Fixators, Follow-Up Studies

CLC Number:

R318

Shi Hai-shan. Intramedullary nail or anatomical plate internal fixation for closed reduction of femoral shaft fracture: comparison of fracture stability[J]. Chinese Journal of Tissue Engineering Research, 2015, 19(17): 2724-2729.

Figures/Tables 6

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