Open kuntscher nailing of femur shaft fracture...its relevance and rationality in present era of interlock nailing.
Dr Santosh Reang
Interlocking intramedullary nails is now the gold standard in the treatment of femoral shaft fractures however sometime the cost of the implant, and to minimize longer exposure to anesthesia in elderly specially cardio-vascular compromise patient limits its common use in developing countries and open Kuntscher nailing provide a common alternative. This observational retrospective study was done to evaluate the relevance and rationality of Kuntscher nailing in femur shaft fracture against the other standard method with regard to union, complication, return to work place. We retrospectively reviewed 73 patients with Fracture shaft of femur treated with open Kuntscher nailing. Patients were discharged from the hospital after 14 days of surgery usually after stitches removal. All fractures healed within 16-24 weeks and the union rate was 98%. 4 patient developed superficial wound infection. 5 had limb shortening of 1-1.5 centimeters and range of motion at the knee ranges from 0 to 130 degrees at minimum 12 months follow up. There were no rotational deformities.1 patient had bend nail because of early mobilization and 1broken nail leading to non-union. 54.79% (n=40) belonging to low socio-economy group and 6.8% (n-5) with medical co-morbid. It was concluded that open Kuntscher nailing for fracture shaft femur is still a relevant surgery in the developing world especially in government set up where low socio-economic group of patient form a major chunk of indoor patient, in high risk groups of elderly patients and giving good functional and clinical results.
Cite This Article:
OPEN KUNTSCHER NAILING OF FEMUR SHAFT FRACTURE...ITS RELEVANCE AND RATIONALITY IN PRESENT ERA OF INTERLOCK NAILING., DR SANTOSH REANG, INTERNATIONAL JOURNAL OF ADVANCES IN ORTHOPAEDICS : Volume-1 | Issue-4 | November-2017
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