Key result
Open reduction and internal fixation with locked intramedullary nailing was the most common treatment for femoral shaft fractures (62%), with an overall bone union rate of 90.1% by 18 weeks post-operation.
Why the study?
Closed reduction and locked intramedullary nailing is the gold standard for adult femoral shaft fractures, but requisite tools and skills may be unavailable in some low-income countries.
Observational (n=69)
No
In a Nigerian tertiary hospital, ORIF with interlocking nail is the most common treatment for adult femoral shaft fractures, achieving a 90.1% union rate by 18 weeks.
Supports continued use of interlocking nailing for femoral fractures in similar settings; leaves open generalizability and need for comparative trials.
Femoral shaft fractures are common orthopaedic problems with interesting treatment evolution based on evolving clinical evidence. Though closed reduction and locked intramedullary nailing is the gold standard in adults, this requisite tools and skills for this option may be unavailable in some low income countries necessitating other treatment options. We retrospectively review the presentation pattern and treatment outcomes of 71 femoral shaft fractures in a tertiary center. Records of these patients who meet the inclusion criteria were recruited into the study. Relevant data was extracted for the patients’ folders and supplemented with calls to the patients where needed information was unavailable. Data was presented in frequency table and charts. Femoral shaft fractures represents 7.6% of the total number of patients with musculo-skeletal conditions seen at the studycentre within the study period with a male preponderance. Open reduction and locked Intramedullary nailing and hip Spica cast were was the treatment of choice in adults (62%,n=44/71) and children respectively (11.3%, n=8/71). Bone union rate at 12 weeks post intervention was (57.7%). This increased to 90.1% by the end of the eighteenth post-operative week. The most common complication was wound infection in open fractures (4.2%, n=3/71).
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E et al. (2022) conducted an observational in Femoral shaft fractures (n=69). Treatment of femoral shaft fractures was evaluated on Bone union rate at 18 weeks post-operative. Open reduction and internal fixation with locked intramedullary nailing was the most common treatment for femoral shaft fractures (62%), with an overall bone union rate of 90.1% by 18 weeks post-operation.
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