Journals / Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.) / 2006 / Cilt: 17 - Sayı: 3

Interlocking intramedullary nailing in femoral shaft fractures: the effect of open or closed reduction on the results

Femur cisim kırıklarında intramedüller kilitli çivileme: Açık ve kapalı redüksiyonun sonuçlar üzerine etkisi

Pages
115–122
Publication Date
2022-10-18
DOI
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The two groups were compared with regard to operation time, amount of bleeding, union time, delayed union and nonunion rates, infections, and functional results.Results: The mean operation time (137±21 min) and the mean amount of bleeding (421±50 ml) were significantly increased in the open reduction group, which were 115±36 min and 296±44 ml in the closed reduction group (p

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Objective & Hypothesis:Objectives: We compared the results of interlocking intramedullary nailing after closed or open reduction of femoral shaft fractures.Patients and methods: The study included 179 femoral shaft fractures of 170 patients (98 males, 72 females; mean age 37 years; range 18 to 82 years).
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Key Findings & Data:All the patients underwent reamed interlocking intramedullary nailing after closed (n=101) or open (n=78) reduction.
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Conclusion & Impact:The two groups were compared with regard to operation time, amount of bleeding, union time, delayed union and nonunion rates, infections, and functional results.Results: The mean operation time (137±21 min) and the mean amount of bleeding (421±50 ml) were significantly increased in the open reduction group, which were 115±36 min and 296±44 ml in the closed reduction group (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objectives: We compared the results of interlocking intramedullary nailing after closed or open reduction of femoral shaft fractures.Patients and methods: The study included 179 femoral shaft fractures of 170 patients (98 males, 72 females; mean age 37 years; range 18 to 82 years). The fractures were classified according to the Winquist-Hansen classification. All the patients underwent reamed interlocking intramedullary nailing after closed (n=101) or open (n=78) reduction. The two groups were compared with regard to operation time, amount of bleeding, union time, delayed union and nonunion rates, infections, and functional results.Results: The mean operation time (137±21 min) and the mean amount of bleeding (421±50 ml) were significantly increased in the open reduction group, which were 115±36 min and 296±44 ml in the closed reduction group (p

Özet

Amaç: Femur cisim kırıklarında kapalı veya açık redüksiyon sonrası yapılan kilitli intramedüller çivileme sonuçları karşılaştırıldı.Hastalar ve yöntemler: Çalışmaya 170 hastanın (98 erkek, 72 kadın; ort. yaş 37; dağılım 18-82) 179 femur cisim kırığı alındı. Kırıklarda Winquist-Hansen sınıflaması kullanı ldı. Bütün hastalara kapalı (n=101) veya açık (n=78) redüksiyondan sonra oymalı kilitli intramedüller çivileme yapı ldı. Gruplar, ameliyat süresi, kanama miktarı, kaynama süresi, gecikmiş kaynama ve kaynamama oranları, enfeksiyonlar ve fonksiyonel sonuç açısından karşılaştırıldı. Ortalama takip süresi 38 ay (dağılım 24-94 ay) idi.Bulgular: Açık redüksiyon grubunda ortalama ameliyat süresi (137±21 dk) ve ortalama kanama miktarı (421±50 ml) kapalı redüksiyon grubuna (115±36 dk ve 296±44 ml) göre anlamlı farklılık gösterdi (p

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Cite This Article

ÇELEBİ, L., MURATLI, H. H., AKŞAHİN, E., YÜKSEL, H. Y., BİÇİMOĞLU, A., HAPA, O. (2022). Interlocking intramedullary nailing in femoral shaft fractures: the effect of open or closed reduction on the results. Eklem Hastalıkları ve Cerrahisi Dergisi (Eski Adı: Artroplasti Artroskopik Cerrahi Derg.), Cilt: 17 - Sayı: 3, 115–122. https://ajindex.com/articles/498837

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References (15)

  1. Winquist RA, Hansen ST Jr, Clawson DK. Closed intramedullary nailing of femoral fractures. A report of five hundred and twenty cases. J Bone Joint Surg [Am] 1984;66:529-39
  2. Kempf I, Grosse A, Beck G. Closed locked intramedullary nailing. Its application to comminuted fractures of the femur. J Bone Joint Surg [Am] 1985;67: 709-20
  3. Bucholz RW, Jones A. Fractures of the shaft of the femur. J Bone Joint Surg [Am] 1991;73:1561-6
  4. Wolinsky PR, McCarty E, Shyr Y, Johnson K. Reamed intramedullary nailing of the femur: 551 cases. J Trauma 1999;46:392-9
  5. Pratt DJ, Papagiannopoulos G, Rees PH, Quinnell R. The effects of medullary reaming on the torsional strength of the femur. Injury 1987;18:177-9
  6. Bhandari M, Guyatt GH, Tong D, Adili A, Shaughnessy SG. Reamed versus nonreamed intramedullary nailing of lower extremity long bone fractures: a systematic overview and meta-analysis. J Orthop Trauma 2000;14:2-9
  7. Canadian Orthopaedic Trauma Society. Nonunion following intramedullary nailing of the femur with and without reaming. Results of a multicenter randomized clinical trial. J Bone Joint Surg [Am] 2003;85:2093-6
  8. Wiss DA, Fleming CH, Matta JM, Clark D. Comminuted and rotationally unstable fractures of the femur treated with an interlocking nail. Clin Orthop Relat Res 1986;(212):35-47
  9. Winquist RA, Hansen ST Jr. Comminuted fractures of the femoral shaft treated by intramedullary nailing. Orthop Clin North [Am] 1980;11:633-48
  10. Gustilo RB, Anderson JT. Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: retrospective and prospective analyses. J Bone Joint Surg [Am] 1976;58:453-8
  11. Thoresen BO, Alho A, Ekeland A, Stromsoe K, Folleras G, Haukebo A. Interlocking intramedullary nailing in femoral shaft fractures. A report of forty-eight cases. J Bone Joint Surg [Am] 1985;67:1313-20
  12. Durakbasa O, Haklar U, Tuygun H, Turkmen M. Intramedullary nailing of adult femoral fractures. [Article in Turkish] Acta Orthop Traumatol Turc 2002;36:316-21
  13. Tuzuner T, Subasi M, Kapukaya A, Necmioglu NS. Treatment of femoral shaft fractures with interlocking intramedullary nailing. [Article in Turkish] Acta Orthop Traumatol Turc 2002;36:211-9
  14. Mahaisavariya B, Laupattarakasem W. Late open nailing for neglected femoral shaft fractures. Injury 1995;26:527-9
  15. Nowotarski PJ, Turen CH, Brumback RJ, Scarboro JM. Conversion of external fixation to intramedullary nailing for fractures of the shaft of th