Abstract
A series of 179 closed femoral fractures treated by static interlocking nailing (Grosse-Kempf nail) was reviewed to evaluate the effect of dynamization on the time to bony union. In 75 patients, dynamization was performed whereas in 104 the implant was left static. Union occurred in 178 patients. We observed one infection. Time to union was significantly shorter in the static group (103 days) compared to the dynamized group (126 days).
Résumé
Une série de 179 fractures fémorales fermées traitées par enclouage verrouillé centro-médullaire statique (clou de Grosse-Kempf) a été examinée pour évaluer l’effet de la dynamisation sur le temps de consolidation osseuse. Chez 75 malades la dynamisation a été exécuté, alors que pour 104 l’implant était laissé statique. La consolidation s’est effectuée chez 178 malades. Nous avons observé une infection. Le temps de consolidation était significativement plus court dans le groupe statique (103 jours) comparé au groupe dynamisé (126 jours).
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Tigani, D., Fravisini, M., Stagni, C. et al. Interlocking nail for femoral shaft fractures: is dynamization always necessary?. International Orthopaedics (SICOT) 29, 101–104 (2005). https://doi.org/10.1007/s00264-004-0627-1
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DOI: https://doi.org/10.1007/s00264-004-0627-1