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A comparison of intramedullary nailing and plate-screw fixation in the treatment for ipsilateral fracture of the hip and femoral shaft

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Abstract

We compared the outcomes of intramedullary nailing with plate-screw fixation in the treatment for ipsilateral fracture of the hip and femoral shaft. A retrospective study. Level 1 Trauma. Forty-one patients (32 males and 9 females; mean age, 34 years; age range, 21–53) with ipsilateral hip and femoral shaft fractures were treated between 1995 and 2005. Eighteen patients were injured in motor vehicle accidents, and 23 fell from a height. All patients were treated by one of the two methods of internal fixation: a screw-plate fixation (n = 24, Group I) or intramedullary nailing (n = 17, Group II). The fracture union time, nonunion, delayed union, implant failure, need of further surgeries, and functional outcomes were investigated and compared. Fisher’s exact test showed that Group I had a significantly higher frequency of nonunion than that of Group II (P = 0.029). Although Group I had more nonunions, delayed unions, and revision operations than Group II, the total union time was similar for both groups. Intramedullary nailing was found to be superior to screw-plate fixation due to improved functional bearing, increased rate of union, stability, and mechanical solidity. The reconstruction nail method is an acceptable alternative treatment for ipsilateral hip and femoral shaft fractures.

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Conflict of interest

All authors disclose no financial and personal relationship with other people or organizations that could inappropriately influence their work.

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Authors and Affiliations

  1. Department of Orthopaedics and Traumatology, Kocaeli University, Izmit, Turkey

    Cumhur Cevdet Kesemenli

  2. Department of Orthopaedic and Traumatology, Kocaeli University School of Medicine, Uctepeler Mevkii Umuttepe Kampusu, 41380, Izmit, Kocaeli, Turkey

    Bilgehan Tosun

  3. Department of Biochemistry and Biomedical Science, McMaster University, Hamilton, ON, Canada

    Nicholas Sun Yong Kim

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  1. Cumhur Cevdet Kesemenli
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  2. Bilgehan Tosun
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  3. Nicholas Sun Yong Kim
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Correspondence to Bilgehan Tosun.

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Kesemenli, C.C., Tosun, B. & Kim, N.S.Y. A comparison of intramedullary nailing and plate-screw fixation in the treatment for ipsilateral fracture of the hip and femoral shaft. Musculoskelet Surg 96, 117–124 (2012). https://doi.org/10.1007/s12306-012-0206-3

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  • DOI: https://doi.org/10.1007/s12306-012-0206-3

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