Unlocked Nailing vs. Interlocking Nailing for Winquist Type I and II Femoral Isthmus Fractures. Is there a Difference?
- Author:
CK Yu
;
HY Wong
;
AS Vivek
;
BC Se To
- Publication Type:Journal Article
- Keywords:
Fracture;
Femur;
Winquist I and II;
Küntscher nail;
Interlocking nail
- From:Malaysian Orthopaedic Journal
2008;2(1):23-27
- CountryMalaysia
- Language:English
-
Abstract:
Interlocking intramedullary nailing is suitable for
comminuted femoral isthmus fractures, but for noncomminuted
fractures its benefit over unlocked nailing is
debatable. This study was undertaken to compare outcomes
of interlocking nailing versus unlocked intramedullary
nailing in such fractures. Ninety-three cases of noncomminuted femoral isthmus fractures (Winquist I and II)
treated with interlocking nailing and unlocked nailing from 1 June 2004 to 1 June 2005 were reviewed; radiological and clinical union rates, bony alignment, complication and knee function were investigated. There was no statistical significant difference with regard to union rate, implant failure, infection and fracture alignment in both study groups. Open fixation with unlocked femoral nailing is technically less demanding and requires less operating time; additionally, there is no exposure to radiation and cost of the
implant is cheaper. We therefore conclude that unlocked
nailing is still useful for the management of non-comminuted isthmus fractures of the femur.
- Full text:W020151221411772160156.pdf
