Intramedullary nail or anatomical plate internal fixation for closed reduction of femoral shaft fracture: comparison of fracture stability / 中国组织工程研究

ABSTRACT

BACKGROUND:Closed reduction of femoral shaft fracture is a common orthopedic fracture type,and can be treated conservatively,but comminuted fracture and serious conditions should be treated by surgery.Intramedulary nail and anatomical plate are commonly used for internal fixation,the choice of the two materials for the femoral fixation remains controversial.OBJECTIVE:To compare and analyze the clinical prognosis and fracture stability in closed reduction of femoral shaft fractures with intramedulary nail or anatomical bone plates.METHODS:From January 2011 to December 2013,86 patients with femoral shaft fracture recruited from Jiangdu People's Hospital of Yangzhou were involved in the retrospective study.Al patients were divided into two groups,receiving intramedulary nail and anatomical bone plates,respectively.Clinical prognosis,fracture stability and adverse events in the two groups were compared.RESULTS AND CONCLUSION:The intraoperative blood loss and postoperation drainage volume in the intramedulary nail group were significantly lower,while the operation time and fracture healing time were significantly shorter than the anatomical bone plates group (P＜0.05).The excelent and good rate was higher in the two groups,and there was no significant difference between the two groups,although the rate in intramedulary nail group was higher than anatomical bone plates group (P＞0.05).The adverse reactions inintramedulary nail group were significantly less than anatomical bone plates group (9％,35％,P＜0.05).Compared with the intramedulary nail group,more cases in anatomical bone plates group appeared poor fixation and fixator rupture,the incidence of complications was higher,and postoperative stability was poorer.Experimental findings indicate that,both intramedulary nail and anatomical bone plates can achieve good outcomes in the treatment of closed reduction of femoral shaft fractures,but the intramedulary nailing causes fewer trauma,lower incidence of adverse events,and better compatibility and stable,it is worthy of clinical application.