Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
The present study is to compare the clinical outcome of non‐union shaft fracture femur plating and nailing with bone grafting. 20 cases of fracture midshaft of femur who were admitted in department of orthopaedics have been included in this study. Prospective study of 20 cases of surgical management of fracture femur non union treated I.M nail or plate with bone grafting. In the follow up the status of wound, the signs of clinical union and range of motion were noted. Radiologically amount of union was also determined. End results evaluated with the Harris hip score. In the current study also there is a clear preponderance in for the male sex 17:3 females. In the present study RTA was responsible for 80% of fractures. In this series the average operation time is 62.5 minutes. In the present study, 16 cases had excellent results (120°) within 3 months, 3 cases had good results (80‐100°) within 3 months, 1 case developed restriction of knee movements between 60‐80°. In the present series the union rate was 95% and was upto 7 months post op period. The present study includes 1 case of nailing infection. In the present study one patient developed delayed union because of osteomyelitis and union took place around 28 weeks. No delayed unions reported in other series. In the present study 10 cases were operated upon with plating and 5 had excellent result, 4 good and 1 poor outcome as per radiological union and harris hip scoring system. In this study the mean duration of hospital stay for plating was 20 days. Average duration was around 15 weeks. There was no incidences of complications of locking compression plates like implant breakage, corrosion, cold welding, localized osteopenia was seen in 1 patients of the 10 patients in plating, no cases of peripheral vascular diseases were observed. Infections rate of 1 out of 10 patients was seen. no significant difference of functional outcome of plating and nailing with bone grafting for non union shaft of femur. It was concluded that in suitable cases when indicated and principles are followed carefully for plating and nailing along with bone grafting, good results are bound to occur and hence these surgeries are ideal in treatment of non union femur. No significant difference was observed in the outcome of results when compared plating with intramedullary nailing.
How to cite this article:
R. Chandra Sekhar Reddy and J. Nageesh. A Comparative Outcome Study of Non‐Union Fracture Shaft of Femur Treated by Nailing Versus Plating with Bone Grafting.
DOI: https://doi.org/10.36478/10.36478/makrjms.2022.4.88.93
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2022.4.88.93