Home Print this page Email this page Small font sizeDefault font sizeIncrease font size
Users Online: 182

 

Home  | About Us | Editors | Search | Ahead Of Print | Current Issue | Archives | Submit Article | Instructions | Subscribe | Contacts | Login 
     
ORIGINAL ARTICLE
Year : 2016  |  Volume : 6  |  Issue : 3  |  Page : 143-147

Early and late intramedullary nailing of femur fracture: A single center experience


1 Department of Orthopedic Surgery, Al-Wakra Hospital, Hamad Medical Corporation, Doha, Qatar
2 Department of Surgery, Section of Trauma Surgery, Hamad Medical Corporation, Doha, Qatar
3 Department of Surgery, Section of Trauma Surgery, Clinical Research, Hamad Medical Corporation; Department of Clinical Medicine, Weill Cornell Medical College, Doha, Qatar

Correspondence Address:
Ahmad S Alobaidi
Department of Orthopedic Surgery, Al-Wakra Hospital, Hamad Medical Corporation, Doha
Qatar
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2229-5151.190649

Rights and Permissions

Background: Femur fracture (FF) is a common injury, and intramedullary nailing (IMN) is the standard surgical fixation. However, the time of intervention remains controversial. We aimed to describe the reamed IMN (rIMN) timing and hospital outcomes in trauma patients presenting with FF. Materials and Methods: A retrospective analysis was conducted for all patients admitted with FF and they underwent fixation at level 1 trauma unit between January 2010 and January 2012. Patients were divided into Group I with early rIMN (<12 h) and Group II with late rIMN (≥12 h). Patients' demographics, clinical presentations, mechanism of injury, pulmonary complications, organ failure, length of stay, and mortality were described. Results: A total of 307 eligible patients with FF were identified (156 patients in Group I and 151 patients in Group II). Patients in Group II were older (36 ± 18 vs. 29 ± 9;P= 0.001) and had higher rate of polytrauma (35% vs. 18%,P= 0.001), head injury (5% vs. 12%,P= 0.68) and bilateral FF (10.7% vs. 5.1%;P= 0.07) in comparison to Group I. Group II had longer stay in Intensive Care Unit (7 [1–56] vs. 2 [1–17] days;P= 0.009) and hospital (13 [2–236] vs. 9 [1–367];P= 0.001). There were no significant differences in outcomes between the two groups in terms of sepsis, renal failure, fat embolism, adult respiratory distress syndrome and death. Conclusions: Based on this analysis, we believe that early rIMN is safe in appropriately selected cases. In patients with traumatic FFs, early rIMN is associated with low hospital complications and shorter hospital stay. The rate of pulmonary complications is almost the same in the early and late group. Further prospective randomized studies with large sample size would be ideal using the information garnered from the present study.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed2181    
    Printed40    
    Emailed0    
    PDF Downloaded104    
    Comments [Add]    
    Cited by others 2    

Recommend this journal