Assessment of Treatment of Aseptic Non-United Femoral Shaft Fractures by Anatomical Locked Femoral Inter-medullary Nail in Adults | ||||
| Suez Canal University Medical Journal | ||||
| Article 4, Volume 27, Issue 2, February 2024, Page 0-0 | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/scumj.2024.343218 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Abdulrahman E. Eltabei  1; Mohammed A. Abdel-Kafy2; Mohammed E. Elgretlly2; Mohammed EM. Khalil2
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| 1Department of Orthopedic Surgery, Port Said General Hospital. | ||||
| 2Department of Orthopedic Surgery, Faculty of Medicine, Suez Canal University. | ||||
| Abstract | ||||
| Background: The most common treatment for acute adult femoral shaft fractures has been intramedullary nailing, but the likelihood of complications such as infection, shorting, and nonunion has increased. Despite improvements in trauma treatment, nonunion still happens. Aim: To evaluate the outcomes of replacing the interlocking femoral nail that had been used to mend aseptic, non-united femoral shaft fractures with anatomical intramedullary nails. Methods: Healthy individuals between the ages of 18 and 45 with aseptic non-union femoral shaft fractures who were treated in orthopedic surgery departments six months after the initial treatment with an interlocking femoral nail participated in a quasi-prospective trial at Suez Canal Hospitals in Ismailia, Port-Said. To gather information, a structured questionnaire was created. The procedure known as exchange nailing involved removing the intramedullary nail that was already in place, reaming the medullary canal, and inserting an intramedullary nail with a bigger diameter. Results: Regarding the follow-up of healing and complications post exchanging nails for non-united fractures, it was found that 15 had 6 months union, 12 had 3 months union, 5 had healed after 6 months, and 1 had a 1-week infection, regarding the time to bone healing, 60 % had 3-6 months, 25% had > 6 months, and 15 % had 6 months, regarding the mechanical complications after exchanging nail for non-united fractures, 3 had axis deviation, 3 had malrotation, and 1 had gait abnormality. Conclusion:Exchange nailing has a high rate of success in the treatment of aseptic non-unions of the femoral shaft. | ||||
| Keywords | ||||
| Bone Healing; Infection; Medullary Canal | ||||
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