Intelocking versus kuntscher nails in the management of femoral shaft fractures
PJS-Pakistan Journal of Surgery. 2007; 23 (4): 265-269
in English
| IMEMR
| ID: emr-84959
ABSTRACT
To compare the outcome of Femoral shaft fractures managed with Interlocking and Kuntscher intramedullary nails, in terms of healing time, full weight bearing and post-operative complications. Prospective, quasi-experimental study from March 1999 to May 2002. Orthopaedics Unit I, Civil Hospital, Karachi. A total of 200 cases of Femoral shall fractures. Half [100] the cases of Femoral shaft fractures were treated with Kuntscher intramedullary nails and the other half [100] with Interlocking nails, the cases being assigned randomly. The detailed data of the patients was recorded, computed and analyzed using Chi-square test and Students t-test. The main parameters compared included fracture healing time, full weight bearing time and post-operative complications. There was no significant difference between the two groups in terms of demographic data, fracture type and associated co-morbidities. The average operating time was 110 +/- 25 minutes for the Interlocking nail and 80 +/- 15.8 mins for the K-nail. All patients of K-nail group needed blood transfusion, while only 17 patients of interlocking group needed blood transfusion. The fill weight bearing time was significantly shorter [p < 0.005] in cases of Interlocking nail. Out of 200 fractures 182 [91%] healed with in six months while 18 [9%] did not. The latter included 6 [3%] cases treated with Interlocking nails and 12 [6%] with Kuntscher nails, p < 0.005. Interlocking intramedullary nailing is better than Kuntscher nailing in every respect
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Index:
IMEMR (Eastern Mediterranean)
Main subject:
Orthopedic Fixation Devices
/
Bone Nails
/
Prospective Studies
/
Treatment Outcome
/
Femur
/
Fracture Fixation, Intramedullary
Limits:
Female
/
Humans
/
Male
Language:
English
Journal:
Pak. J. Surg.
Year:
2007
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