Kashif Mahmood Khan, Tahir Lakho, Anisuddin Bhatti.
Functional outcome of reconstruction interlocking nail in femoral shaft fractures with ipsilateral nail in femoral shaft fractures with ipsilateral.
J Pak Orthop Assoc Jan ;24(1):27-31.

Objectives: To determine functional outcome of reconstruction interlocking nail in femoral shaft fractures with ipsilateral femoral neck fractures. Place and Duration of Study: Department of Orthopedics, Jinnah Postgraduate Medical Centre, Karachi, from September 2010 to March 2011. Study Design: Quasi experimental study Patients and Methods: Patients with ipsilateral traumatic femoral neck and shaft fractures were included in this study. All the patients were operated upon using Reconstruction intramedullary Nail and statically interlocking it. Functional outcome was assessed with the system used by Friedman and Wyman for good, fair and poor outcome measuring activities of daily living, pain and hip or knee motion. The data was then analyzed using SPSS software version 15 and presented in the form of tables and charts. Clinical and radiological follow up was done on monthly interval for 6 months. Results: 38 patients from 21-55 years age were selected. 33 (86.8%) patients had not had any limitation in the activities of daily living and only 05 (13.3%) patients had mild limitation in activities. 33 (86.8%) patients had no pain and 05 (13.3%) patients had mild to moderate pain. 33 (86.8%) patients had < 20 % loss of hip or knee motion and 05 (13.3%) patients had 20 % to 50 % loss of hip or knee motion. Observation of final outcome was 33 (86.8%) patients had good outcome and 05 (13.3%) patients had fair outcome. Healing within 3-4 months occurred in 86.8 % patients with good outcome and delayed up to 4-6 months in 13.3 % patients with fair outcome. Conclusion: fixation of ipsilateral femoral neck and shaft fractures with Intramedullary Reconstruction Nail is an effective surgical technique in fixing both fractures simultaneously, and improvement in the activities of daily living, pain and range of motion of hip and knee without compromising fracture healing.

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