Treatment of Oblique Femoral Shaft Fractures in Aged Patients with Intramedullary Nailing Together with Cerclage Wiring

Le résumé fourni par la source

We studied the clinical results of intramedullary nailing together with cerclage wiring for long oblique and spiral femoral shaft fractures in aged patients. Between 1999 and 2004, we treated nine fractures. Of which six fractures were proximal shafts, two were middle third shafts and one was distal shaft. The average operating time was 191 minutes for the proximal and middle shaft fractures and 165 minutes for the distal shaft fracture. The average intraoperative bleeding was 1073 ml for the proximal shaft and middle shaft fractures and 180 ml for the distal shaft fracture using tourniquet. All nine cases could start walking exercise under weight-bearing early after the operation due to strong fixation. Before injury, seven cases could walk ; as a result of the surgical treatment, six could walk. Intramedullary nailing together with cerclage wiring imposes heavy operative stress, but provides very good results for bone union and walking ability.

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