A comparative study between intramedullary nail and plate and screws fixation of closed fracture shaft femur

Abstract EN

Fractures of the shaft of femur (FSF) are among the most common fractures encountered in orthopedic practice, 27 patients with closed fracture shaft of femur treated by open reduction and internal fixation some by intramedullary nail and others by plate and screws and the two methods compared in relation to time of surgery, length of incision, amount of blood loss, intra and postoperative complications and postoperative rehabilitation and return to function.

We found that nailing is relatively safer operation with less complication rate than plating operation, and fracture healing was better and patient return to function earlier, and we recommend using intramedullary nail for treating fracture shaft of femur if it is technically and surgically feasible and when adequate experience and surgical skills are available.