Unlocked nailing vs. interlocking nailing for winquist type I and II femoral isthmus fractures. is there a difference?

Yu, C. K.; Wong, H. Y.; Vivek, A. S.; To, B. C. S. (2008) Unlocked nailing vs. interlocking nailing for winquist type I and II femoral isthmus fractures. is there a difference? Malaysian Orthopaedic Journal, 2 (1). pp. 23-27.

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    Abstract

    Interlocking intramedullary nailing is suitable for comminuted femoral isthmus fractures, but for noncomminuted fractures its benefit over unlocked nailing is debatable. This study was undertaken to compare outcomes of interlocking nailing versus unlocked intramedullary nailing in such fractures. Ninety-three cases of noncomminuted femoral isthmus fractures (Winquist I and II) treated with interlocking nailing and unlocked nailing from 1 June 2004 to 1 June 2005 were reviewed; radiological and clinical union rates, bony alignment, complication and knee function were investigated. There was no statistical significant difference with regard to union rate, implant failure, infection and fracture alignment in both study groups. Open fixation with unlocked femoral nailing is technically less demanding and requires less operating time; additionally, there is no exposure to radiation and cost of the implant is cheaper. We therefore conclude that unlocked nailing is still useful for the management of non-comminuted isthmus fractures of the femur.

    Item Type: Article
    Creators:
    1. Yu, C. K.
    2. Wong, H. Y.
    3. Vivek, A. S.(Department of Orthopaedic Surgery, Faculty of Medicine Building, University of Malaya, 50603 Kuala Lumpur, MALAYSIA)
    4. To, B. C. S.
    Journal or Publication Title: Malaysian Orthopaedic Journal
    Additional Information: Department of Orthopaedic Surgery, Faculty of Medicine Building, University of Malaya, 50603 Kuala Lumpur, MALAYSIA ---> Corresponding Author: Vivek Ajit Singh, Department of Orthopaedics, University Malaya Medical Centre, 59100 Kuala Lumpur, Malaysia Email: drvivek69@gmail.com
    Uncontrolled Keywords: Fracture; Femur; Winquist I and II; Küntscher nail; Interlocking nail.
    Subjects: R Medicine
    Divisions: Faculty of Medicine
    Depositing User: Ms Haslinda Lahuddin
    Date Deposited: 02 Aug 2012 09:19
    Last Modified: 02 Aug 2012 09:19
    URI: http://eprints.um.edu.my/id/eprint/3597

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