The results of locked intramedular nailing osteosinthesis in long tubular bone fractures

Abstract

Introduction. The development of locked intromedullary osteosynthesis under the auspices of G. Kuntcher in several aspects has surpassed the evolution of extracortical osteosynthesis, especially in the treatment of diaphyseal fractures of the femur. Purpose. The aim of this study: were the analysis of the results in healing of diaphyseal long tubular fractures by osteosinthesys with intramedulary locked nails in patients treated in IEM. Material and methods. During the period of 2015-2020 years in the department of Orthopaedia of IEM there were examined and treated 314 pacients with diaphyseal long tubular fractures (329 fractures on different levels) treated by intramedular ostesinthesys using locked intramedular nails. The group was consist of 203 (64,665%) male and 111 (35,35%) female patients. Average age was 40,4 years old (18-89 years old). Results. According to functional scores LEFS and DASH the results are distributed as excellent in 294 cases (89,36%), good in 33 cases (10,03%), unsatisfactory in 2 cases (0,61%). As the complications there were inregistrated: instability of proximal femoral screw -3 cases, damage of femoral nail -1case, damage of tibial nail -1 case, instability of humeral fixator – 1 case. Conclusions. Intramedular nailing osteosinthesis represents a favorable method for healing the long tubular bone fractures. This method represents reduced surgical traumatism, less hemorrhage, early mobilization and low risk of perioperative complications.