DOI: http://dx.doi.org/10.18203/issn.2455-4510.IntJResOrthop20211399

Clinical outcomes in the treatment of femoral fracture by using intramedullary femur nailing system

Shashank Mishra, Mohit Kumar, Prashant Kumar, Gaurav Luthra

Abstract


Background: Femoral fractures are frequently occurring fractures that are caused due to large force impaction. The purpose of this study was to clinically evaluate the outcomes of treating femoral fractures with the use of the intramedullary femoral nailing system.

Methods: This retrospective clinical trial consists of 32 patients with femoral fracture and are treated by using an intramedullary femoral nailing system which consists of retrograde femoral nail, gamma nails, expert femoral nail, universal intramedullary cannulated femoral nails that are manufactured by Auxein medical Pvt. Ltd. Sonipat, Haryana, India. There were 32 patients from two different hospitals i.e., first hospital group consist of 15 patients (8 male and 7 female) with mean age of 32 years and the second hospital group consist of 17 patients (9 male and 8 female). The fracture categorization was done on the basis of AO Classification of fracture and physical fitness was categorized by American society of anaesthesiologists. VAS score and HHS was used as a criterion for assessing the clinical outcomes of the patients.

Results: There were 32 patients to whom surgery was performed and follow up time was 1 month, 3 months, 6 months and 12 months. After the final follow up no patient in any group complaint about the complications or any hardware related problem, there were perfect bone union in every patient. Radiological outcomes also showed proper union at 6 months follow up.

Conclusions: For femoral fractures, intramedullary femoral nail gives a better result with high union rate and post-operative composure.


Keywords


Femoral fracture, Intramedullary femoral nailing system, VAS score, Proper union

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References


Khaleel N. Morphometric study of human femur. Int J Cur Shaik Hussain Saheb. 2013;5:6.

Simmermacher RKJ, Ljungqvist J, Bail H, Hockertz T, Vochteloo AJH, Ochs U et al. The new proximal femoral nail antirotation (PFNA) in daily practice: results of a multicentre clinical study. Injury. 2008;39(8):932-9.

Yang YH, Wang YR, Jiang SD, Jiang LS. Proximal femoral nail antirotation and third-generation Gamma nail: which is a better device for the treatment of intertrochanteric fractures? Singapore Med J. 2013;54(8):446-50.

Sahin EK, Imerci A, Kınık H, Karapınar L, Canbek U, Savran A. Comparison of proximal femoral nail antirotation (PFNA) with AO dynamic condylar screws (DCS) for the treatment for unstable peritrochanteric femoral fractures. Eur J Orthop Surg Traumatol. 2014;24(3);347-52.

Huang FT, Lin KC, Yang SW, Renn JH. Comparative study of the proximal femoral nail antirotation versus the reconstruction nail in the treatment of comminuted proximal femoral fracture. Orthopaedics. 2012;35(1):e41-7.

Sharma A, Mahajan A, John B. A Comparison of the Clinico-Radiological Outcomes with Proximal Femoral Nail (PFN) and Proximal Femoral Nail Antirotation (PFNA) in Fixation of Unstable Intertrochanteric Fractures. J Clin Diagn Res. 2017;11(7):RC05-9.

Gardenbroek TJ, Segers MJM, Simmermacher RKJ, Hammacher ER. The proximal femur nail antirotation: an identifiable improvement in the treatment of unstable pertrochanteric fractures? J Trauma. 2011;71(1):169-74.

Macheras GA, Koutsostathis SD, Galanakos S, Kateros K, Papadakis SA. Does PFNA II avoid lateral cortex impingement for unstable peritrochanteric fractures? Clin Orthop Related Res. 2012;470(11):3067-76.

Zehir S, Şahin E, Zehir R. Comparison of clinical outcomes with three different intramedullary nailing devices in the treatment of unstable trochanteric fractures. Ulus Travma Acil Cerrahi Derg. 2015;21(6):469-76.

Li YH, Zhu D, Li Y, Zhao T, Cao Z, Tan L. Comparison of internal fixation with Gamma3 Long nails and INTERTAN nails in the treatment of Seinsheimer type V subtrochanteric femoral fractures in elderly patients. Med (Baltimore). 2019;98(25):e16140.

Dougherty PJ, Gherebeh P, Zekaj M, Sethi S, Oliphant B, Vaidya R. Retrograde Versus Antegrade Intramedullary Nailing of Gunshot Diaphyseal Femur Fractures. Clin Orthop Related Res. 2013;471(12):3974-80.

Xiong R, Mai QG, Yang CL, Ye SX, Zhang X, Fan SC. Intramedullary nailing for femoral shaft fractures in adults. Cochrane Database Systematic Rev. 2018;2018(2):CD010524.