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September 10, 2025Journal of Neonatal SurgeryOpen Access

Comparison between Closed and Open Interlocking Nailing For Femoral Shaft Fractures

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Closed interlocking nailing led to shorter operative times, with a mean of 90 minutes compared to the open method.
Patients using closed nailing had reduced blood loss averaging 200 ml, while the open group lost about 350 ml.
Functional outcomes showed 80.6% excellent to good recovery in the closed group, compared to only 67.7% in the open group.
Closed interlocking nailing resulted in fewer complications, notably with a lower rate of superficial infections at 3% versus 10% in the open group.

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Prospective study compares outcomes of closed and open interlocking nailing in 62 patients, suggesting closed nailing yields better results.

Hussain et al. (2025) studied this question.

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Prospective study compares outcomes of closed and open interlocking nailing in 62 patients, suggesting closed nailing yields better results.