Abdul Rehman, Ghulam Mustafa Kaim Khani, Naveed Ahmed, Muhammad Ishtiyaque.
Management of Type-II Open Fracture Shaft of Femur with Intramedullary Interlocking Nail.
J Surg Pak Jan ;18(3):131-4.

Objective: To find out frequency of fracture healing with the use of interlocking intramedullary nailing in type-II open fracture shaft of femur. Study design: Descriptive case series. Place & Duration of study: Orthopaedic Surgery, Unit I Civil Hospital, Karachi, from August 2009 to August 2010. Methodology: Sixty-five patients who sustained type-II open fracture of shaft of femur, were selected. All patients underwent fracture stabilization by locking intramedullary nail. The main outcome measure was fracture healing (i.e. callus formation) on x-ray at six months of follow-up. The SPSS version 13 was applied used to analyze data. Results: Majority of the patients (44.6%) were between 18-30 years of age. Males were affected more than females with male to female ratio of 4:1. Road traffic accidents were responsible for these fractures in 73.8% of cases. Healing (i.e. callus formation) was achieved in 61(93.8%) patients radiographically at the end of six-months. Mean time to union was 18.5 weeks. Conclusion: Intramedullary interlocking nail was safe and effective in the management of type-II open fractures of femur shaft with excellent healing rates.

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