Résumé
This work included 16 cases of diaphyseal femoral fracture treated by interlocking nail femur, 12 of them had recent fractures and 4 cases had non union because of failed other methods of internal fixation. The average age was 32 years. Our cases were followed up for 14 months. All cases had solid consolidation before 11 months. Grafting was used in 6 cases. Seven cases were dynamised. Only one case had deep infection because it was a puncture compound fracture. We concluded from this study that interlocking femoral fixation mainly in comminuted femural fractures has many advantages regarding union, rigid fixation and preservation of femoral length
Sujets)
Humains , Ostéosynthèse interne/complications , Clous orthopédiques , Études de suivi , Fractures comminutivesRésumé
Fifty cases of biomechanically stable fractures of the femoral midshaft, divided equally between two groups, were treated by i.m. nailing or DC plating. The results were assessed as regards pain, weight bearing, walking ability, quadriceps function, knee motion, union alignment and occurrence of infection. The final results were satisfactory in 88% of the nailed group and in 80% of the plated one