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343218

Assessment of Treatment of Aseptic Non-United Femoral Shaft Fractures by Anatomical Locked Femoral Inter-medullary Nail in Adults

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Last updated: 04 Jan 2025

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Clinical Research (Surgical)

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.
 

DOI

10.21608/scumj.2024.343218

Keywords

bone healing, Infection, Medullary Canal

Authors

First Name

Abdulrahman E.

Last Name

Eltabei

MiddleName

-

Affiliation

Department of Orthopedic Surgery, Port Said General Hospital.

Email

dr.tab3i.s@gmail.com

City

-

Orcid

-

First Name

Mohammed A.

Last Name

Abdel-Kafy

MiddleName

-

Affiliation

Department of Orthopedic Surgery, Faculty of Medicine, Suez Canal University.

Email

-

City

-

Orcid

-

First Name

Mohammed E.

Last Name

Elgretlly

MiddleName

-

Affiliation

Department of Orthopedic Surgery, Faculty of Medicine, Suez Canal University.

Email

-

City

-

Orcid

-

First Name

Mohammed EM.

Last Name

Khalil

MiddleName

-

Affiliation

Department of Orthopedic Surgery, Faculty of Medicine, Suez Canal University.

Email

-

City

-

Orcid

-

Volume

27

Article Issue

2

Related Issue

46317

Issue Date

2024-02-01

Receive Date

2024-02-27

Publish Date

2024-02-01

Print ISSN

1110-6999

Online ISSN

2090-2581

Link

https://scumj.journals.ekb.eg/article_343218.html

Detail API

https://scumj.journals.ekb.eg/service?article_code=343218

Order

4

Type

Original Article

Type Code

938

Publication Type

Journal

Publication Title

Suez Canal University Medical Journal

Publication Link

https://scumj.journals.ekb.eg/

MainTitle

Assessment of Treatment of Aseptic Non-United Femoral Shaft Fractures by Anatomical Locked Femoral Inter-medullary Nail in Adults

Details

Type

Article

Created At

24 Dec 2024