Publication:

Femoral diaphysis fractures: treatment with unreamed intramedullary nailing and its results

Background Femoral shaft fractures are an important cause of mortality and morbidity in the lower extremity injuries.

Methods 21 femoral body fractures of 19 adult patients were treated with the unreamed intramedullary nailing. Of 19 patients 14 were males and 5 were females.

Results All fractures healed. Deep infection was not encountered. According to the Thoresen criteria, the rate of excellent-good results was 78%. In two patients, who had also cranial trauma, development of excessive callus was observed. None of the patients required a secondary operation.

Conclusions Unreamed intramedullary nailing, if it can be implemented with closed technique and with double lock screw at the distal side, provides satisfactory results in the femoral shaft fractures.