Radiographic outcomes of the treatment of complex femoral shaft fractures (AO/OTA 32-C) with intramedullary nailing: a retrospective analysis of different techniques.

ABSTRACT:

Objectives

To assess the results of open versus closed reduction in intramedullary nailing (IMN) for complex femoral fractures (Arbeitsgemeinschaft für Osteosynthesefragen Foundation/Orthopaedic Trauma Association [AO/OTA]: 32-C) and to determine the factors involved in bone healing.

Methods

This retrospective study involved 47 consecutive patients with complex femoral diaphyseal fractures who underwent reduction and fixation.

Results

All open-reduction and 12 closed-reduction patients (52.17%) had an anatomical-to-small gap. The closed-small group had the highest bone union rate (100%), followed by the open-reduction (79.17%) and closed-large groups (72.73%); intergroup differences were significant. The closed-small group had the shortest mean union time (7.31 months

SUBMITTER: Chen YH 

PROVIDER: S-EPMC9189532 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature