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Surgical factors contributing to nonunion in femoral shaft fracture following intramedullary nailing
- Source :
- Chinese Journal of Traumatology
- Publication Year :
- 2016
- Publisher :
- Elsevier, 2016.
-
Abstract
- Purpose To explore the possible surgical factors related with nonunion in femoral shaft fracture following intramedullary nailing. Methods We retrospectively analyzed totally 425 patients with femoral shaft fracture in level I urban trauma center, including 254 males and 171 females, with an average age of 37.6 (ranging from 21 to 56) years old. The inclusion criteria included: (1) traumatically closed fracture of femoral shaft, with preoperative films showing non-comminuted fracture, such as transverse fracture, oblique fracture or spiral fracture; (2) closed reduction and fixation with interlocking intramedullary nail at 3–7 days after trauma; (3) complete follow-up data available. The relationship between the following factors (fracture site, reduction degree, direction of nail insertion and nail size) and nonunion was studied. Results The incidence of femoral nonunion was 2.8% in patients with closed simple fracture undergoing interlocking intrameduallary nailing, including 11 cases of hypertrophic nonunion. Nonunion was related significantly to distal fracture, unsatisfactory reduction and unreamed nail (p 0.05). Conclusions Nonunion in femoral shaft facture following interlocking intramedullary nailing is related to fracture site, fracture reduction and nail diameter. The choice of reamed nails or unreamed nails depends on the fracture site and reduction degree.
- Subjects :
- Male
Time Factors
Urban Population
Femoral Shaft Fracture
Treatment outcome
law.invention
Intramedullary rod
Cohort Studies
0302 clinical medicine
Injury Severity Score
Trauma Centers
law
Femoral shaft fracture
Risk Factors
Fracture fixation
Orthopedics and Sports Medicine
skin and connective tissue diseases
Fracture Healing
030222 orthopedics
integumentary system
Incidence
Follow up studies
Middle Aged
musculoskeletal system
Fracture Fixation, Intramedullary
surgical procedures, operative
Nonunion
Treatment Outcome
Age distribution
Original Article
Female
Femoral Fractures
musculoskeletal diseases
Adult
Reoperation
medicine.medical_specialty
China
Bone healing
03 medical and health sciences
Young Adult
Age Distribution
medicine
Humans
Sex Distribution
Retrospective Studies
business.industry
Interlocking intramedullary nailing
030208 emergency & critical care medicine
equipment and supplies
medicine.disease
Surgery
Fractures, Ununited
business
Follow-Up Studies
Subjects
Details
- Language :
- English
- ISSN :
- 10081275
- Volume :
- 19
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Chinese Journal of Traumatology
- Accession number :
- edsair.doi.dedup.....90946a32a606b4415d5547fa69d67e24