Md Sharif Hossain¹*, Mahbuba Sultana², Molla Muhammad Abdullah Al Mamun³, Md Minhaz Uddin⁴ and Khaled Mahmud⁵

¹D-Ortho, MS-Ortho, Registrar (Orthopaedics), Shaheed Tajuddin Ahmad Medical College Hospital, Gazipur, Bangladesh
²MBBS, M-Phil, Assistant Professor (Microbiology), Shaheed Tajuddin Ahmad Medical College, Gazipur, Bangladesh
³Assistant Professor (Orthopaedics), Shaheed Tajuddin Ahmad Medical College Hospital, Gazipur, Bangladesh
⁴MS-Ortho, Assistant Registrar (Orthopaedics), Dhaka Medical College Hospital, Bangladesh
⁵FCPS (Ortho), Junior Consultant, UHC, Pakundia, Kishoregonj, Bangladesh

*Corresponding Author: Md Sharif Hossain, D-Ortho, MS-Ortho, Registrar (Orthopaedics), Shaheed Tajuddin Ahmad Medical College Hospital, Gazipur, Bangladesh.

Received: September 15, 2023; Published: September 27, 2023

Abstract

Background: A diaphyseal femur fracture typically arises due to high-impact trauma. Adult patients with such fractures can undergo various treatment options, including traction, bracing, plating, intramedullary nail insertion, external fixation, and intramedullary interlocking nails. However, limited research-based data are available on the effectiveness of closed-reamed interlocking nailing in managing closed diaphyseal femoral fractures in adults.

Aim of the Study: This study aimed to evaluate the effectiveness of closed-reamed interlocking nailing in managing closed diaphyseal femoral fractures in adults.

Methods: Between July 2017 and June 2019, a quasi-experimental study was conducted at Dhaka Medical College Hospital, Bangladesh. It included 38 adult patients with closed femur shaft fractures treated with closed-reamed interlocking nailing, selected via purposive sampling. Data analysis and dissemination were performed using MS Office tools.

Results: In this study, 78.9% achieved knee flexion >120 degrees, 15.8% had <90 degrees and 5.3% had 110-degree flexion. Only 5.3% had a 1cm limb length difference, and 10.5% had 5-degree malalignment. The average hospital stay was 11.7 ± 2.3 days (8-15 days), with a 94.7% union rate in 14.3 ± 4.1 weeks. The mean operative time was 101.6 ± 23.6 minutes. Functional outcomes using Friedman and Wyman scoring showed 84.2% good results, 15.8% fair, and no poor outcomes.

Conclusion: Closed intramedullary interlocking nailing stands as an effective treatment for femoral diaphyseal fractures in adults, offering stable fixation, higher union rates, and reduced complication risks such as infection and non-union. Moreover, it facilitates early weight-bearing and quicker return to regular activities.

Keywords: Evaluation; Closed Reamed Interlocking Nailing; Closed Diaphyseal; Femoral Fracture; Adults

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Citation

Citation: Md Sharif Hossain., et al. “Evaluation of Closed Reamed Interlocking Nailing Technique in the Management of Closed Diaphyseal Femoral Fracture in Adults".Acta Scientific Orthopaedics 6.10 (2023): 57-61.

Copyright

Copyright: © 2023 Md Sharif Hossain., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.