Primary reamed intramedullary nailing of open femoral shaft fractures

M. M. Williams, V. Askins, E. W. Hinkes, Gregory A Zych

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

Forty-two patients with acute open femoral shaft fractures were assigned prospectively to primary immediate or delayed reamed intramedullary stabilization. There were 27 primary and 15 delayed intramedullary nailings performed (mean followup, 20 months). Twelve patients (29%) had Gustilo and Anderson Grade I injury; 16 (38%), Grade II; and 14 (33%), Grade III (including 3 Grade IIIC). Average time to union was 3.8 months. The infection and nonunion rate was 2.4%. Comparison of the 2 groups showed no significant differences in the incidence of infection, malunion, nonunion, or time to union. The data suggest that primary reamed intramedullary nailing is an effective treatment alternative for the patient with multiple injuries, regardless of soft tissue injury, including Grade III wounds. Isolated open femoral shaft fractures with Grade I and Grade II soft tissue wounds may be stabilized safely primarily with no increased morbidity. Although results were promising, continued study is needed to delineate the optimum management of all Grade III injuries.

Original languageEnglish
Pages (from-to)182-190
Number of pages9
JournalClinical Orthopaedics and Related Research
Issue number318
StatePublished - Sep 26 1995

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Intramedullary Fracture Fixation
Femoral Fractures
Wounds and Injuries
Soft Tissue Injuries
Multiple Trauma
Infection
Morbidity
Incidence
Therapeutics

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Primary reamed intramedullary nailing of open femoral shaft fractures. / Williams, M. M.; Askins, V.; Hinkes, E. W.; Zych, Gregory A.

In: Clinical Orthopaedics and Related Research, No. 318, 26.09.1995, p. 182-190.

Research output: Contribution to journalArticle

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