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Comparison of Open and Closed Nailing for Femoral Shaft Fractures: A Retrospective Analysis
Introduction Open and closed nailing are the two reduction methods used for the fixation of femoral shaft fractures. The study aims to assess the clinical and functional outcomes of open and closed nailing for closed femoral shaft fractures. Methodology A total of 398 patients who underwent intramed...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8319164/ https://www.ncbi.nlm.nih.gov/pubmed/34336517 http://dx.doi.org/10.7759/cureus.16030 |
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author | Tahir, Muhammad Ahmed, Nadeem Faraz, Ahmad Shafiq, Hassan Khan, Mohammad Noah |
author_facet | Tahir, Muhammad Ahmed, Nadeem Faraz, Ahmad Shafiq, Hassan Khan, Mohammad Noah |
author_sort | Tahir, Muhammad |
collection | PubMed |
description | Introduction Open and closed nailing are the two reduction methods used for the fixation of femoral shaft fractures. The study aims to assess the clinical and functional outcomes of open and closed nailing for closed femoral shaft fractures. Methodology A total of 398 patients who underwent intramedullary nailing fixation of nonpathological femoral shaft fracture between January 2016 to December 2019 were reviewed retrospectively. Two hundred seventy-four underwent closed nailing, and 124 were considered for open nailing. Results The primary outcome reviewed was the union rate of fracture. Other outcomes analyzed were complications, intraoperative blood loss, time to union, and the duration of the procedure. Patients in the open group had a union of fracture in 15.71 weeks, closed nailing group had a union in 15.53 weeks (p-value 0.495). Patients with open nailing had a mean Radiological union scale in tibial (RUST) fracture score of 11.435, whereas the closed nailing group had a mean of 11.664 (p-value 0.187). Operative time was higher in the open group when compared to the closed nailing group (p-value 0.000). However, intraoperative blood loss was more in open nailing in comparison to closed nailing. Furthermore, 15 patients with closed nailing had non-union, whereas 11 had non-union after open nailing (p-0.204). Superficial infection and deep infection requiring debridement were equally observed among the two treatment groups. Conclusion Fixation of femoral shaft fractures with open nailing has similar outcomes in union rates, time to union, and rates of significant complication similar to those of close nailing. |
format | Online Article Text |
id | pubmed-8319164 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-83191642021-07-31 Comparison of Open and Closed Nailing for Femoral Shaft Fractures: A Retrospective Analysis Tahir, Muhammad Ahmed, Nadeem Faraz, Ahmad Shafiq, Hassan Khan, Mohammad Noah Cureus Orthopedics Introduction Open and closed nailing are the two reduction methods used for the fixation of femoral shaft fractures. The study aims to assess the clinical and functional outcomes of open and closed nailing for closed femoral shaft fractures. Methodology A total of 398 patients who underwent intramedullary nailing fixation of nonpathological femoral shaft fracture between January 2016 to December 2019 were reviewed retrospectively. Two hundred seventy-four underwent closed nailing, and 124 were considered for open nailing. Results The primary outcome reviewed was the union rate of fracture. Other outcomes analyzed were complications, intraoperative blood loss, time to union, and the duration of the procedure. Patients in the open group had a union of fracture in 15.71 weeks, closed nailing group had a union in 15.53 weeks (p-value 0.495). Patients with open nailing had a mean Radiological union scale in tibial (RUST) fracture score of 11.435, whereas the closed nailing group had a mean of 11.664 (p-value 0.187). Operative time was higher in the open group when compared to the closed nailing group (p-value 0.000). However, intraoperative blood loss was more in open nailing in comparison to closed nailing. Furthermore, 15 patients with closed nailing had non-union, whereas 11 had non-union after open nailing (p-0.204). Superficial infection and deep infection requiring debridement were equally observed among the two treatment groups. Conclusion Fixation of femoral shaft fractures with open nailing has similar outcomes in union rates, time to union, and rates of significant complication similar to those of close nailing. Cureus 2021-06-29 /pmc/articles/PMC8319164/ /pubmed/34336517 http://dx.doi.org/10.7759/cureus.16030 Text en Copyright © 2021, Tahir et al. https://creativecommons.org/licenses/by/3.0/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. |
spellingShingle | Orthopedics Tahir, Muhammad Ahmed, Nadeem Faraz, Ahmad Shafiq, Hassan Khan, Mohammad Noah Comparison of Open and Closed Nailing for Femoral Shaft Fractures: A Retrospective Analysis |
title | Comparison of Open and Closed Nailing for Femoral Shaft Fractures: A Retrospective Analysis |
title_full | Comparison of Open and Closed Nailing for Femoral Shaft Fractures: A Retrospective Analysis |
title_fullStr | Comparison of Open and Closed Nailing for Femoral Shaft Fractures: A Retrospective Analysis |
title_full_unstemmed | Comparison of Open and Closed Nailing for Femoral Shaft Fractures: A Retrospective Analysis |
title_short | Comparison of Open and Closed Nailing for Femoral Shaft Fractures: A Retrospective Analysis |
title_sort | comparison of open and closed nailing for femoral shaft fractures: a retrospective analysis |
topic | Orthopedics |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8319164/ https://www.ncbi.nlm.nih.gov/pubmed/34336517 http://dx.doi.org/10.7759/cureus.16030 |
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