Use of Unlocked Intramedullary Nailing in Winquist Type I and II Femoral Isthmus Fracture
- Author:
HT Ling
;
WM Ng
;
MK Kwan
;
LK Fathi Aizuddeen
;
PCM Tay
- Publication Type:Journal Article
- Keywords:
Unlocked intramedullary nailing, Küntscher nailing, Femoral fracture
- From:Malaysian Orthopaedic Journal
2008;2(1):17-22
- CountryMalaysia
- Language:English
-
Abstract:
Interlocked intramedullary nailing is accepted as the gold
standard for femoral shaft fractures. However for Winquist
type I and II femoral fractures at the isthmus region,
unlocked intramedullary nailing (Küntscher nailing) is still a good option. We performed a retrospective study on 86 patients with a total of 88 femoral shaft fractures around the isthmus that presented at our institution between 1 January 1988 and 31 August 2003. All patients (84.1% Winquist type I and 15.9% Winquist Type II fractures) were treated with unlocked intramedullary nail. The average time to union was 16 weeks with 97.7% rate of union. There were two cases (2.3%) of infection and non-union each. Overall results were
comparable to standard interlocking intramedullary nailing.
We conclude that unlocked intramedullary nailing is a good
treatment option for Winquist Type I and II femoral fracture around the isthmus with its good union rate and minimal complications.
- Full text:W020151221411363090028.pdf
