Fractures ouvertes de stade III de la diaphyse fémorale : résultats de l’enclouage centro-médullaire alésé précoce - 08/09/11
Open grade III fractures femoral shaft: Outcome after early reamed intramedullary nailing
Auteur correspondant.Summary |
Background |
Open grade III fractures of femur are a challenging therapeutic problem as most of them are associated with multiple traumas. Method used for skeletal stabilization of these fractures should limit further soft tissue damage, bacterial spread and morbidity in addition to its ease of application, providing mechanical support and restoring normal alignment.
Methods |
Forty-six patients with open grade III fractures of femoral shaft were included in the study. There were ten grade IIIA, thirty-four grade IIIB and two grade IIIC fractures that were treated with early reamed intramedullary nailing with adequate management of soft tissue. Patients were reviewed retrospectively.
Results |
Mean time of union was 27 weeks. Infection rate was 4% and non-union rate was 9%. There were two cases (4%) with limb shortening. No case of angular or rotational deformity was noted.
Conclusion |
Early reamed intramedullary nailing for open grade III fractures of femoral shaft, after giving due respect to the soft tissue injury, gives satisfactory results with proper alignment, good range of motion, short rehabilitation period and low infection rate.
Level of evidence |
Level IV. Retrospective therapeutic study.
Le texte complet de cet article est disponible en PDF.Keywords : Open grade III fractures, Early reamed intramedullary nailing, Femoral shaft
 | Cet article peut être consulté in extenso dans la version anglaise de la revue Orthopaedics & Traumatology: Surgery & Research sur Science Direct (sciencedirect.com) en utilisant le DOI ci-dessus. |
Vol 97 - N° 5
P. 499 - septembre 2011 Retour au numéro
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