Abstract

Introduction: The preferred method in fixation of some long bone fractures is using intramedullary nailing. The benefit of this method lies in its higher biomechanical stability, as well as preventing additional surgical trauma to the fracture site. Despite these benefits, few surgeons use this method, because it is time consuming, risky (performing x‐ ray fluoroscopy) and also tedious. Method: Seven male pa􀆟ents with diaphyseal femoral fractures, with an average age of 32.28 years, underwent closed femoral nailing surgery by the innovative set. The duration of operation, fracture type and site were evaluated. The innovative solution: To align the bone fragments and make the guide stick cross the fracture site through closed method, the present close reduction set was designed to enable crossing the guide stick through the fracture site on regular operation theater’s bed in a short time without fluoroscopy, with the least possible trauma and disturbance in the reduction stage. Results: All patients with diaphyseal femoral fracture, underwent nailing surgery, while total duration of the surgery was 116.57 minutes on average; and duration of the innovative set application and cross the guide s􀆟ck to the bo􀆩om of the distal canal was 21.85 minutes. Conclusion: The results indicated that closed intramedullary nailing of femoral fractures without performing fluoroscopy, is possible for patients with utter convenience in an appropriate time period.

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