Compare the Results of Closed Interlocking Nail Shaft of Femur Versus open Interlocking Nail

Autor: Zahir Khan, Abdus Samad Khan, Haziq Dad Khan, Waseem Ahmed, Ahmed Raza Laghari, Raza Askari
Rok vydání: 2022
Zdroj: Pakistan Journal of Medical and Health Sciences. 16:1108-1111
Popis: Objective: Aim of current study is to compare the outcomes between closed vs open interlocking nail among patients had femur shaft fracture. Study Design:Retrospective cohort study Place and Duration:Orthopedics department of Mardan Medical Complex and Muhammad Medical College and Hospital, Mirpurkhas during the period from 16th June 2020 to 15th July 2021. Methods:One hundred and twenty eight patients with ages 25-70 years were included in this study. All the patients had femoral shaft fracture. Patients’ age, sex, body mass index and cause of fracture was calculated after taking informed written consent. Included patients were equally divided in two groups. Group O received open interlocking nail and closed interlocking nail technique was used in group P group. Post-operatively radiological and surgical outcomes among both groups were assessed and compared in terms of union, non-union and delayed union. Prevalence of infection among both groups was also calculated. Flynn’s criteria were used to assessfunctional outcomes. We used SPSS 23.0 edition to analyze all of the data. Results:Majority of the cases were males 80 (62.5%) and 48 (37.5%) were females. There was no any significantly difference among both groups related to age and body mass index. High impact of collision was the most common cause found in 75 (58.6%) followed by RTA 35 (27.3%) and fall found in 18 (14.1%) cases. Mean duration of surgery in group O was 92.34±5.23 minutes and in group P was 62.12±3.33 minutes. Mean union time in closed group was lower 19.14±5.45 weeks as compared to open group 28.7±6.19 weeks. Frequency of union in group P was higher among 64 (96.9%) as compared to group O 52 (81.3%) cases. Delayed union in group O found among 14 (21.9%) cases and in group P was among 7 (10.9%) cases. According to Flynn’s criteria, closed interlocking nail showed significantly excellent and good results with pp value
Databáze: OpenAIRE