Intramedullary Nailing of Femoral Shaft Fractures with Compressive Nailing Using Only Distal Dynamic Hole and Proximal Static Hole

Hakan Cift, Engin Eceviz, Cem Coşkun Avcı, Salih Söylemez, Esat Uygur, Yalçın Turhan, Korhan Ozkan

Department of Orthopaedics and Traumatology, Atatürk Public Hospital, Düzce, Turkey.
Department of Orthopaedics and Traumatology, Kartal Lütfi Kardar Training and Research Hospital, Istanbul, Turkey.
Department of Orthopaedics and Traumatology, Medeniyet University Goztepe Training and Research Hospital, Istanbul, Turkey.
Department of Orthopaedics and Traumatology, Medipol University, Istanbul, Turkey.
Department of Orthopaedics and Traumatology, Umraniye Training and Research Hospital, Istanbul, Turkey.

DOI: 10.4236/ojo.2014.42005                

Abstract

Objectives: In this study we aimed to present our treatment results of intramedullary nailing of femoral shaft fractures with compressive nailing using proximal static hole and only distal dynamic hole with one screw. Methods: Forty-three patients who had a fracture of the femoral shaft were managed between 2005 and 2008 with intramedullary nailing and the use of only one screw for distal interlocking. Prospectively we evaluated the union time, possible reoperation, fixation and fracture alignment, range of knee motion and complications. Results: Union occurred within a mean duration of 18.7 weeks. No failures of the fixation and fracture alignment and no more than 1 cm shortness were detected. The knee range of motion was all more than 90 degree. Only one deep venous thrombosis was detected as complication. Conclusions: Compressive nailing using proximal hole and only distal dynamic hole with one screw is a convenient technique for femur fractures.

Keywords

Femur Fracture; Intramedullary Nailing; Dynamic Locking

Conflicts of Interest

The authors declare no conflicts of interest.

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