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Early weight-bearing after statically locked reamed intramedullary nailing of comminuted femoral fractures: is it a safe procedure?
Arazi, M; Ogün, T C; Oktar, M N; Memik, R; Kutlu, A.
Afiliación
  • Arazi M; Department of Orthopaedic Surgery and Traumatology, Selçuk University, Medical School, Konya, Turkey. marazi@selcuk.edu.tr
J Trauma ; 50(4): 711-6, 2001 Apr.
Article en En | MEDLINE | ID: mdl-11303169
BACKGROUND: The purpose of this study was to determine the safety of early weight-bearing after statically locked reamed nailing of comminuted fractures of the femoral diaphysis, and to assess the rate of implant failure and fracture healing. METHODS: Thirty consecutive patients with comminuted diaphyseal femur fractures (Winquist type II, III, and IV) were treated with statically locked reamed intramedullary nailing. Six patients were lost to follow-up, and the remaining 24 patients were followed at least 1 year. Early weight-bearing was allowed and encouraged in the first 2 weeks after the operation. The nail diameters were 13 mm in 16 patients, 12 mm in 6 patients, and 14 mm in 2 patients. RESULTS: Most of the patients could start weight-bearing between the first 2 and 4 weeks postoperatively. None of the patients, except one, were using any walking aids at the second month postoperatively. All the fractures healed without any significant complications. Nail bending or breakage did not occur in any patients, but there was slight bending in one distal interlocking screw and one proximal interlocking screw. The fractures of the patients with bent screws healed uneventfully. CONCLUSION: This study showed that early weight-bearing after reamed static interlocking nailing of Winquist type II, III, and IV femoral fractures is a safe and effective method, and the risk of implant failure does not preclude the procedure.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Seguridad / Soporte de Peso / Fracturas Conminutas / Ambulación Precoz / Fracturas del Fémur / Fijación Intramedular de Fracturas Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J Trauma Año: 2001 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Estados Unidos
Buscar en Google
Añadir a Mi BVS
Imprimir
XML
PubMed Links

Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Seguridad / Soporte de Peso / Fracturas Conminutas / Ambulación Precoz / Fracturas del Fémur / Fijación Intramedular de Fracturas Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J Trauma Año: 2001 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Estados Unidos