Prospective Study of Diaphyseal Fracture Shaft Femur Treated With Intramedullary Interlocking Nail

Introduction: Orthopaedic surgeons often encounter diaphyseal femur fractures because these fractures most often result from high energy trauma, one must have a high index of suspicion for complications or other injuries. Intramedullary nail being close to centre of femur can tolerate bending and torsional loads better than plates. Closed nailing causes no damage to extraperiosteal soft tissues and the biological environment round the fracture is least disturbed. Also, the chance for early ambulation of the patient which reduces the complications of prolonged bed ridden patient. Materials and Methods: Prospective Hospital Based Analytical study. A total of 50 cases with diaphyseal fracture of femur in a period of 2 years were selected for treatment with Interlocking nail with a minimum follow up of 5 months to a maximum followup of 1 and a half years. Results: In our study we found that 74% patients had Excellent results, 16% Good results, 6% Fair results and only 4% had Poor results with Closed intramedullary Interlocking nail in Diaphyseal femur fractures. Conclusion: Interlocking intramedullary nailing is a very effective and successful method of definitive primary treatment, in most types of fractures of the shaft of the femur.