Comparative study and Outcome Analysis of Closed Femur Nailing Versus Open Femur Nailing

Thivagar, V (2020) Comparative study and Outcome Analysis of Closed Femur Nailing Versus Open Femur Nailing. Masters thesis, Madras Medical College, Chennai.


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BACKGROUND: Femoral shaft fractures are major causes of mortality and morbidity and are managed with (IMN). In this study we compared the results of open and closed intramedullary interlocking nailing in shaft of femur fracture. AIM AND OBJECTIVES: 1. To analyse the functional and Radiological outcome of Shaft of femur fractures, between patients treated by closed and open reduction with interlocking intramedullary nail. 2. To evaluate the time required for full weight bearing between patient treated by closed and open femoral nailing. 3. Periodic radiological examination for patients treated by closed and open femoral nailing method. 4. To assess the intra operative difficulties encountered in both methods. 5. To assess the post operative complication like post operative pain, duration of hospital stay, infection, rotational deformity, nonunion, time to fracture union, time of ambulation and range of motion at Hip and Knee joint. MATERIALS AND METHODS: We analysed with 27 cases of shaft of Femur fracture fixed with femur IMN (Closed method 13 and Open method 14 cases) in Both prospective and retrospective manner and we Used Radiological and LEFS score for analysis of results RESULTS: The union rate was 71.4% in the open interlocking nailing and 100% in CN. The average union time including closed and open interlocking nailing was 4.69 months. The average union time in CN 4.31 months,. The average union time in open interlocking nailing was 5.07 months In ON 3 members went for non union ,1 implant failure, We used LEFS scoring: In closed method fall between 68-72 for 80. In open method fall between 58-70 for 80. In our study P value of in our study regarding union is (<0.004) was considered statically significant. CONCLUSION: The closed femur nailing is the treatment of choice for femoral shaft fracture which shows better Radiological outcome and (LEFS). Open reduction is attempted only when closed reduction not possible and care should be taken while doing closed femoral nailing regarding External rotation, shortening and angulation deformity.

Item Type: Thesis (Masters)
Additional Information: 221712010
Uncontrolled Keywords: Intra Medullary Interlocking Nailing (IMN), Closed Nailing, Open Nailing, Lower Extremity Functional Scale (LEFS).
Subjects: MEDICAL > Orthopaedics
Depositing User: Subramani R
Date Deposited: 13 Feb 2021 13:08
Last Modified: 13 Feb 2021 13:10

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