A Comparative Study On Treatment Outcome Of Comminuted Femoral Shaft Fractures By Locking Plate Versus Open Interlocking Intramedullary Nail
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 11
Abstract
Abstract: Femoral fractures are one of the commonest fractures encountered in orthopaedic practice. There are three basic modes of internal fixation of femoral diaphyseal fractures in the adult age group: plate and screws, intramedullary Kuntscher nailing, and interlocking nailing. The aim of this study is the compare to outcome of results between locking compression plate and interlocking nail in comminuted femoral diaphyseal fracture. This was an experimental clinical trial, which include 18 patients having comminuted femoral diaphyseal fracture, out of which 9 patients treated by open interlocking nail was considered as group I and 9 patients treated by locking compression plate was considered as group II, in the Department of Orthopaedic Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), during period of July 2010 – June 2012, RESULTS: In this study the age was 34.4 ± 8.3 years in group-I and 42.7 ± 11.5 years in group-II. Motor vehicle accident was the commonest cause of fracture found in 55.6% in group-I and 66.7% in group-II. Post-operative mean duration of hospital stay was 10.4±2.54 days in group-I and 10.5±2.95 days in group-II. In group-I, out of 9 cases, 8 (88.9%) united with mean time of 14.41 ± 2.50 weeks. In group-II out of 9 cases, 09 (100%) cases united with the mean time of 13.72 ± 1.98 weeks. The final outcome, satisfactory results in group-I were achieved with 07 (77.8%) cases while in group-II with 08 (88.9%) cases. unsatisfactory results were seen with 02 (22.2%) cases in group-I and 01 (11.1%) cases in group-II. In the conclusion, we can say, on the statistical point of view no significant difference between locking compression plate and open interlocking nail.
Authors and Affiliations
Dr. Kazi Mizanur Rahman, Dr. Nakul Kumar Dutta, Dr. Krishno Priyo Dash
Keywords
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