Key result
Closed intramedullary nailing yields similar satisfactory results versus open reduction for femoral shaft fractures.
Why the study?
The optimal technique between open and closed intramedullary nailing for femoral shaft fractures involving the middle three fifths with long-term follow-up was unclear.
Does closed intramedullary nailing improve satisfactory results compared to open reduction and nailing in femoral shaft fractures?
Comparison
Closed intramedullary nailing using image intensifier vs open reduction and nailing
Design
Retrospective cohort study
Follow-up
Average 4 years
Authors
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Comparable results with closed nailing; leaves open whether RCTs would confirm equivalence or reveal outcome differences in femoral shaft fractures.
Cohort (n=130)
Does closed intramedullary nailing improve satisfactory results compared to open reduction and nailing in femoral shaft fractures?
Absolute Event Rate: 92% vs 97%
p-value: p=not statistically significantly different
Closed intramedullary nailing yields similar satisfactory results to open reduction and nailing for femoral shaft fractures.
Leighton et al. (1986) conducted a cohort in Femoral shaft fractures (n=130). Closed intramedullary nailing vs. Open reduction and nailing was evaluated on Satisfactory results (p=not statistically significantly different). Closed intramedullary nailing yielded 92% satisfactory results compared to 97% with open reduction and nailing for femoral shaft fractures, with no statistically significant difference.
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