Key result
Dynamic femoral intramedullary nailing procedures were complicated by loss of postoperative fixation and reduction in 10.5% (n=14) of 133 cases, often due to unrecognized comminution or instability.
Population
133 dynamic femoral intramedullary nailing (IM) procedures performed after locking techniques became available
Design
Case_series
Authors
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Risk of fixation loss cautions against dynamic femoral nailing without confirmed stability; Level 5 data leaves open optimal indications for prospective study.
Observational (n=133)
Dynamic intramedullary stabilization of femoral shaft fractures can lead to loss of fixation and reduction if comminution or instability is unrecognized, suggesting it should be reserved for specific fracture types.
Brumback et al. (2005) conducted an observational in Femoral shaft fractures (n=133). Dynamic femoral intramedullary nailing was evaluated on Loss of postoperative fixation and reduction. Dynamic femoral intramedullary nailing procedures were complicated by loss of postoperative fixation and reduction in 10.5% (n=14) of 133 cases, often due to unrecognized comminution or instability.
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