Use of unlocked intramedullary nailing in winquist type I and II femoral isthmus fracture

Ling, H.T. and Ng, W.M. and Kwan, M.K. and Aizuddeen, L.K.F. and Tay, P.C.M. (2008) Use of unlocked intramedullary nailing in winquist type I and II femoral isthmus fracture. Malaysian Orthopaedic Journal, 2 (1). pp. 17-22. ISSN 1985-2533,

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Abstract

Interlocked intramedullary nailing is accepted as the gold standard for femoral shaft fractures. However for Winquist type I and II femoral fractures at the isthmus region, unlocked intramedullary nailing (Küntscher nailing) is still a good option. We performed a retrospective study on 86 patients with a total of 88 femoral shaft fractures around the isthmus that presented at our institution between 1 January 1988 and 31 August 2003. All patients (84.1 Winquist type I and 15.9 Winquist Type II fractures) were treated with unlocked intramedullary nail. The average time to union was 16 weeks with 97.7 rate of union. There were two cases (2.3) of infection and non-union each. Overall results were comparable to standard interlocking intramedullary nailing. We conclude that unlocked intramedullary nailing is a good treatment option for Winquist Type I and II femoral fracture around the isthmus with its good union rate and minimal complications.

Item Type:	Article
Funders:	UNSPECIFIED
Additional Information:	Department of Orthopaedic Surgery, Faculty of Medicine Building, University of Malaya, 50603 Kuala Lumpur, MALAYSIA
Uncontrolled Keywords:	Unlocked intramedullary nailing, Kntscher nailing, Femoral fracture
Subjects:	R Medicine
Divisions:	Faculty of Medicine
Depositing User:	Ms azrahani halim
Date Deposited:	11 Nov 2014 04:54
Last Modified:	11 Nov 2014 04:54
URI:	http://eprints.um.edu.my/id/eprint/11063

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