Evaluate the Results of Closed Interlocking Nail Shaft of Femur Vs. Open Interlocking Nail

Authors

  • Shams Ur Rehman, Syed Bakht Sardar, Kamran Saeed, Raza Askari, Fazl Ur Rahman Saeed, Irfan Ali

DOI:

https://doi.org/10.53350/pjmhs2023171726

Abstract

Objective: The purpose of this research is to evaluate the efficacy of closed versus open interlocking nails in treating femur shaft fractures.

Study Design: Retrospective cohort study

Place and Duration: This Retrospective cohort study was conducted at MTI Lady Reading Hospital Peshawar and Khyber Teaching Hospital Peshawar in the duration from 1st March, 2022 to 31 August, 2022.

Methods: This research involved 108 cases with age 20-72-year had femoral shaft fracture were included. After informed written consent, age, sex, body mass index, and fracture reason were computed. Patients were equally divided in two groups. Group I utilized open interlocking nails, whereas group II used closed. Post-operative radiological and surgical results were evaluated for union, non-union, and delayed union. Calculated infection prevalence for both groups. Flynn's criterion assessed functional results. SPSS 24.0 analyzed all data.

Results: In group I operation time was higher as compared to group II with p value <0.004.  Closed group union time was 17.3±6.51 weeks compared to open group 27.8±6.20 weeks. Group II had 51 (94.4%) unions, whereas group I had 45 (83.3%). Group I had 12 (22.2%) delayed unions while group II had 5 (9.3%). Closed interlocking nail performed better than open approach with p value <0.03. The closed interlocking group had fewer complications as compared to open approach (p <0.02).

Conclusion: This study found that closed interlocking nails for the femur shaft were superior to open interlocking nails in terms of radiographic and functional success. In addition, patients who were given a closed interlocking nail experienced less complications after surgery.

Keywords: Surgery, Femur Shaft, Complications, Closed/Open interlocking nail, Functional Outcomes

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How to Cite

Shams Ur Rehman, Syed Bakht Sardar, Kamran Saeed, Raza Askari, Fazl Ur Rahman Saeed, Irfan Ali. (2023). Evaluate the Results of Closed Interlocking Nail Shaft of Femur Vs. Open Interlocking Nail. Pakistan Journal of Medical & Health Sciences, 17(01), 726. https://doi.org/10.53350/pjmhs2023171726