Which of the three different intramedullary nail designs is superior in the treatment of femoral shaft fractures?

Authors : Taner ALIÇ, Cemal GÜLER, Murat ÇALBIYIK, Ercan HASSA

Pages : 467-475

Doi:10.32322/jhsm.1227816

View : 23 | Download : 9

Publication Date : 2023-03-27

Article Type : Research Paper

Abstract :Aim: The aim of this study a retrospective comparison was the clinical and radiological results results of patients with femoral shaft fracture made oftreated with three different types of intramedullary nail insert ignore into journalissuearticles values(IMN);. Material and Method: The study included 54 patients operated on in our clinic because of femoral shaft fracture. The records were retrospectively examined of 18 patients applied with locked IMN insert ignore into journalissuearticles values(LIMN);, 17 with blade expandable IMN insert ignore into journalissuearticles values(BEIMN);, and 19 with talon distalfix IMN insert ignore into journalissuearticles values(TDIMN);. The groups were compared statistically in respect of age, gender, BMI, affected side, operating time insert ignore into journalissuearticles values(mins);, radiation exposure insert ignore into journalissuearticles values(number of shots);, time to union insert ignore into journalissuearticles values(weeks);, visual analog scale insert ignore into journalissuearticles values(VAS); score, soft tissue problems associated with implant irritation, amount of shortening insert ignore into journalissuearticles values(mm);, coronal, sagittal and torsional angulation insert ignore into journalissuearticles values(degrees);. Results: The mean VAS score of the TDIMN group was determined to be statistically significantly higher than that of the LIMN and BEIMN groups insert ignore into journalissuearticles values(p=0.008, p=0.045);. The operating times were similar in the BEIN and TDIMN groups insert ignore into journalissuearticles values(p=0.768); and significantly shorter than in the LIMN group insert ignore into journalissuearticles values(p 0.05);. Conclusion: TDIMN is less resistant to axial loads due to its hook structure design. In fact, this is sometimes seen as a hook break. High VAS scores explain this. The sagittal and coronal angulation of the TDIMN is less, but the time to union, rotational angulation, and shortness development are similar in all three nails. This showed that all three nails did not have a significant advantage over each other in providing fracture stability.
Keywords : Femoral shaft fracture, intramedullary nail, distal hook, locking, blade expandable