ABSTRACT
Introduction: Fractures of shaft of femur are among themost common fractures encountered in orthopaedic practice.The femur is the largest and strongest bone in the bodyarticulating with hip joint proximally forming knee joint withtibia at its distal end. As industrialization and urbanizationare progressing year to year with rapid increase in traffic,incidence of high energy trauma increasing with samespeed. Hence, the aim of the present study was to assess thetreatment of unstable diaphyseal fracture femur with femurintramedullary interlocking nailing.Material and methods: The present study was done among40 patients where skin traction or upper tibial traction forskeletal traction was given with the link supported in a BohlerBraun splint. All routine investigation and surgical fitnesswere asked for intramedullary nailing was chosen for fracturebelow the lesser trochanter and distally fracture within 8 cmfrom the femoral articular surface were chosen.Results: About 60% fractures involved upper 3rd as the site offracture. The pattern of fracture was found to be comminutedwhich was around 35%. The oblique pattern was around32.5% and transverse pattern of fracture was observed to be22.5%.The complications included were implant bending andbreaking, infection,delayed and nonunion,rotational deformityand shortening.Conclusion: Unstable diaphyseal fractures with femurintramedullary interlocking nailing gives excellent result withthis system there are minimal complications which help earlyreturn of patients to activity and work.