Intramedullary nailing of femoral shaft fractures. Part Ii: Fracture-healing with static interlocking fixation.

摘要: A consecutive, prospective series of ninety-seven patients who had 100 fractures the femoral shaft that were treated with static interlocking nailing was analyzed to determine incidence union fracture without planned conversion from dynamic intramedullary fixation as a technique stimulate healing fracture. Eighty-four (eighty-seven fractures) studied through (average follow-up, fourteen months). Eighty-five (98 per cent) eighty-seven healed fixation. Two needed because inadequate fracture-healing; both progressed uneventful union. The time full weight-bearing (average, eleven weeks) individualized for each patient and depended on cortical contact major fragments, presence bridging callus seen radiographs, extent other injuries ipsilateral lower extremity. No deformation or failure device developed after early walking weight-bearing, but fatigue one nail occurred in non-ambulatory an intracranial injury. Pain related soft-tissue irritation by prominent heads screws, clinically presenting bursitis snapping iliotibial band, severe enough six necessitate removal either proximal distal screw We concluded nails does not appreciably inhibit process fracture, routine fixation, although occasionally necessary, need be performed.